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Work Stress and Risk of Cardiovascular Mortality: Prospective Cohort Study of Industrial Employees by M. Kivimaki is a Health Professions article available to read on EtoBox.

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## Objective: To examine the association between work stress, according to the job strain model and the effort-reward imbalance model, and the risk of death from cardiovascular disease. ## Design: Prospective cohort study. baseline examination in 1973 determined cases of cardiovascular disease, behavioural and biological risks, and stressful characteristics of work. biological risks were measured at 5 year and 10 year follow up. ## Setting: Staff of a company in the metal industry in finland. ## Participants: 812 employees (545 men, 267 women) who were free from cardiovascular diseases at baseline. ## Main outcome measure: Cardiovascular mortality 1973-2001 from the national mortality register. ## Results: Mean length of follow up was 25.6 years. after adjustment for age and sex, employees with high job strain, a combination of high demands at work and low job control, had a 2.2-fold (95% confidence interval 1.2 to 4.2) cardiovascular mortality risk compared with their colleagues with low job strain. the corresponding risk ratio for employees with effort-reward imbalance (low salary, lack of social approval, and few career opportunities relative to efforts required at work) was 2.4

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Author

M. Kivimaki

Publisher

BMJ

Published

2002

Language

EN

Field

Health Professions (Health Sciences)