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International Archives of Occupational and Environmental Health

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01.12.2011 | Original Article

Fractions of cardiovascular diseases, mental disorders, and musculoskeletal disorders attributable to job strain

verfasst von: Hélène Sultan-Taïeb, Catherine Lejeune, Anne Drummond, Isabelle Niedhammer

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 8/2011

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Abstract

Objectives

The aim of this study was to evaluate fractions of diseases attributable to job strain defined using Karasek’s model among the French working population for cardiovascular diseases (CVD), mental disorders, and musculoskeletal disorders (MSD).

Methods

Job strain was defined as the combination of high psychological demands and low decision latitude. The prevalence of exposure (P _e) was estimated using the representative national sample of 24,486 employees of the French SUMER survey. Relative risks (RR) were estimated from a literature review (1990–2008) using the same inclusion criteria for the three health outcomes. P _e and RR estimates were used to calculate attributable fractions (AF).

Results

P _e estimates were 19.6% for men, 28.2% for women, and 23.2% for men and women combined. The literature review led to a selection of 13 studies for CVD, 7 studies for mental disorders, and 11 studies for MSD. RR estimates were 0.63–2.45 for CVD (morbidity and mortality), 1.2–3.3 for mental disorders, and 0.94–2.3 for MSD. AF estimates for CVD morbidity were 4.9–21.5% for men, 0–15.9% for women, and 6.5–25.2% for men and women combined, for CVD mortality 7.9–21.5% for men, 2.5% for women, and 6.5–25.2% for men and women combined, for mental disorders 10.2–31.1% for men, 5.3–33.6% for women, and 6.5% for men and women combined, and for MSD 0–19.6% for men, 0–26.8% for women, and 3.4–19.9% for men and women combined.

Conclusion

This study is the first one to provide fractions of diseases attributable to job strain for three health outcomes in France on the basis of a systematic review of the literature. These results could contribute to the estimation of the economic cost of diseases attributable to job strain.

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Titel: Fractions of cardiovascular diseases, mental disorders, and musculoskeletal disorders attributable to job strain
verfasst von: Hélène Sultan-Taïeb
Catherine Lejeune
Anne Drummond
Isabelle Niedhammer
Publikationsdatum: 01.12.2011
Verlag: Springer-Verlag
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 8/2011
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-011-0633-8

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusion

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