Abstract:
OBJECTIVE:To examine the effects of unfairness on incident coronary events and health functioning. DESIGN:Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work characteristics (job strain, effort-reward imbalance and organisational justice) were measured at baseline. Associations between unfairness and incident coronary events and health functioning were determined over an average follow-up of 10.9 years. PARTICIPANTS:5726 men and 2572 women from 20 civil service departments in London (the Whitehall II Study). MAIN OUTCOME MEASURES:Incident fatal coronary heart disease, non-fatal myocardial infarction and angina (528 events) and health functioning. RESULTS:Low employment grade is strongly associated with unfairness. Participants reporting higher levels of unfairness are more likely to experience an incident coronary event (HR 1.55, 95% CI 1.11 to 2.17), after adjustment for age, gender, employment grade, established coronary risk factors and other work-related psychosocial characteristics. Unfairness is also associated with poor physical (OR 1.46, 95% CI 1.20 to 1.77) and mental (OR 1.54, 95% CI 1.19 to 1.99) functioning at follow-up, controlling for all other factors and health functioning at baseline. CONCLUSIONS:Unfairness is an independent predictor of increased coronary events and impaired health functioning. Further research is needed to disentangle the effects of unfairness from other psychosocial constructs and to investigate the societal, relational and biological mechanisms that may underlie its associations with health and heart disease.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
De Vogli R,Ferrie JE,Chandola T,Kivimäki M,Marmot MGdoi
10.1136/jech.2006.052563subject
Has Abstractpub_date
2007-06-01 00:00:00pages
513-8issue
6eissn
0143-005Xissn
1470-2738pii
61/6/513journal_volume
61pub_type
杂志文章abstract:INTRODUCTION:Health inequalities can be observed in early life as unfavourable birth outcomes. Evidence indicates that neighbourhood socioeconomic circumstances influence health. However, studies looking into temporal trends in inequalities in birth outcomes including neighbourhood socioeconomic conditions are scarce. ...
journal_title:Journal of epidemiology and community health
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abstract:STUDY OBJECTIVE:The aim was to estimate health and economic consequences of interventions aimed at reducing the daily intake of salt (sodium chloride) by 6 g per person in the Norwegian population. Health promotion (information campaigns), development of new industry food recipes, declaration of salt content in food an...
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abstract:STUDY OBJECTIVE:To examine the effect of deprivation, crowding, maternal smoking, and breast feeding on morbidity from wheeze and diarrhoea in the first six months after birth. DESIGN:A geographically located population survey using maternal responses on self completion questionnaires. SETTING:The three health distri...
journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
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pub_type: 杂志文章,多中心研究
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更新日期:2008-11-01 00:00:00
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更新日期:2009-06-01 00:00:00
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pub_type: 评论,杂志文章
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.077198
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abstract:STUDY OBJECTIVE:It is increasingly recognised that different dimensions of social inequality may be linked to health by different pathways. Furthermore, factors operating at the individual level such as employment conditions may affect health in a different way from household level factors. The paper examines the assoc...
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pub_type: 杂志文章
doi:10.1136/jech.57.1.56
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:To study the association between own education, adult and parental circumstances and the risk of myocardial infarction in a former communist country. DESIGN:Population based case-control study. SETTING:General population of five districts of the Czech Republic in the age group 25-64 years. PARTICIPANTS:Ran...
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更新日期:2012-07-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:1995-10-01 00:00:00
abstract::This is the report of a feasibility study of a randomised controlled trial of chiropractic and hospital outpatient management for low back pain of mechanical origin. Preparations for the study included an approach to the General Medical Council for guidance about the intended collaboration between medically qualified ...
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1986-03-01 00:00:00
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更新日期:1985-06-01 00:00:00
abstract:BACKGROUND:The Wales National Exercise Referral Scheme (NERS) is a 16-week programme including motivational interviewing, goal setting and relapse prevention. METHOD:A pragmatic randomised controlled trial with nested economic evaluation of 2160 inactive participants with coronary heart disease risk (CHD, 1559, 72%), ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech-2011-200689
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Few studies have examined the causal relationship between transport mode and body mass index (BMI). METHODS:We examined between-person differences and within-person changes in BMI by transport mode over four time points between 2007 and 2013. Data were from the How Areas in Brisbane Influence HealTh and AcT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209957
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Acute myocardial infarction (AMI; ICD9-CM 410*) is a leading cause of morbidity and mortality all over the world, and its community surveillance is essential to monitor variation in the occurrence of the disease. Between the late 1990s and the early 2000s more sensitive and specific biomarkers of myocardial ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:This study investigated the association of residential density with overweight among adolescents in an urban area of China. METHODS:Using multistage proportional sampling methods, a population-based cross-sectional study was conducted in Nanjing between September and November 2004 (n=2375; mean age=13.9 ± 1....
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Light to moderate alcohol intake lowers the risk of cardiovascular mortality, but whether this protective effect can be attributed to a specific type of beverage remains unclear. Moreover, little is known about the effects of long-term alcohol intake on life expectancy. METHODS:The impact of long-term alcoh...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.082198
更新日期:2009-07-01 00:00:00