Heikkilä, Katriina; Nyberg, Solja T; Fransson, Eleonor I; Alfredsson, Lars; De Bacquer, Dirk; Bjorner, Jakob B; Bonenfant, Sébastien; Borritz, Marianne; Burr, Hermann; Clays, Els; +40 more... Casini, Annalisa; Dragano, Nico; Erbel, Raimund; Geuskens, Goedele A; Goldberg, Marcel; Hooftman, Wendela E; Houtman, Irene L; Joensuu, Matti; Jöckel, Karl-Heinz; Kittel, France; Knutsson, Anders; Koskenvuo, Markku; Koskinen, Aki; Kouvonen, Anne; Leineweber, Constanze; Lunau, Thorsten; Madsen, Ida EH; Magnusson Hanson, Linda L; Marmot, Michael G; Nielsen, Martin L; Nordin, Maria; Pentti, Jaana; Salo, Paula; Rugulies, Reiner; Steptoe, Andrew; Siegrist, Johannes; Suominen, Sakari; Vahtera, Jussi; Virtanen, Marianna; Väänänen, Ari; Westerholm, Peter; Westerlund, Hugo; Zins, Marie; Theorell, Töres; Hamer, Mark; Ferrie, Jane E; Singh-Manoux, Archana; Batty, G David; Kivimäki, Mika; IPD-Work Consortium; (2012) Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies. PloS one, 7 (7). e35463-. ISSN 1932-6203 DOI: https://doi.org/10.1371/journal.pone.0035463
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Abstract
BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166,130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166,130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.
Item Type | Article |
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Keywords | Adolescent, Adult, Aged, Cross-Sectional Studies, Europe, *European Continental Ancestry Group, Female, Humans, Male, Middle Aged, Odds Ratio, Questionnaires, *Smoking, Smoking Cessation, Socioeconomic Factors, *Stress, Psychological, Workplace, Young Adult, Adolescent, Adult, Aged, Cross-Sectional Studies, Europe, European Continental Ancestry Group, Female, Humans, Male, Middle Aged, Smoking, Stress |
Faculty and Department | Faculty of Public Health and Policy > Dept of Health Services Research and Policy |
PubMed ID | 22792154 |
ISI | 306461800002 |
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