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 Healthjournal_title
American journal of public healthauthors
Väänänen A,Koskinen A,Joensuu M,Kivimäki M,Vahtera J,Kouvonen A,Jäppinen Pdoi
10.2105/AJPH.2007.122382subject
Has Abstractpub_date
2008-12-01 00:00:00pages
2264-71issue
12eissn
0090-0036issn
1541-0048pii
AJPH.2007.122382journal_volume
98pub_type
杂志文章abstract:OBJECTIVES:To describe salient epidemiological characteristics of Zika virus outbreaks across the world and to examine the clinical presentations, complications, and atypical manifestations related to their occurrence in recent history. METHODS:We conducted a systematic review of the literature by searching through ME...
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pub_type: 历史文章,杂志文章,评审
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更新日期:2016-04-01 00:00:00
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journal_title:American journal of public health
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2008-06-01 00:00:00
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更新日期:1987-09-01 00:00:00
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更新日期:1995-05-01 00:00:00
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更新日期:2014-06-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2015-04-01 00:00:00
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更新日期:2013-12-01 00:00:00
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更新日期:1997-07-01 00:00:00
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更新日期:2015-11-01 00:00:00
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更新日期:2015-04-01 00:00:00