title: Justice at work and metabolic syndrome: the Whitehall II study.
abstract: OBJECTIVE
  Growing evidence shows that high levels of justice are beneficial for employee health, although biological mechanisms underlying this association are yet to be clarified. We aim to test whether high justice at work protects against metabolic syndrome.
  
  
  METHODS
  A prospective cohort study of 20 civil service departments in London (the Whitehall II study) including 6123 male and female British civil servants aged 35-55 years without prevalent coronary heart disease at baseline (1985-1990). Perceived justice at work was determined by means of questionnaire on two occasions between 1985 and 1990. Follow-up for metabolic syndrome and its components occurring from 1990 to 2004 was based on clinical assessments on three occasions over more than 18 years.
  
  
  RESULTS
  Cox proportional hazard models adjusted for age, ethnicity and employment grade showed that men who experienced a high level of justice at work had a lower risk of incident metabolic syndrome than employees with a low level of justice (HR 0.75; 95% CI 0.63 to 0.89). There was little evidence of an association between organisational justice and metabolic syndrome or its components in women (HR 0.88; 95% CI 0.67 to 1.17).
  
  
  CONCLUSIONS
  Our prospective findings provide evidence of an association between high levels of justice at work and the development of metabolic syndrome in men.
authors.affiliation: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. d.gimeno@ucl.ac.uk
authors.forename: David
authors.initials: D
authors.lastname: Gimeno
authors.forename: Adám G
authors.initials: AG
authors.lastname: Tabák
authors.forename: Jane E
authors.initials: JE
authors.lastname: Ferrie
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Shipley
authors.forename: Roberto
authors.initials: R
authors.lastname: De Vogli
authors.forename: Marko
authors.initials: M
authors.lastname: Elovainio
authors.forename: Jussi
authors.initials: J
authors.lastname: Vahtera
authors.forename: Michael G
authors.initials: MG
authors.lastname: Marmot
authors.forename: Mika
authors.initials: M
authors.lastname: Kivimäki
mesh_terms: D000328:Adult; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology*; D016272:Occupational Health; D015279:Organizational Culture; D016016:Proportional Hazards Models; D012935:Social Justice / Q000523:psychology*; D011795:Surveys and Questionnaires