Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies

Linda L Magnusson Hanson; Hugo Westerlund; Holendro S. Chungkham; Jussi Vahtera; Naja H Rod; Kristina Alexanderson; Marcel Goldberg; Mika Kivimäki; Sari Stenholm; Loretta G. Platts; Marie Zins; Jenny Head

doi:10.1136/oemed-2017-104644

Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies

Linda L Magnusson Hanson, Hugo Westerlund, Holendro S. Chungkham, Jussi Vahtera, Naja H Rod, Kristina Alexanderson, Marcel Goldberg, Mika Kivimäki, Sari Stenholm, Loretta G. Platts, Marie Zins, Jenny Head

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Abstract

OBJECTIVES: Poor psychosocial working conditions increase the likelihood of various types of morbidity and may substantially limit quality of life and possibilities to remain in paid work. To date, however, no studies to our knowledge have quantified the extent to which poor psychosocial working conditions reduce healthy or chronic disease-free life expectancy, which was the focus of this study.

METHODS: Data were derived from four cohorts with repeat data: the Finnish Public Sector Study (Finland), GAZEL (France), the Swedish Longitudinal Occupational Survey of Health (Sweden) and Whitehall II (UK). Healthy (in good self-rated health) life expectancy (HLE) and chronic disease-free (free from cardiovascular disease, cancer, respiratory disease and diabetes) life expectancy (CDFLE) was calculated from age 50 to 75 based on 64 394 individuals with data on job strain (high demands in combination with low control) at baseline and health at baseline and follow-up.

RESULTS: Multistate life table models showed that job strain was consistently related to shorter HLE (overall 1.7 years difference). The difference in HLE was more pronounced among men (2.0 years compared with 1.5 years for women) and participants in lower occupational positions (2.5 years among low-grade men compared with 1.7 years among high-grade men). Similar differences in HLE, although smaller, were observed among those in intermediate or high occupational positions. Job strain was additionally associated with shorter CDFLE, although this association was weaker and somewhat inconsistent.

CONCLUSIONS: These findings suggest that individuals with job strain have a shorter health expectancy compared with those without job strain.

Original language	English
Journal	Occupational and Environmental Medicine
Volume	75
Issue number	7
Pages (from-to)	486-493
Number of pages	8
ISSN	1351-0711
DOIs	https://doi.org/10.1136/oemed-2017-104644
Publication status	Published - 2018

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Magnusson Hanson, L. L., Westerlund, H., Chungkham, H. S., Vahtera, J., Rod, N. H., Alexanderson, K., Goldberg, M., Kivimäki, M., Stenholm, S., Platts, L. G., Zins, M., & Head, J. (2018). Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies. Occupational and Environmental Medicine, 75(7), 486-493. https://doi.org/10.1136/oemed-2017-104644

Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position : analyses of 64 934 individuals from four prospective cohort studies. / Magnusson Hanson, Linda L; Westerlund, Hugo; Chungkham, Holendro S. et al.

In: Occupational and Environmental Medicine, Vol. 75, No. 7, 2018, p. 486-493.

Research output: Contribution to journal › Journal article › Research › peer-review

Magnusson Hanson, LL, Westerlund, H, Chungkham, HS, Vahtera, J, Rod, NH, Alexanderson, K, Goldberg, M, Kivimäki, M, Stenholm, S, Platts, LG, Zins, M & Head, J 2018, 'Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies', Occupational and Environmental Medicine, vol. 75, no. 7, pp. 486-493. https://doi.org/10.1136/oemed-2017-104644

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title = "Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies",

abstract = "OBJECTIVES: Poor psychosocial working conditions increase the likelihood of various types of morbidity and may substantially limit quality of life and possibilities to remain in paid work. To date, however, no studies to our knowledge have quantified the extent to which poor psychosocial working conditions reduce healthy or chronic disease-free life expectancy, which was the focus of this study.METHODS: Data were derived from four cohorts with repeat data: the Finnish Public Sector Study (Finland), GAZEL (France), the Swedish Longitudinal Occupational Survey of Health (Sweden) and Whitehall II (UK). Healthy (in good self-rated health) life expectancy (HLE) and chronic disease-free (free from cardiovascular disease, cancer, respiratory disease and diabetes) life expectancy (CDFLE) was calculated from age 50 to 75 based on 64 394 individuals with data on job strain (high demands in combination with low control) at baseline and health at baseline and follow-up.RESULTS: Multistate life table models showed that job strain was consistently related to shorter HLE (overall 1.7 years difference). The difference in HLE was more pronounced among men (2.0 years compared with 1.5 years for women) and participants in lower occupational positions (2.5 years among low-grade men compared with 1.7 years among high-grade men). Similar differences in HLE, although smaller, were observed among those in intermediate or high occupational positions. Job strain was additionally associated with shorter CDFLE, although this association was weaker and somewhat inconsistent.CONCLUSIONS: These findings suggest that individuals with job strain have a shorter health expectancy compared with those without job strain.",

