Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study
Background Psychosocial stressors at work, defined by the job strain and effort–reward imbalance at work (ERI) models, were shown to increase coronary heart disease risk. No previous study has examined the adverse effect of psychosocial stressors at work from both models on atrial fibrillation (AF)...
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| Language: | English |
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Wiley
2024-08-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.032414 |
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| author | Edwige Tiwa Diffo Mathilde Lavigne‐Robichaud Alain Milot Chantal Brisson Mahée Gilbert‐Ouimet Michel Vézina Denis Talbot Xavier Trudel |
| author_facet | Edwige Tiwa Diffo Mathilde Lavigne‐Robichaud Alain Milot Chantal Brisson Mahée Gilbert‐Ouimet Michel Vézina Denis Talbot Xavier Trudel |
| author_sort | Edwige Tiwa Diffo |
| collection | DOAJ |
| description | Background Psychosocial stressors at work, defined by the job strain and effort–reward imbalance at work (ERI) models, were shown to increase coronary heart disease risk. No previous study has examined the adverse effect of psychosocial stressors at work from both models on atrial fibrillation (AF) incidence. The objective of this study was to examine the separate and combined effect of psychosocial stressors at work from the job strain and ERI models on AF incidence in a prospective cohort study. Methods and Results A total of 5926 white‐collar workers (3021 women and 2905 men) free of cardiovascular disease at baseline were followed for an average of 18 years. Job strain (high psychological demands combined with low decision latitude) and ERI were assessed using validated instruments. AF events were identified in medical databases with universal coverage. Hazard ratios (HRs) with 95% CIs were estimated using Cox regression models, controlling for socioeconomic characteristics and lifestyle‐related and clinical risk factors. A total of 186 AF incident events were identified over 18 years. Workers exposed to job strain (HR, 1.83 [95% CI, 1.14–2.92]) and ERI (HR, 1.44 [95% CI, 1.05–1.98]) had a higher risk of AF in fully adjusted models. Combined exposure to job strain and ERI was associated with a 2‐fold AF risk increase (HR, 1.97 [95% CI, 1.26–3.07]). Conclusions Psychosocial stressors at work from the job strain and ERI models are associated with an increased risk of AF, separately and in combination. Workplace prevention strategies targeting these psychosocial stressors at work may be effective to reduce the burden associated with AF. |
| format | Article |
| id | doaj-art-2d27ae8cbd2244a991eeed43f2bc7d11 |
| institution | OA Journals |
| issn | 2047-9980 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-2d27ae8cbd2244a991eeed43f2bc7d112025-08-20T01:54:16ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-08-01131610.1161/JAHA.123.032414Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective StudyEdwige Tiwa Diffo0Mathilde Lavigne‐Robichaud1Alain Milot2Chantal Brisson3Mahée Gilbert‐Ouimet4Michel Vézina5Denis Talbot6Xavier Trudel7Population Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaDepartement of Social and Preventive Medicine Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaPopulation Health and Optimal Health Practices Research Unit CHU de Québec‐Laval University Quebec City Quebec CanadaBackground Psychosocial stressors at work, defined by the job strain and effort–reward imbalance at work (ERI) models, were shown to increase coronary heart disease risk. No previous study has examined the adverse effect of psychosocial stressors at work from both models on atrial fibrillation (AF) incidence. The objective of this study was to examine the separate and combined effect of psychosocial stressors at work from the job strain and ERI models on AF incidence in a prospective cohort study. Methods and Results A total of 5926 white‐collar workers (3021 women and 2905 men) free of cardiovascular disease at baseline were followed for an average of 18 years. Job strain (high psychological demands combined with low decision latitude) and ERI were assessed using validated instruments. AF events were identified in medical databases with universal coverage. Hazard ratios (HRs) with 95% CIs were estimated using Cox regression models, controlling for socioeconomic characteristics and lifestyle‐related and clinical risk factors. A total of 186 AF incident events were identified over 18 years. Workers exposed to job strain (HR, 1.83 [95% CI, 1.14–2.92]) and ERI (HR, 1.44 [95% CI, 1.05–1.98]) had a higher risk of AF in fully adjusted models. Combined exposure to job strain and ERI was associated with a 2‐fold AF risk increase (HR, 1.97 [95% CI, 1.26–3.07]). Conclusions Psychosocial stressors at work from the job strain and ERI models are associated with an increased risk of AF, separately and in combination. Workplace prevention strategies targeting these psychosocial stressors at work may be effective to reduce the burden associated with AF.https://www.ahajournals.org/doi/10.1161/JAHA.123.032414atrial fibrillationheart disease risk factorsoccupational epidemiologypsychosocial stressorsworkplace |
| spellingShingle | Edwige Tiwa Diffo Mathilde Lavigne‐Robichaud Alain Milot Chantal Brisson Mahée Gilbert‐Ouimet Michel Vézina Denis Talbot Xavier Trudel Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease atrial fibrillation heart disease risk factors occupational epidemiology psychosocial stressors workplace |
| title | Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study |
| title_full | Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study |
| title_fullStr | Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study |
| title_full_unstemmed | Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study |
| title_short | Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18‐Year Prospective Study |
| title_sort | psychosocial stressors at work and atrial fibrillation incidence an 18 year prospective study |
| topic | atrial fibrillation heart disease risk factors occupational epidemiology psychosocial stressors workplace |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.032414 |
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