Joint effects of job strain and road-traffic and occupational noise on myocardial infarction
| Autor: | Mats E. Nilsson, Gösta Bluhm, Johan Hallqvist, Göran Pershagen, Jenny Selander, Pernilla Willix, Töres Theorell |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty noise Job-exposure matrix Population based stress Physical medicine and rehabilitation cardiovascular disease environmental factor Air Pollution Occupational Exposure Medicine Humans residential factor Myocardial infarction Joint (geology) Road traffic work-related factor Aged occupational noise Sweden job strain Job strain business.industry Public Health Environmental and Occupational Health road-traffic noise Middle Aged medicine.disease ischemic heart disease job exposure matrix Noise myocardial infarction Noise Transportation Case-Control Studies Physical therapy Noise Occupational joint effect Female Public aspects of medicine RA1-1270 business Stress Psychological |
| Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 39, Iss 2, Pp 195-203 (2013) |
| ISSN: | 0355-3140 |
| Popis: | OBJECTIVES: The aim of this study was to assess the joint effect of job strain and both road-traffic and occupational noise on myocardial infarction (MI). METHOD: We conducted a population based case–control study on first time MI in Stockholm County during 1992–1994. Participants answered a questionnaire and underwent a physical examination. Residential road-traffic noise exposure was based on residential history combined with information on traffic intensity and distance to nearby roads. Occupational noise exposure was assessed by occupational history combined with a job-exposure matrix derived from measurements. Job strain was based on questions regarding psychological demands and decision latitude. A total of 3050 study participants (1252 cases and 1798 controls) were included in the study. RESULTS: An increased risk of MI was indicated among participants exposed to road-traffic noise [odds ratio (OR) 1.23, 95% confidence interval (95% CI) 1.01–1.51], occupational noise (OR 1.17, 95% CI 0.98–1.41) and job strain (OR 1.39, 95% CI 1.17–1.65). Participants exposed to one, two, or three of these factors showed an increased risk (OR 1.16, 95% CI 0.97–1.40, OR 1.57, 95% CI 1.24–1.98, and OR 2.27, 95% CI 1.41–3.64, respectively). Exposure to two or three of these factors occurred among about 20% of the controls. CONCLUSION: Our results indicate that exposure to a combination of noise exposure and job strain increases the risk of MI substantially. Such exposures affect a considerable part of the population, which has relevance for prioritization of preventative measures. |
| Databáze: | OpenAIRE |
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