title: Job strain, social support in the workplace, and haemoglobin A1c in Japanese men.
abstract: OBJECTIVE
  To examine the association between job strain (defined in the model of job demands and job control) and social support at the workplace with levels of glycosylated haemoglobin A1c (HbA1c)
  
  
  METHODS
  All male employees aged 40-60 in a manufacturing firm, Japan, were invited to take part in the study. A blood sample was taken from the participants and HbA1c (%) was measured. Job strain and social support at the workplace were assessed with the job content questionnaire (JCQ). After excluding those who had a history of diabetes mellitus or other chronic diseases, data from 268 male day workers were analyzed.
  
  
  RESULTS
  Age adjusted average concentrations of HbA1c were significantly higher in the highest quartile group of job strain or the lowest quartile group of social support at the workplace (p<0.05). Multiple linear regression analysis indicated that job strain was significantly and positively related to HbA1c (p<0.05), whereas social support at the workplace was significantly and negatively related to HbA1c (p<0.05), both after controlling for other covariates.
  
  
  CONCLUSIONS
  Greater job strain and lower social support at the workplace may be associated with increased concentrations of HbA1c. Increased blood glucose may be a physiological mediator between job strain or social support at the workplace and coronary heart disease.
authors.affiliation: Department of Public Health, Gifu University School of Medicine, Gifu 500-8705, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Kawakami
authors.forename: K
authors.initials: K
authors.lastname: Akachi
authors.forename: H
authors.initials: H
authors.lastname: Shimizu
authors.forename: T
authors.initials: T
authors.lastname: Haratani
authors.forename: F
authors.initials: F
authors.lastname: Kobayashi
authors.forename: M
authors.initials: M
authors.lastname: Ishizaki
authors.forename: T
authors.initials: T
authors.lastname: Hayashi
authors.forename: O
authors.initials: O
authors.lastname: Fujita
authors.forename: Y
authors.initials: Y
authors.lastname: Aizawa
authors.forename: S
authors.initials: S
authors.lastname: Miyazaki
authors.forename: H
authors.initials: H
authors.lastname: Hiro
authors.forename: S
authors.initials: S
authors.lastname: Hashimoto
authors.forename: S
authors.initials: S
authors.lastname: Araki
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D006441:Hemoglobin A / Q000032:analysis*; D006801:Humans; D007389:Internal-External Control; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000097:blood* / Q000523:psychology; D011594:Psychometrics; D012944:Social Support; D013315:Stress, Psychological / Q000097:blood*
chemical_list: D006441:Hemoglobin A