Job Strain, Overweight, and Diabetes: A 13-Year Prospective Study Among 12,896 Men and Women in Ontario

工作压力 医学 糖尿病 危险系数 社会心理的 置信区间 比例危险模型 超重 入射(几何) 体质指数 流行病学 前瞻性队列研究 肥胖 人口学 老年学 内科学 内分泌学 精神科 物理 社会学 光学
作者
Mahée Gilbert‐Ouimet,Richard H. Glazier,Chantal Brisson,Cameron Mustard,Peter Smith
出处
期刊:Psychosomatic Medicine [Lippincott Williams & Wilkins]
卷期号:83 (2): 187-195 被引量:3
标识
DOI:10.1097/psy.0000000000000898
摘要

ABSTRACT Objective The American Diabetes Association recently called for research on social and environmental determinants of diabetes to intensify primary prevention. Recent epidemiological evidence suggests that frequent and modifiable psychosocial stressors at work might contribute to the development of diabetes, but more prospective studies are needed. We evaluated the relationship between job strain and diabetes incidence in 12,896 workers followed up over a 13-year period in Ontario, Canada. We also examined the modifying effect of body mass index in this relationship. Methods Data from Ontario respondents (35–74 years of age) to the 2000–2001, 2002, and 2003 cycles of the Canadian Community Health Survey were prospectively linked to the Ontario Health Insurance Plan database for physician services and the Canadian Institute for Health Information Discharge Abstract Database for hospital admissions. The sample consisted of actively employed participants with no previous diagnosis for diabetes. Cox proportional hazard regression models were performed to evaluate the relationship between job strain, obesity, and the incidence of diabetes. Results Overall, job strain was not associated with the incidence of diabetes (hazard ratio [HR] = 1.05; 95% confidence interval [CI] = 0.83–1.34). Among women, job strain was associated with an elevated risk of diabetes, although this finding did not reach statistical significance (HR = 1.36; 95% CI = 0.94–1.96). Among men, no association was observed (HR = 0.89; 95% CI = 0.65–1.22). Also, job strain increased the risk of diabetes among women with obesity (HR = 1.88; 95% CI = 1.14–3.08), whereas these stressors reduced the risk among men with obesity (HR = 0.58; 95% CI = 0.36–0.95). Conclusions The current study suggests that lowering job strain might be an effective strategy for preventing diabetes among women, especially the high-risk group comprising women with obesity.
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