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Jankowiak S, Rossnagel K, Bauer J, Schulz A, Liebers F, Latza U, Romero Starke K, Seidler A, Nübling M, Riechmann-Wolf M, Letzel S, Wild P, Arnold N, Beutel M, Pfeiffer N, Lackner K, Münzel T, Schulze A, Hegewald J. Night shift work and cardiovascular diseases among employees in Germany: five-year follow-up of the Gutenberg Health Study. Scand J Work Environ Health 2024; 50:142-151. [PMID: 38258536 PMCID: PMC11006091 DOI: 10.5271/sjweh.4139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Indexed: 01/24/2024] Open
Abstract
OBJECTIVE This study aimed to determine if there is an increased risk of incident cardiovascular diseases (CVD) resulting from cumulative night shift work in the German population-based Gutenberg Health Study (GHS). METHODS We examined working participants of the GHS at baseline and after five years. Cumulative night shift work in the 10 years before baseline was assessed and categorized as low (1-220 nights ≙ up to 1 year), middle (221-660 nights ≙ 1-3 years), and high (>660 nights ≙ more than 3 years) night shift exposure. Hazard ratios (HR) were estimated for incident "quality-assured CVD events" using Cox proportional hazard models. RESULTS At baseline, 1092 of 8167 working participants performed night shift work. During the follow-up, 202 incident cardiovascular events occurred. The crude incidence rates for CVD per 1000 person-years were 6.88 [95% confidence interval (CI) 4.80-9.55] for night shift workers and 5.19 (95% CI 4.44-6.04) for day workers. Cumulative incidence curves showed a higher cumulative incidence in workers exposed to night shift work compared to day workers after five years. The adjusted HR for incident CVD events were 1.26 (95% CI 0.68-2.33), 1.37 (95% CI 0.74-2.53) and 1.19 (95% CI 0.67-2.12) for employees in the low, middle and high night shift categories compared to employees without night shift work, respectively. CONCLUSIONS The observed tendencies indicate that night shift work might be negatively associated with cardiovascular health. We expect the continued follow-up will clarify the long-term impact of night shift work.
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Riechmann-Wolf M, Hegewald J, Jankowiak S, Prigge M, Rossnagel K, Drössler S, Nübling M, Romero Starke K, Seidler A, Schulz A, Zahn D, Münzel T, Pfeiffer N, Wild PS, Beutel ME, Gianicolo E, Lackner KJ, Letzel S. Fühlen sich Beschäftigte bei ihrer beruflichen
Rückkehr nach längerer Arbeitsunfähigkeit von ihrem
Arbeitgeber unterstützt? Welche Rolle spielt die
Unternehmensgröße? Ergebnisse aus einer Pilotbefragung innerhalb
der Gutenberg-Gesundheitsstudie. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- M Riechmann-Wolf
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Institut für Arbeits-, Sozial- und Umweltmedizin, Mainz,
Deutschland
| | - J Hegewald
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin,
Deutschland
| | - S Jankowiak
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin,
Deutschland
| | - M Prigge
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin,
Deutschland
| | - K Rossnagel
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin,
Deutschland
| | - S Drössler
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin (IPAS), Dresden,
Deutschland
| | - M Nübling
- Freiburger Forschungsstelle für Arbeitswissenschaften GmbH
(FFAW), Freiburg, Deutschland
| | - K Romero Starke
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin (IPAS), Dresden,
Deutschland
| | - A Seidler
- Technische Universität Dresden Medizinische Fakultät,
Institut und Poliklinik für Arbeits- und Sozialmedizin (IPAS), Dresden,
Deutschland
| | - A Schulz
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - D Zahn
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - T Münzel
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - N Pfeiffer