author = "{Magnusson Hanson}, {Linda L} and Hugo Westerlund and Chungkham, {Holendro S.} and Jussi Vahtera and Rod, {Naja H} and Kristina Alexanderson and Marcel Goldberg and Mika Kivim{\"a}ki and Sari Stenholm and Platts, {Loretta G.} and Marie Zins and Jenny Head",

note = "{\textcopyright} Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.",

year = "2018",

doi = "10.1136/oemed-2017-104644",

language = "English",

volume = "75",

pages = "486--493",

journal = "Occupational and Environmental Medicine",

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T1 - Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position

T2 - analyses of 64 934 individuals from four prospective cohort studies

AU - Magnusson Hanson, Linda L

AU - Westerlund, Hugo

AU - Chungkham, Holendro S.

AU - Vahtera, Jussi

AU - Rod, Naja H

AU - Alexanderson, Kristina

AU - Goldberg, Marcel

AU - Kivimäki, Mika

AU - Stenholm, Sari

AU - Platts, Loretta G.

AU - Zins, Marie

AU - Head, Jenny

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: Poor psychosocial working conditions increase the likelihood of various types of morbidity and may substantially limit quality of life and possibilities to remain in paid work. To date, however, no studies to our knowledge have quantified the extent to which poor psychosocial working conditions reduce healthy or chronic disease-free life expectancy, which was the focus of this study.METHODS: Data were derived from four cohorts with repeat data: the Finnish Public Sector Study (Finland), GAZEL (France), the Swedish Longitudinal Occupational Survey of Health (Sweden) and Whitehall II (UK). Healthy (in good self-rated health) life expectancy (HLE) and chronic disease-free (free from cardiovascular disease, cancer, respiratory disease and diabetes) life expectancy (CDFLE) was calculated from age 50 to 75 based on 64 394 individuals with data on job strain (high demands in combination with low control) at baseline and health at baseline and follow-up.RESULTS: Multistate life table models showed that job strain was consistently related to shorter HLE (overall 1.7 years difference). The difference in HLE was more pronounced among men (2.0 years compared with 1.5 years for women) and participants in lower occupational positions (2.5 years among low-grade men compared with 1.7 years among high-grade men). Similar differences in HLE, although smaller, were observed among those in intermediate or high occupational positions. Job strain was additionally associated with shorter CDFLE, although this association was weaker and somewhat inconsistent.CONCLUSIONS: These findings suggest that individuals with job strain have a shorter health expectancy compared with those without job strain.

AB - OBJECTIVES: Poor psychosocial working conditions increase the likelihood of various types of morbidity and may substantially limit quality of life and possibilities to remain in paid work. To date, however, no studies to our knowledge have quantified the extent to which poor psychosocial working conditions reduce healthy or chronic disease-free life expectancy, which was the focus of this study.METHODS: Data were derived from four cohorts with repeat data: the Finnish Public Sector Study (Finland), GAZEL (France), the Swedish Longitudinal Occupational Survey of Health (Sweden) and Whitehall II (UK). Healthy (in good self-rated health) life expectancy (HLE) and chronic disease-free (free from cardiovascular disease, cancer, respiratory disease and diabetes) life expectancy (CDFLE) was calculated from age 50 to 75 based on 64 394 individuals with data on job strain (high demands in combination with low control) at baseline and health at baseline and follow-up.RESULTS: Multistate life table models showed that job strain was consistently related to shorter HLE (overall 1.7 years difference). The difference in HLE was more pronounced among men (2.0 years compared with 1.5 years for women) and participants in lower occupational positions (2.5 years among low-grade men compared with 1.7 years among high-grade men). Similar differences in HLE, although smaller, were observed among those in intermediate or high occupational positions. Job strain was additionally associated with shorter CDFLE, although this association was weaker and somewhat inconsistent.CONCLUSIONS: These findings suggest that individuals with job strain have a shorter health expectancy compared with those without job strain.

U2 - 10.1136/oemed-2017-104644

DO - 10.1136/oemed-2017-104644

M3 - Journal article

C2 - 29735751

SN - 1351-0711

VL - 75

SP - 486

EP - 493

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

IS - 7

ER -

Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies

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