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Cardiol Rev. 2009 Mar-Apr;17(2):83-97. doi: 10.1097/CRD.0b013e318198c8e9.

Work-related psychosocial factors and the development of ischemic heart disease: a systematic review.

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  • 1Clinic of Occupational Medicine, Hillerød Hospital, Hillerød, Denmark. nael@noh.regionh.dk

Abstract

The literature on the relationship between work-related psychosocial factors and the development of ischemic heart disease (IHD) was systematically reviewed: 33 articles presented 51 analyses of studies involving male participants, 18 analyses involving female participants, and 8 analyses with both genders. Twenty of the studies originated in the Nordic countries, and the major dimensions of the Demand-Control Model were the focus of 23 articles. A balanced evaluation of the studies indicates moderate evidence that high psychologic demands, lack of social support, and iso-strain are risk factors for IHD among men. Studies performed during recent years have not shown evidence for lack of control as a risk factor for IHD. Several studies have shown that job strain is a risk factor, but in the more recent ones, these associations can be fully explained by the association between demands and disease risk. Insufficient evidence was found for a relationship between IHD and effort-reward imbalance, injustice, job insecurity, or long working hours. Studies involving women are too few to draw any conclusion concerning women, work stress, and IHD.

PMID:
19367150
DOI:
10.1097/CRD.0b013e318198c8e9
[PubMed - indexed for MEDLINE]
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