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - PS Wild
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - ME Beutel
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - E Gianicolo
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - KJ Lackner
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Mainz, Deutschland
| | - S Letzel
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Institut für Arbeits-, Sozial- und Umweltmedizin, Mainz,
Deutschland
- UNIVERSITÄTSMEDIZIN der Johannes Gutenberg-Universität
Mainz, Präv. Kardiologie und Med. Prävention, Zentrum
für Kardiologie, Mainz, Deutschland
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Nuebling M, Hegewald J, Starke KR, Lincke HJ, Jankowiak S, Liebers F, Latza U, Letzel S, Riechmann-Wolf M, Gianicolo E, Beutel M, Pfeiffer N, Lackner K, Münzel T, Wild PS, Seidler A. The Gutenberg health study: a five-year prospective analysis of psychosocial working conditions using COPSOQ (Copenhagen psychosocial Questoinnaire) and ERI (effort-reward imbalance). BMC Public Health 2022; 22:24. [PMID: 34991529 PMCID: PMC8740453 DOI: 10.1186/s12889-021-12240-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 11/15/2021] [Indexed: 01/07/2023] Open
Abstract
Background Psychosocial working conditions were previously analyzed using the first recruitment wave of the Gutenberg Health Study (GHS) cohort (n = 5000). We aimed to confirm the initial analysis using the entire GHS population at baseline (N = 15,010) and at the five-year follow-up. We also aimed to determine the effects of psychosocial working conditions at baseline on self-rated outcomes measured at follow-up. Methods At baseline, working GHS participants were assessed with either the Effort-Reward-Imbalance questionnaire (ERI) (n = 4358) or with the Copenhagen Psychosocial Questionnaire (COPSOQ) (n = 4322); participants still working after five years received the same questionnaire again (ERI n = 3142; COPSOQ n = 3091). We analyzed the association between working conditions and the outcomes job satisfaction, general health, burnout, and satisfaction with life at baseline, at follow-up and also prospectively from baseline to follow-up using linear regression models. We examined the outcome variance explained by the models (R2) to estimate the predictive performance of the questionnaires. Results The models’ R2 was comparable to the original baseline analyses at both t0 and t1 (R2 range: ERI 0.10–0.43; COPSOQ 0.10–0.56). However, selected scales of the regression models sometimes changed between assessment times. The prospective analysis showed weaker associations between baseline working conditions and outcomes after five years (R2 range: ERI 0.07–0.19; COPSOQ 0.07–0.24). This was particularly true for job satisfaction. After adjusting for the baseline levels of the outcomes, fewer scales still explained some of the variance in the distribution of the outcome variables at follow-up. The models using only data from t0 or t1 confirmed the previous baseline analysis. We observed a loss of explained variance in the prospective analysis models. This loss was greatest for job satisfaction, suggesting that this outcome is most influenced by short-term working conditions. Conclusions Both the COPSOQ and ERI instruments show good criterion validity and adequately predict contemporaneously measured self-reported measurements of health and (occupational) well-being. However, the COPSOQ provides a more detailed picture of working conditions and might be preferable for improvment strategies in workplaces. Additional prospective research with shorter follow-up times would be beneficial for estimating dose-response relationships. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-12240-3.
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Affiliation(s)
- Matthias Nuebling
- FFAW: Freiburg Research Centre for Occupational Sciences, Bertoldstr. 63, D-79098, Freiburg, Germany.
