Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies

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.0035463

Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies

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

84 Citations (Scopus)

Abstract

Background: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

Original language	English
Journal	PloS one
Volume	7
Issue number	7
Pages (from-to)	e35463
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0035463
Publication status	Published - 6 Jul 2012

Keywords

Adolescent
Adult
Aged
Cross-Sectional Studies
Europe
European Continental Ancestry Group
Female
Humans
Male
Middle Aged
Odds Ratio
Questionnaires
Smoking
Smoking Cessation
Socioeconomic Factors
Stress, Psychological
Workplace
Young Adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pone.0035463

Cite this

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 tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies. PloS one, 7(7), e35463. https://doi.org/10.1371/journal.pone.0035463

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 tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies', PloS one, vol. 7, no. 7, pp. e35463. https://doi.org/10.1371/journal.pone.0035463

@article{e4bd257cf5e3454bad705dc158289fa7,

title = "Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies",

abstract = "Background: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.",

keywords = "Adolescent, Adult, Aged, Cross-Sectional Studies, Europe, European Continental Ancestry Group, Female, Humans, Male, Middle Aged, Odds Ratio, Questionnaires, Smoking, Smoking Cessation, Socioeconomic Factors, Stress, Psychological, Workplace, Young Adult",

author = "Katriina Heikkil{\"a} and Nyberg, {Solja T} and Fransson, {Eleonor I} and Lars Alfredsson and {De Bacquer}, Dirk and Jakob Bj{\o}rner and S{\'e}bastien Bonenfant and Marianne Borritz and Hermann Burr and Els Clays and Annalisa Casini and Nico Dragano and Raimund Erbel and Geuskens, {Goedele A} and Marcel Goldberg and Hooftman, {Wendela E} and Houtman, {Irene L} and Matti Joensuu and Karl-Heinz J{\"o}ckel and France Kittel and Anders Knutsson and Markku Koskenvuo and Aki Koskinen and Anne Kouvonen and Constanze Leineweber and Thorsten Lunau and Madsen, {Ida E H} and {Magnusson Hanson}, {Linda L} and Marmot, {Michael G} and Nielsen, {Martin L.} and Maria Nordin and Jaana Pentti and Paula Salo and Reiner Rugulies and Andrew Steptoe and Johannes Siegrist and Sakari Suominen and Jussi Vahtera and Marianna Virtanen and Ari V{\"a}{\"a}n{\"a}nen and Peter Westerholm and Hugo Westerlund and Marie Zins and T{\"o}res Theorell and Mark Hamer and Ferrie, {Jane E} and Archana Singh-Manoux and Batty, {G David} and Mika Kivim{\"a}ki and {IPD-Work Consortium}",

year = "2012",

month = jul,

day = "6",

doi = "10.1371/journal.pone.0035463",

language = "English",

volume = "7",

pages = "e35463",

journal = "PLoS Computational Biology",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "7",

}

TY - JOUR

T1 - Job strain and tobacco smoking

T2 - an individual-participant data meta-analysis of 166,130 adults in 15 European studies

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: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

AB - Background: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

KW - Adolescent

KW - Adult

KW - Aged

KW - Cross-Sectional Studies

KW - Europe

KW - European Continental Ancestry Group

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Odds Ratio

KW - Questionnaires

KW - Smoking

KW - Smoking Cessation

KW - Socioeconomic Factors

KW - Stress, Psychological

KW - Workplace

KW - Young Adult

U2 - 10.1371/journal.pone.0035463

DO - 10.1371/journal.pone.0035463

M3 - Journal article

C2 - 22792154

SN - 1932-6203

VL - 7

SP - e35463

JO - PLoS Computational Biology

JF - PLoS Computational Biology

IS - 7

ER -

Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies

Abstract

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this