The association between study characteristics and outcome in the relation between job stress and cardiovascular disease – a multilevel meta-regression analysis
Autor: | Ludovic G. P. M. van Amelsvoort, Wolfgang Viechtbauer, Karolina Szerencsi, Danielle C. L. Mohren, IJmert Kant, Martin H. Prins |
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Přispěvatelé: | Promovendi PHPC, Epidemiologie, Psychiatrie & Neuropsychologie, MUMC+: KIO Kemta (9), RS: CAPHRI School for Public Health and Primary Care, RS: MHeNs School for Mental Health and Neuroscience |
Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
meta-regression analysis
MEDLINE review Disease psychosocial factor Scandinavian and Nordic Countries Burnout systematic review Risk Factors cardiovascular disease Surveys and Questionnaires decision latitude Humans Medicine Meta-regression coronary heart disease Association (psychology) multilevel meta-regression analysis Burnout Professional Research question job stress job strain Job strain business.industry study characteristic job demand Public Health Environmental and Occupational Health work stress stroke meta-analysis Cardiovascular Diseases Meta-analysis heterogeneity Public aspects of medicine RA1-1270 business Stress Psychological Demography |
Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 38, Iss 6, Pp 489-502 (2012) Scandinavian Journal of Work Environment & Health, 38(6), 489-502. Nordic Association of Occupational Safety and Health |
ISSN: | 0355-3140 |
Popis: | Studies about job strain and cardiovascular disease (CVD) have yielded inconsistent results, which hinders making a firm conclusion about the association. Inconsistent findings may be the result of methodological differences. If the relative CVD risk is influenced by methodological differences, these differences should be explored in more detail in future research to clarify which methodological characteristics are inherent to obtain the most accurate estimate between job strain and CVD risk. By assessing how study characteristics are associated with the outcome, we take the first step in unraveling this association. In this review, we explore the following research question: are study characteristics associated with the size of the reported relative CVD risk?A systematic literature search yielded 71 studies about job stress, assessed with the demand-control model, and CVD. Traditional meta-regression was extended enabling the use of correlated data to quantify heterogeneity within and between studies.Compared to studies that use the original Job Content Questionnaire (JCQ), studies in which a more deviant form of the JCQ was used yielded, on average, 43% higher estimates. Studies conducted in the USA yielded about 26% lower estimates compared to studies conducted in Scandinavian countries.Several study characteristics are associated with the size of the reported relative CVD risk. Many of these study features are related to the validity of the exposure and outcome assessment and are inherent to obtain an accurate estimate between work stress and CVD risk. More research is needed to clarify why these study features impact the average relative CVD risk. |
Databáze: | OpenAIRE |
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