| | - Janice Hegewald
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Karla Romero Starke
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Hans-Joachim Lincke
- FFAW: Freiburg Research Centre for Occupational Sciences, Bertoldstr. 63, D-79098, Freiburg, Germany
| | - Sylvia Jankowiak
- Division Work and Health, Federal Institute for Occupational Safety and Health BAuA, Berlin, Germany
| | - Falk Liebers
- Division Work and Health, Federal Institute for Occupational Safety and Health BAuA, Berlin, Germany
| | - Ute Latza
- Division Work and Health, Federal Institute for Occupational Safety and Health BAuA, Berlin, Germany
| | - Stephan Letzel
- Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Merle Riechmann-Wolf
- Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.,Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Emilio Gianicolo
- Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.,Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Manfred Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Norbert Pfeiffer
- Department of Ophthalmology, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Klaus Lackner
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
| | - Thomas Münzel
- Center of Thrombosis and Hemostatis (CTH), University Medical Center Mainz, Mainz, Germany.,Center for Cardiology - Cardiology I, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Philipp S Wild
- Center of Thrombosis and Hemostatis (CTH), University Medical Center Mainz, Mainz, Germany.,Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Rhine-Main, Mainz, Germany
| | - Andreas Seidler
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany
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Hegewald J, Starke KR, Garthus-Niegel S, Schulz A, Nübling M, Latza U, Jankowiak S, Liebers F, Rossnagel K, Riechmann-Wolf M, Letzel S, Arnold N, Beutel M, Gianicolo E, Pfeiffer N, Lackner K, Münzel T, Wild P, Seidler A. Correction: Work-life conflict and cardiovascular health: 5-year follow-up of the Gutenberg Health Study. PLoS One 2021; 16:e0258075. [PMID: 34570815 PMCID: PMC8476000 DOI: 10.1371/journal.pone.0258075] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Riechmann-Wolf M, Jankowiak S, Schulz A, Hegewald J, Starke KR, Liebers F, Rossnagel K, Poplawski A, Arnold N, Nübling M, Seidler A, Beutel M, Pfeiffer N, Lackner K, Münzel T, Bogner K, Wild PS, Latza U, Letzel S. Correction to: Self‑reported cardiovascular health of teachers: results from the 5‑year follow‑up of the Gutenberg Health Study cohort. Int Arch Occup Environ Health 2021; 94:2021. [PMID: 34331127 PMCID: PMC9172730 DOI: 10.1007/s00420-021-01747-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- Merle Riechmann-Wolf
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany. .,Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.
| | - Sylvia Jankowiak
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Andreas Schulz
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Janice Hegewald
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Karla Romero Starke
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Falk Liebers
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Karin Rossnagel
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Alicia Poplawski
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Natalie Arnold
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Matthias Nübling
- FFAW: The Freiburg Research Center for Occupational Sciences, Freiburg, Germany
| | - Andreas Seidler
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Manfred Beutel
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Norbert Pfeiffer
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Karl Lackner
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Thomas Münzel
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Kathrin Bogner
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany
| | - Philipp S Wild
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Ute Latza
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Stephan Letzel
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany.,Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
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Hegewald J, Romero Starke K, Garthus-Niegel S, Schulz A, Nübling M, Latza U, Jankowiak S, Liebers F, Rossnagel K, Riechmann-Wolf M, Letzel S, Arnold N, Beutel M, Gianicolo E, Pfeiffer N, Lackner K, Münzel T, Wild P, Seidler A. Work-life conflict and cardiovascular health: 5-year follow-up of the Gutenberg Health Study. PLoS One 2021; 16:e0251260. [PMID: 33961688 PMCID: PMC8104925 DOI: 10.1371/journal.pone.0251260] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 04/23/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Work-life conflicts (WLC) may impact health, but few studies prospectively consider the impact of WLC on objective outcomes such as cardiovascular disease. Using data from the Gutenberg Health Study (GHS), we examined if WLC at baseline was associated with an increased five-year incidence of cardiovascular events (myocardial infarct, stroke, atrial fibrillation, peripheral artery disease, coronary artery disease, chronic heart failure, sudden cardiac death). We also considered if WLC was associated with incident hypertension and arterial stiffness and if the effects of WLC on cardiovascular health differ for men and women. METHODS A working subsample of the 15,010 GHS cohort participants completed the Copenhagen Psychosocial Questionnaire, which included five "work-privacy conflict" questions at baseline and at the five-year follow-up. Relative risks for incident hypertension due to increased WLC at baseline (WLC scores exceeding 60 out of 100) were estimated with Poisson regression in the subgroup of participants without hypertension at baseline (n = 2426). Categories of WLC at baseline and follow-up were also used to examine the risk of hypertension due to chronic/recurrent WLC. In this subgroup, we also examined the association between WLC as a continuous score ranging from 0 to 100 with change to arterial stiffness after five years using linear regression. Hazard ratios were estimated for incident cardiovascular events in a larger subsample of participants without prevalent cardiovascular disease at baseline (n = 3698) using Cox regression. We used various multivariable regression models to adjust for sex, age, socioeconomic status, occupational, household, and cardiovascular risk factors. RESULTS We found no association between WLC and incident hypertension or increased arterial stiffness. The fully-adjusted relative risk for WLC >60 at baseline and hypertension was 0.93 (95% 0.74-1.17). The risk of hypertension due to chronic/recurrent WLC >60 was increased but not statistically significant (RR = 1.13, 95% CI 0.83-1.54). Overall, hazard ratios for incident cardiovascular events were also not increased. However, stratifying the results by sex resulted in a hazard ratio of 1.47 (95% CI 0.54-3.98) for incident cardiovascular disease among women in the fully adjusted model. CONCLUSIONS Although our results were not statistically significant, they indicate that WLC is negatively impacting the cardiovascular health of women. While these results need to be confirmed with additional research and a longer follow-up, interventions to prevent WLC will promote health and could be especially beneficial for women.
