Lack of predictability at work and risk of acute myocardial infarction: an 18-year prospective study of industrial employees.

Abstract:

OBJECTIVES:We examined whether the distinctive components of job control-decision authority, skill discretion, and predictability-were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease-free industrial employees. METHODS:We prospectively examined the relation between the components of job control and acute MI among private-sector industrial employees. During an 18-year follow-up, 56 fatal and 316 nonfatal events of acute MI were documented among 7663 employees with no recorded history of cardiovascular disease at baseline (i.e., 1986). RESULTS:After adjustment for demographics, psychological distress, prevalent medical conditions, lifestyle risk factors, and socioeconomic characteristics, low decision autonomy (P < .53) and skill discretion (P < .10) were not significantly related to subsequent acute MI. By contrast, low predictability at work was associated with elevated risk of acute MI (P = .02). This association was driven by the strong effect of predictability on acute MI among employees aged 45 to 54 years. CONCLUSIONS:Prospective evidence suggests that low predictability at work is an important component of job control, increasing long-term risk of acute MI among middle-aged employees.

journal_name

Am J Public Health

authors

Väänänen A,Koskinen A,Joensuu M,Kivimäki M,Vahtera J,Kouvonen A,Jäppinen P

doi

10.2105/AJPH.2007.122382

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

2264-71

issue

12

eissn

0090-0036

issn

1541-0048

pii

AJPH.2007.122382

journal_volume

98

pub_type

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