Job Strain and Alcohol Intake: A Collaborative Meta-Analysis of Individual-Participant Data from 140 000 Men and Women

نویسندگان

  • Katriina Heikkilä
  • Solja T. Nyberg
  • Eleonor I. Fransson
  • Lars Alfredsson
  • Dirk De Bacquer
  • Jakob B. Bjorner
  • 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
چکیده

BACKGROUND The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. METHODOLOGY AND PRINCIPAL FINDINGS We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: >20, men: >27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. CONCLUSIONS Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

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عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2012