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Affiliation(s)
- Janice Hegewald
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Institute of Sociology, Faculty of Behavioral and Social Sciences, TU Chemnitz, Chemnitz, Germany
| | - Karla Romero Starke
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Institute of Sociology, Faculty of Behavioral and Social Sciences, TU Chemnitz, Chemnitz, Germany
| | - Susan Garthus-Niegel
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
- Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway
| | - Andreas Schulz
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Matthias Nübling
- FFAW: The Freiburg Research Centre for Occupational Sciences, Freiburg, Germany
| | - Ute Latza
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Sylvia Jankowiak
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Falk Liebers
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Karin Rossnagel
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Merle Riechmann-Wolf
- Institute for Teachers’ Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Stephan Letzel
- Institute of Occupational, Social, Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Natalie Arnold
- Center for Cardiology I, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Department of Medicine 2, Preventive Cardiology and Preventive Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Manfred Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Emilio Gianicolo
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Norbert Pfeiffer
- Department of Ophthalmology, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Karl Lackner
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
| | - Thomas Münzel
- Center for Cardiology I, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
- DZHK (German Center for Cardiovascular Research), Partner Site Rhine-Main, Mainz, Germany
| | - Philipp Wild
- Department of Medicine 2, Preventive Cardiology and Preventive Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Center for Translational Vascular Biology (CTVB), University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Mainz, Germany
- DZHK (German Center for Cardiovascular Research), Partner Site Rhine-Main, Mainz, Germany
- Center of Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Mainz, Germany
| | - Andreas Seidler
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, TU Dresden, Germany
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Riechmann-Wolf M, Jankowiak S, Schulz A, Hegewald J, Romero Starke K, Liebers F, Rossnagel K, Poplawski A, Arnold N, Nübling M, Seidler A, Beutel M, Pfeiffer N, Lackner K, Münzel T, Bogner K, Wild PS, Latza U, Letzel S. Self-reported cardiovascular health of teachers: results from the 5-year follow-up of the Gutenberg Health Study cohort. Int Arch Occup Environ Health 2020; 94:251-259. [PMID: 33106930 PMCID: PMC8332549 DOI: 10.1007/s00420-020-01576-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Accepted: 08/28/2020] [Indexed: 11/28/2022]
Abstract
Objectives Following an exploratory approach, we examined cardiovascular disease risk factors at baseline and the 5-year incidence proportion of self-reported doctor-diagnosed cardiovascular diseases (CVD) in teachers and other occupational groups of the Gutenberg Health Study. Methods Study participants lived in the region of Mainz, Germany. Data from 6510 working participants without prevalent CVD at baseline (2007–2012) were analyzed. Participants were teachers (n = 215), other professionals from the health, social or educational (HSE) fields (n = 1061) or worked outside the HSE fields (n = 5234). For occupational comparisons, we estimated prevalence ratios (PR) for each CVD risk factor at baseline with robust Poisson regression analyses. We calculated crude CVD incidence rates based on the observed 5-year CVD cumulative incidence at follow-up and estimated age-weighted incidence proportions. All analyses were stratified by sex. Results Male non-HSE workers showed a higher prevalence of smoking and physical inactivity than male teachers (PR 2.26; 95%-CI: 1.06–4.82/PR 1.89; 95%-CI: 1.24–2.87). In contrast, non-HSE workers and other HSE professionals were less likely to have reported an unhealthy alcohol intake than teachers. Differences were attenuated after SES-adjustment. We did not detect occupational group-specific differences in CVD incidence. However, there were only two cases of CVD among the teachers. Conclusion Particularly male teachers showed a healthier lifestyle regarding physical inactivity and smoking. Nevertheless, occupational-medical care practitioners and researchers need to be aware of the relatively heightened prevalence of unhealthy alcohol intake in female and male teachers, and in absolute terms, the high hypertension prevalence in male teachers.
