DESCRIPTION OF A LARGE-SCALE STUDY DESIGN TO ASSESS WORK-STRESS-DISEASE ASSOCIATIONS FOR CARDIOVASULAR DISEASES
Journal Title: International Journal of Occupational Medicine and Environmental Health - Year 2010, Vol 23, Issue 3
Abstract
We claim that a new level of studies is needed to answer a series of important questions about the expanding global chronic disease burden for cardiovascular disease (CVD) and for related conditions such as diabetes, metabolic syndrome, and obesity. These require a new study design structure, related to a new level of theory that goes beyond the current single-factor, a-theoretic epidemiological studies. This new platform for the design of large-scale Work/Stress/Disease studies would assess CVD-related disease mechanisms in a more general and dynamic form, based on the use of new tools for measuring autonomic functions in an occupational stress context and a new theory of disease causation. A sample outline is presented for such a study, based on Stress-Disequilibrium Theory (SDT) hypotheses, building on analytic tools developed for the assessment of stress-related exhaustion effects and chronic disease risks from Heart Rate Variability (HRV) research studies. The goal is to assess the associations between social organizational risks, particularly at work, and hypertension, metabolic syndrome, and diabetes II. The study design is multistage, spanning across several levels of disease-related de-regulation, and addressing co-morbidity of the conditions themselves. The study design is meant to span across a broad social population at all levels and would probably be multi-site, involving several countries, to yield the larger sample increased power for finding associations for work — physiological effects.
Authors and Affiliations
ROBERT KARASEK, SEAN COLLINS, ELS CLAYS, ALICJA BORTKIEWICZ, MARCO FERRARIO
Keywords
Related Articles
- EP ID EP113492
- DOI 10.2478/v10001-010-0035-2
- Views 120
- Downloads 0
VARICELLA ZOSTER ANTIBODIES AMONG HEALTH CARE WORKERS IN A UNIVERSITY HOSPITAL, TEHERAN, IRAN
[b]Objectives:[/b] This study was designed to evaluate the immune status of health care workers against varicella zoster in a university hospital in Teheran, Iran, and to compare the history of chickenpox infection with...
Absorbed doses for patients undergoing panoramic radiography, cephalometric radiography and CBCT
Objectives: Contemporary dental radiology offers a wide spectrum of imaging methods but it also contributes to an increase in the participation of dental radiological diagnosis in the patient’s exposure to ionizing radia...
EVALUATION OF THE EFFECTS OF A TRAINING PROGRAMME FOR PATIENTS WITH PROLONGED FATIGUE ON PHYSIOLOGICAL PARAMETERS AND FATIGUE COMPLAINTS
[b]Objectives[/b]: Complaints of prolonged fatigue are considered as a major health problem, as it can affect daily functioning and may lead to work disability. To increase knowledge about the effectiveness of interventi...
Pleural mesothelioma in household members of asbestos-exposed workers in Friuli Venezia Giulia, Italy
Objectives: Malignant mesothelioma is closely associated to asbestos exposure. One such exposure may occur through contact with occupationally exposed household members and their belongings. This study examines the featu...
Life role salience and subjective well-being among Macedonian employees: Does family-supportive organization perception moderate this relationship
Objectives: As many studies have shown, one of the most important tendencies of employees nowadays is to achieve work– life balance. Organizations should develop various activities and create supportive climate, within t...