TY - JOUR
T1 - Associations of job strain and working overtime with adverse health behaviors and obesity
T2 - Evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study
AU - Lallukka, Tea
AU - Lahelma, Eero
AU - Rahkonen, Ossi
AU - Roos, Eva
AU - Laaksonen, Elina
AU - Martikainen, Pekka
AU - Head, Jenny
AU - Brunner, Eric
AU - Mosdol, Annhild
AU - Marmot, Michael
AU - Sekine, Michikazu
AU - Nasermoaddeli, Ali
AU - Kagamimori, Sadanobu
N1 - Funding Information:
The Helsinki Health Study is supported by Academy of Finland (#205588, #70631, #48600, #210435). The Japanese public sector study was granted in part by the Ministry of Health, Labour and Welfare; the Japanese Society for the Promotion of Science; the Occupational Health Promotion Foundation; the Univers Foundation (98.04.017); the Daiwa Anglo-Japanese Foundation (03/2059); and the Great Britain Sasakawa Foundation (2551).
Funding Information:
The Whitehall II study has been supported by grants from the Medical Research Council; British Heart Foundation; Health and Safety Executive; Department of Health; National Heart Lung and Blood Institute (HL36310), US, NIH: National Institute on Aging (AG13196), US, NIH; Agency for Health Care Policy Research (HS06516); and the John D and Catherine T MacArthur Foundation Research Networks on Successful Midlife Development and Socio-economic Status and Health. MM is supported by an MRC Research Professorship.
PY - 2008/4
Y1 - 2008/4
N2 - Adverse health behaviors and obesity are key determinants of major chronic diseases. Evidence on work-related determinants of these behavioral risk factors is inconclusive, and comparative studies are especially lacking. We aimed to examine the associations between job strain, working overtime, adverse health behaviors, and obesity among 45-60-year-old white-collar employees of the Whitehall II Study from London (n = 3397), Helsinki Health Study (n = 6070), and the Japanese Civil Servants Study (n = 2213). Comparable data from all three cohorts were pooled, and logistic regression analysis was used, stratified by cohort and sex. Models were adjusted for age, occupational class, and marital status. Outcomes were unhealthy food habits, physical inactivity, heavy drinking, smoking, and obesity. In London, men reporting passive work were more likely to be physically inactive. A similar association was repeated among women in Helsinki. Additionally, high job strain was associated with physical inactivity among men in London and women in Helsinki. In London, women reporting passive work were less likely to be heavy drinkers and smokers. In Japan, men working overtime reported less smoking, whereas those with high job strain were more likely to smoke. Among men in Helsinki the association between working overtime and non-smoking was also suggested, but it reached statistical significance in the age-adjusted model only. Obesity was associated with working overtime among women in London. In conclusion, job strain and working overtime had some, albeit mostly weak and inconsistent, associations with adverse health behaviors and obesity in these middle-aged white-collar employee cohorts from Britain, Finland, and Japan.
AB - Adverse health behaviors and obesity are key determinants of major chronic diseases. Evidence on work-related determinants of these behavioral risk factors is inconclusive, and comparative studies are especially lacking. We aimed to examine the associations between job strain, working overtime, adverse health behaviors, and obesity among 45-60-year-old white-collar employees of the Whitehall II Study from London (n = 3397), Helsinki Health Study (n = 6070), and the Japanese Civil Servants Study (n = 2213). Comparable data from all three cohorts were pooled, and logistic regression analysis was used, stratified by cohort and sex. Models were adjusted for age, occupational class, and marital status. Outcomes were unhealthy food habits, physical inactivity, heavy drinking, smoking, and obesity. In London, men reporting passive work were more likely to be physically inactive. A similar association was repeated among women in Helsinki. Additionally, high job strain was associated with physical inactivity among men in London and women in Helsinki. In London, women reporting passive work were less likely to be heavy drinkers and smokers. In Japan, men working overtime reported less smoking, whereas those with high job strain were more likely to smoke. Among men in Helsinki the association between working overtime and non-smoking was also suggested, but it reached statistical significance in the age-adjusted model only. Obesity was associated with working overtime among women in London. In conclusion, job strain and working overtime had some, albeit mostly weak and inconsistent, associations with adverse health behaviors and obesity in these middle-aged white-collar employee cohorts from Britain, Finland, and Japan.
KW - Current smoking
KW - Finland
KW - Heavy drinking
KW - International comparisons
KW - Japan
KW - Physical inactivity
KW - Psychosocial
KW - UK
KW - Unhealthy food habits
KW - Work
UR - http://www.scopus.com/inward/record.url?scp=40749142414&partnerID=8YFLogxK
U2 - 10.1016/j.socscimed.2007.12.027
DO - 10.1016/j.socscimed.2007.12.027
M3 - 学術論文
C2 - 18261833
AN - SCOPUS:40749142414
SN - 0277-9536
VL - 66
SP - 1681
EP - 1698
JO - Social Science and Medicine
JF - Social Science and Medicine
IS - 8
ER -