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    Associations of job strain and occupation with subclinical atherosclerosis: The CARDIA Study

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    Authors
    Greenlund, Kurt J.
    Kiefe, Catarina I.
    Giles, Wayne H.
    Liu, Kiang
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2010-04-13
    Keywords
    Adaptation, Psychological
    Adolescent
    Adult
    African Americans
    Confidence Intervals
    Coronary Artery Disease
    Decision Making
    European Continental Ancestry Group
    Female
    Health Status Indicators
    Humans
    Longitudinal Studies
    Male
    Occupational Diseases
    *Occupational Health
    Odds Ratio
    Prevalence
    Questionnaires
    Risk Factors
    Socioeconomic Factors
    Stress, Psychological
    United States
    Young Adult
    Bioinformatics
    Biostatistics
    Epidemiology
    Health Services Research
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    Link to Full Text
    http://dx.doi.org/10.1016/j.annepidem.2010.02.007
    Abstract
    PURPOSE: Although occupational factors have been associated with symptomatic ischemic heart disease, associations between job strain (low decision latitude and high psychological demands) and risk for subclinical atherosclerosis measured by coronary artery calcium (CAC) have not been assessed. METHODS: CAC was measured in 3695 participants in the Coronary Artery Risk Development in Young Adults study in 2000 to 2001 and 2005 to 2006. Job characteristics measured by the demand-control model (psychological demands and decision latitude) were assessed in 1987 to 1988 and in 1995 to 1996. Associations between non-zero CAC and previous job characteristics and occupation were assessed, adjusting for potential covariates. RESULTS: Low decision latitude, high psychological demands, and job strain at either earlier examination were not associated with a positive CAC, nor were changes in the status of these job characteristics between 1987/1988 and 1995/1996. However, participants whose jobs were classified as managerial or professional in 1995/1996 were less likely to have a positive CAC than those in laborer occupations. CONCLUSIONS: Job strain measured at two earlier time points was not related to the presence of CAC at follow-up 5 to 18 years later. The association between earlier occupation and CAC may reflect socioeconomic differences or other occupational, industrial, or labor market characteristics.
    Source
    Ann Epidemiol. 2010 May;20(5):323-31. Link to article on publisher's site
    DOI
    10.1016/j.annepidem.2010.02.007
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47759
    PubMed ID
    20382332
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.annepidem.2010.02.007
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    Population and Quantitative Health Sciences Publications

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