title: The association of job strain with coronary heart disease and metabolic syndrome in municipal workers in Turkey.
abstract: To explore the association of job strain with CHD and metabolic syndrome in municipal workers. A cross-sectional study was completed of 450 male workers. Coronary heart disease was defined as: physician diagnosed ischemic heart disease; and/or, ischemic findings in the ECG. Metabolic syndrome was defined according to the criterion set by the National Cholesterol Education Panel. The demand-control model was used to assess job strain. Self administered questionnaires were completed after a face to face interview. Logistic regression models were constructed to assess the association of job strain with CHD and metabolic syndrome. The prevalence of metabolic syndrome and CHD were 17.8% and 8.0% respectively. Both CHD and metabolic syndrome were found to be significantly higher in higher income groups. Job demand and job control were not found to be associated with either CHD or metabolic syndrome. Metabolic syndrome was significantly more prevalent among the high job strain workers, but the significance was lost when controlled for age. The findings suggest that there is no significant association between job strain and metabolic syndrome and CHD in this sample of Turkish workers. Job strain may possibly be perceived differently in different cultures and occupations. Future studies may benefit from using a combination of different stress models and more diverse study populations.
authors.affiliation: Department of Public Health, Dokuz Eylül University School of Medicine, Inciralti, Izmir, Turkey. yucel.demiral@deu.edu.tr
authors.forename: Yucel
authors.initials: Y
authors.lastname: Demiral
authors.forename: Ahmet
authors.initials: A
authors.lastname: Soysal
authors.forename: Ahmet
authors.initials: A
authors.lastname: Can Bilgin
authors.forename: Bulent
authors.initials: B
authors.lastname: Kiliç
authors.forename: Belgin
authors.initials: B
authors.lastname: Unal
authors.forename: Reyhan
authors.initials: R
authors.lastname: Uçku
authors.forename: Tores
authors.initials: T
authors.lastname: Theorell
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology* / Q000209:etiology; D008875:Middle Aged; D016273:Occupational Exposure; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D014505:Urban Population