The overall fractions of coronary heart diseases and depression attributable to multiple dependent psychosocial work factors in Europe

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Archives of Occupational and Environmental Health Pub Date : 2024-04-15 DOI:10.1007/s00420-024-02067-x

Isabelle Niedhammer, Hélène Sultan-Taïeb, Jean-François Chastang

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Abstract

Objectives

The literature is nonexistent on the assessment of overall fractions of diseases attributable to multiple dependent psychosocial work factors. The objectives of the study were to calculate the overall fractions of coronary heart diseases (CHD) and depression attributable to multiple dependent psychosocial work factors in 35 European countries.

Methods

We used already published fractions of CHD and depression attributable to each of the following psychosocial work factors: job strain, effort-reward imbalance, job insecurity, long working hours, and workplace bullying. We took all exposures and their correlations into account to calculate overall attributable fractions. Wald tests were performed to test differences in these overall attributable fractions between genders and between countries.

Results

The overall fractions of CHD and depression attributable to all studied psychosocial work factors together were found to be 8.1% [95% CI: 2.0-13.9] and 26.3% [95% CI: 16.2–35.5] respectively in the 35 European countries. There was no difference between genders and between countries.

Conclusion

Our study showed that the overall fractions attributable to all studied psychosocial work factors were substantial especially for depression. These overall attributable fractions may be particularly useful to evaluate the burden and costs attributable to psychosocial work factors, and also to inform policies makers at European level.

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欧洲可归因于多重社会心理工作因素的冠心病和抑郁症总比例

目标目前尚无文献对多种依赖性社会心理工作因素导致的疾病的总体比例进行评估。本研究的目的是计算欧洲 35 个国家的冠心病（CHD）和抑郁症可归因于多种依赖性社会心理工作因素的总体比例。方法我们使用了已发表的可归因于以下每种社会心理工作因素的冠心病和抑郁症比例：工作压力、努力与回报不平衡、工作不安全感、工作时间长和工作场所欺凌。我们将所有暴露因素及其相关性考虑在内，计算出总体可归因分数。结果发现，在 35 个欧洲国家中，所有研究的社会心理学工作因素导致的心脏病和抑郁症的总体比例分别为 8.1% [95% CI：2.0-13.9] 和 26.3% [95% CI：16.2-35.5]。结论我们的研究表明，所有研究的社会心理工作因素所占的总体比例都很大，尤其是抑郁症。这些可归因的总体比例可能对评估社会心理工作因素造成的负担和成本特别有用，也可为欧洲层面的政策制定者提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.