Contribution of job control and other risk factors to social variations in coronary heart disease incidence

  title={Contribution of job control and other risk factors to social variations in coronary heart disease incidence},
  author={M. G. Marmot and Hans Bosma and Harry Hemingway and Eric J. Brunner and Stephen A Stansfeld},
  journal={The Lancet},

Biological and behavioural explanations of social inequalities in coronary heart disease: the Whitehall II study

Socioeconomic differences in components of the metabolic syndrome (and inflammatory markers) provide part of the answer to how someone’s socioeconomic position can lead to increased risk of CHD.

Socioeconomic position, co-occurrence of behavior-related risk factors, and coronary heart disease: the Finnish Public Sector study.

Interventions to reduce adult behavior-related risk factors may not completely remove socioeconomic differences in relative or absolute coronary heart disease risk, although they would lessen these effects.

Self-reported economic difficulties and coronary events in men: evidence from the Whitehall II study.

An economic difficulties gradient in coronary events in men that is independent of other markers of socioeconomic position and appears to be only partially mediated by well-known risk factors in mid-life is demonstrated.

Psychosocial work environment and risk of ischemic stroke and coronary heart disease: a prospective longitudinal study of 75 236 construction workers.

This exploratory study showed no significant associations between psychosocial work environment and ischemic stroke, and the associations between job demands and control and CHD were inconsistent and weak.

Do pre-employment influences explain the association between psychosocial factors at work and coronary heart disease? The Whitehall II study

In this occupational cohort of British men, the association between psychosocial factors at work and CHD was largely independent of family history of CHD, education, paternal educational attainment and social class, number of siblings and height.

Job Control, Job Demands and Social Support at Work in Relation to Cardiovascular Risk Factors in MONICA 1995, Göteborg

Investigation of the association between psychosocial work characteristics and biological risk factors for both sexes for a random population sample in Göteborg, Sweden found women had lower job control than did men.

Work environment, alcohol consumption and ill-health: The Whitehall II Study

The influences of the psychosocial work environment on incident coronary heart disease and diabetes and the influences of change in work risk factors on health are reported from the longitudinal

Explaining the social gradient in coronary heart disease: comparing relative and absolute risk approaches

Conventional risk factors explain the majority of absolute social inequality in CHD because conventional risk Factors explain the vast majority of CHD cases in the population, however, the role of conventional risk factors in explaining relative social inequality was modest.



Low job control and risk of coronary heart disease in whitehall ii (prospective cohort) study

The cumulative effect of low job control assessed on two occasions indicates that giving employees more variety in tasks and a stronger say in decisions about work may decrease the risk of coronary heart disease.

Occupational strain and the incidence of coronary heart disease.

The hypothesis that men in high "strain" occupations have an increased risk of developing coronary heart disease was tested during an 18-year follow-up study from 1965-1983 of a cohort of 8,006 men

Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population.

Blue-collar workers showed the greatest risk for both morbidity and mortality when groups with highly isolated and strained conditions were compared to those in more collective and less strained conditions.

Job strain and the prevalence and outcome of coronary artery disease.

Job strain was not correlated with the prevalence or severity of coronary artery disease in a cohort of patients undergoing coronary angiography and was not a predictor of cardiac events (cardiac death or nonfatal myocardial infarction) during follow-up.

Social Class and Cardiovascular Disease: The Contribution of Work

  • M. MarmotT. Theorell
  • Psychology
    International journal of health services : planning, administration, evaluation
  • 1988
The main conclusion is that part of the association between social class and cardiovascular illness risk may be due to differences in psychosocial work conditions.

Explaining socioeconomic differences in sickness absence: the Whitehall II Study.

Analysis of questionnaire and sickness absence data collected from the first phase of the Whitehall II study found large grade differences in sickness absence parallel socioeconomic differences in morbidity and mortality found in other studies.

Inequalities in self rated health in the 1958 birth cohort: lifetime social circumstances or social mobility?

Lifetime socioeconomic circumstances accounted for inequalities in self reported health at age 33, while social mobility did not have a major effect on health inequalities.