Vit. artikkel

Publisert

  • 2019

Forskningsområde

Temaovergripende

Objective To examine the prospective relation between effort-reward imbalance at work and risk of type 2 diabetes. Methods We included 50,552 individuals from a national survey of the working population in Denmark, aged 30–64 years and diabetes-free at baseline. Effort-reward imbalance was defined, in accordance with the literature, as a mismatch between high efforts at work (e.g. high work pace, time pressure), and low rewards received in return (e.g. low recognition, job insecurity) and assessed as a continuous and a categorical variable. Incident type 2 diabetes was identified in national health registers. Using Cox regression we calculated hazard ratios (HR) and 95% confidence intervals (95% CI) for estimating the association between effort-reward imbalance at baseline and risk of onset of type 2 diabetes during follow-up, adjusted for sex, age, socioeconomic status, cohabitation, children at home, migration background, survey year and sample method. Results During 136,239 person-years of follow-up (mean = 2.7 years) we identified 347 type 2 diabetes cases (25.5 cases per 10,000 person-years). For each one standard deviation increase of the effort-reward imbalance score at baseline, the fully adjusted risk of type 2 diabetes during follow-up increased by 9% (HR: 1.09, 95% CI: 0.98–1.21). When we used effort-reward imbalance as a dichotomous variable,...

Nordentoft, Mads; Rod, Naja H.; Bonde, Jens Peter; Bjorner, Jakob Bue; Madsen, Ida E.H.; Pedersen, Line R.M.; Cleal, Bryan; Hanson, Linda L. Magnusson; Nexo, Mette A.; Pentti, Jaana; Stenholm, Sari; Sterud, Tom; Vahtera, Jussi; Rugulies, Reiner
Journal of Psychosomatic Research 128
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