Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women

Katriina Heikkilä; Solja T Nyberg; Eleonor I Fransson; Lars Alfredsson; Dirk De Bacquer; Jakob Bjørner; Sébastien Bonenfant; Marianne Borritz; Hermann Burr; Els Clays; Annalisa Casini; Nico Dragano; Raimund Erbel; Goedele A Geuskens; Marcel Goldberg; Wendela E Hooftman; Irene L Houtman; Matti Joensuu; Karl-Heinz Jöckel; France Kittel; Anders Knutsson; Markku Koskenvuo; Aki Koskinen; Anne Kouvonen; Constanze Leineweber; Thorsten Lunau; Ida E H Madsen; Linda L Magnusson Hanson; Michael G Marmot; Martin L. Nielsen; Maria Nordin; Jaana Pentti; Paula Salo; Reiner Rugulies; Andrew Steptoe; Johannes Siegrist; Sakari Suominen; Jussi Vahtera; Marianna Virtanen; Ari Väänänen; Peter Westerholm; Hugo Westerlund; Marie Zins; Töres Theorell; Mark Hamer; Jane E Ferrie; Archana Singh-Manoux; G David Batty; Mika Kivimäki; IPD-Work Consortium

doi:10.1371/journal.pone.0040101

Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women

Katriina Heikkilä, Solja T Nyberg, Eleonor I Fransson, Lars Alfredsson, Dirk De Bacquer, Jakob Bjørner, Sébastien Bonenfant, Marianne Borritz, Hermann Burr, Els Clays, Annalisa Casini, Nico Dragano, Raimund Erbel, Goedele A Geuskens, Marcel Goldberg, Wendela E Hooftman, Irene L Houtman, Matti Joensuu, Karl-Heinz Jöckel, France KittelAnders Knutsson, Markku Koskenvuo, Aki Koskinen, Anne Kouvonen, Constanze Leineweber, Thorsten Lunau, Ida E H Madsen, Linda L Magnusson Hanson, Michael G Marmot, Martin L. Nielsen, Maria Nordin, Jaana Pentti, Paula Salo, Reiner Rugulies, Andrew Steptoe, Johannes Siegrist, Sakari Suominen, Jussi Vahtera, Marianna Virtanen, Ari Väänänen, Peter Westerholm, Hugo Westerlund, Marie Zins, Töres Theorell, Mark Hamer, Jane E Ferrie, Archana Singh-Manoux, G David Batty, Mika Kivimäki, IPD-Work Consortium

72 Citations (Scopus)

Abstract

Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: &20, men: &27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

Original language	English
Journal	PLOS ONE
Volume	7
Issue number	7
Pages (from-to)	e40101
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0040101
Publication status	Published - 6 Jul 2012

Keywords

Adult
Alcohol Drinking
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Odds Ratio
Risk Factors
Stress, Psychological
Workplace
Young Adult

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10.1371/journal.pone.0040101

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Heikkilä, K., Nyberg, S. T., Fransson, E. I., Alfredsson, L., De Bacquer, D., Bjørner, J., Bonenfant, S., Borritz, M., Burr, H., Clays, E., Casini, A., Dragano, N., Erbel, R., Geuskens, G. A., Goldberg, M., Hooftman, W. E., Houtman, I. L., Joensuu, M., Jöckel, K-H., ... IPD-Work Consortium (2012). Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women. PLOS ONE, 7(7), e40101. https://doi.org/10.1371/journal.pone.0040101

Heikkilä, K, Nyberg, ST, Fransson, EI, Alfredsson, L, De Bacquer, D, Bjørner, J, Bonenfant, S, Borritz, M, Burr, H, Clays, E, Casini, A, Dragano, N, Erbel, R, Geuskens, GA, Goldberg, M, Hooftman, WE, Houtman, IL, Joensuu, M, Jöckel, K-H, Kittel, F, Knutsson, A, Koskenvuo, M, Koskinen, A, Kouvonen, A, Leineweber, C, Lunau, T, Madsen, IEH, Magnusson Hanson, LL, Marmot, MG, Nielsen, ML, Nordin, M, Pentti, J, Salo, P, Rugulies, R, Steptoe, A, Siegrist, J, Suominen, S, Vahtera, J, Virtanen, M, Väänänen, A, Westerholm, P, Westerlund, H, Zins, M, Theorell, T, Hamer, M, Ferrie, JE, Singh-Manoux, A, Batty, GD, Kivimäki, M & IPD-Work Consortium 2012, 'Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women', PLOS ONE, vol. 7, no. 7, pp. e40101. https://doi.org/10.1371/journal.pone.0040101

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title = "Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women",

abstract = "Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: &20, men: &27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.",

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year = "2012",

month = jul,

day = "6",

doi = "10.1371/journal.pone.0040101",

language = "English",

volume = "7",

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TY - JOUR

T1 - Job strain and alcohol intake

T2 - a collaborative meta-analysis of individual-participant data from 140,000 men and women

AU - Heikkilä, Katriina

AU - Nyberg, Solja T

AU - Fransson, Eleonor I

AU - Alfredsson, Lars

AU - De Bacquer, Dirk

AU - Bjørner, Jakob

AU - Bonenfant, Sébastien

AU - Borritz, Marianne

AU - Burr, Hermann

AU - Clays, Els

AU - Casini, Annalisa

AU - Dragano, Nico

AU - Erbel, Raimund

AU - Geuskens, Goedele A

AU - Goldberg, Marcel

AU - Hooftman, Wendela E

AU - Houtman, Irene L

AU - Joensuu, Matti

AU - Jöckel, Karl-Heinz

AU - Kittel, France

AU - Knutsson, Anders

AU - Koskenvuo, Markku

AU - Koskinen, Aki

AU - Kouvonen, Anne

AU - Leineweber, Constanze

AU - Lunau, Thorsten

AU - Madsen, Ida E H

AU - Magnusson Hanson, Linda L

AU - Marmot, Michael G

AU - Nielsen, Martin L.

AU - Nordin, Maria

AU - Pentti, Jaana

AU - Salo, Paula

AU - Rugulies, Reiner

AU - Steptoe, Andrew

AU - Siegrist, Johannes

AU - Suominen, Sakari

AU - Vahtera, Jussi

AU - Virtanen, Marianna

AU - Väänänen, Ari

AU - Westerholm, Peter

AU - Westerlund, Hugo

AU - Zins, Marie

AU - Theorell, Töres

AU - Hamer, Mark

AU - Ferrie, Jane E

AU - Singh-Manoux, Archana

AU - Batty, G David

AU - Kivimäki, Mika

AU - IPD-Work Consortium

PY - 2012/7/6

Y1 - 2012/7/6

N2 - Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: &20, men: &27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

AB - Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: &20, men: &27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

KW - Adult

KW - Alcohol Drinking

KW - Cross-Sectional Studies

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Odds Ratio

KW - Risk Factors

KW - Stress, Psychological

KW - Workplace

KW - Young Adult

U2 - 10.1371/journal.pone.0040101

DO - 10.1371/journal.pone.0040101

M3 - Journal article

C2 - 22792218

SN - 1932-6203

VL - 7

SP - e40101

JO - PLoS Computational Biology

JF - PLoS Computational Biology

IS - 7

ER -

Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women

Abstract

Keywords

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