Work-related psychosocial factors and the development of ischemic heart disease: a systematic review.
The literature on the relationship between work-related psychosocial factors and the development of ischemic heart disease (IHD) was systematically reviewed: 33 articles presented 51 analyses of studies involving male participants, 18 analyses involving female participants, and 8 analyses with both genders. Twenty of the studies originated in the Nordic countries, and the major dimensions of the Demand-Control Model were the focus of 23 articles. A balanced evaluation of the studies indicates moderate evidence that high psychologic demands, lack of social support, and iso-strain are risk factors for IHD among men. Studies performed during recent years have not shown evidence for lack of control as a risk factor for IHD. Several studies have shown that job strain is a risk factor, but in the more recent ones, these associations can be fully explained by the association between demands and disease risk. Insufficient evidence was found for a relationship between IHD and effort-reward imbalance, injustice, job insecurity, or long working hours. Studies involving women are too few to draw any conclusion concerning women, work stress, and IHD.
Clinic of Occupational Medicine, Hillerød Hospital, Hillerød, Denmark. nael@noh.regionh.dk
Nanna H
NH
Eller
Bo
B
Netterstrøm
Finn
F
Gyntelberg
Tage S
TS
Kristensen
Finn
F
Nielsen
Andrew
A
Steptoe
Töres
T
Theorell
D000223:Adaptation, Psychological; D003324:Coronary Artery Disease / Q000503:physiopathology; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology; D017202:Myocardial Ischemia / Q000209:etiology* / Q000503:physiopathology; D016273:Occupational Exposure; D016272:Occupational Health; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications*; D014937:Work / Q000523:psychology*; D017132:Workplace / Q000523:psychology*