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Affiliation(s)
- Merle Riechmann-Wolf
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany. .,Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.
| | - Sylvia Jankowiak
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Andreas Schulz
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Janice Hegewald
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Karla Romero Starke
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Falk Liebers
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Karin Rossnagel
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Alicia Poplawski
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Natalie Arnold
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Matthias Nübling
- FFAW: The Freiburg Research Center for Occupational Sciences, Freiburg, Germany
| | - Andreas Seidler
- IPAS Dresden: Institute and Polyclinic of Occupational and Social Medicine, Carl Gustav Carus Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Manfred Beutel
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Norbert Pfeiffer
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Karl Lackner
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Thomas Münzel
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Kathrin Bogner
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany
| | - Philipp S Wild
- University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Ute Latza
- Federal Institute for Occupational Safety and Health, BAuA Berlin, Berlin, Germany
| | - Stephan Letzel
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116, Mainz, Germany.,Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
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Romero Starke K, Hegewald J, Schulz A, Garthus-Niegel S, Nübling M, Wild PS, Arnold N, Latza U, Jankowiak S, Liebers F, Rossnagel K, Riechmann-Wolf M, Letzel S, Beutel M, Pfeiffer N, Lackner K, Münzel T, Seidler A. Cardiovascular health outcomes of mobbing at work: results of the population-based, five-year follow-up of the Gutenberg health study. J Occup Med Toxicol 2020; 15:15. [PMID: 32536961 PMCID: PMC7291638 DOI: 10.1186/s12995-020-00266-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 06/02/2020] [Indexed: 01/19/2023] Open
Abstract
Background The aim of this study was to determine if there is an increased risk of incident cardiovascular disease (CVD) resulting from workplace mobbing measured with two mobbing instruments in the Gutenberg Health Study. Methods In this prospective study, we examined working persons younger than 65 years for the presence of mobbing at baseline and at a 5-year follow-up using a single-item and a 5-item instrument. We used multivariate models to investigate the association between mobbing and incident CVD, hypertension, and change in arterial stiffness and further stratified the models by sex. Results After adjustment for confounders, mobbed workers appeared to have a higher risk of incident CVD than those not mobbed (single-item HR = 1.28, 95% CI 0.73–2.24; 5-item HR = 1.57, 95% CI 0.96–2.54). With the 5-item instrument, men who reported mobbing had a higher risk of incident CVD (HR = 1.77, 95% CI 1.01–3.09), while no association was observed for women (HR = 1.05, 95% CI 0.38–2.91). There was no difference in risks between men and women with the single-item instrument. No association between mobbing and incident hypertension and arterial stiffness was seen. Conclusions Our results show an indication of an increased risk of incident CVD for those mobbed at baseline when using the whole study population. Differences in risks between men and women when using the five-item instrument may be due to the instrument itself. Still, it is essential to detect or prevent workplace mobbing, and if present, to apply an intervention to halt it in order to minimize its adverse effects on CVD.
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Affiliation(s)
- Karla Romero Starke
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany.,Institute for Sociology, Technische Universität Chemnitz, Chemnitz, Germany
| | - Janice Hegewald
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany.,Institute for Sociology, Technische Universität Chemnitz, Chemnitz, Germany
| | - Andreas Schulz
- Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Susan Garthus-Niegel
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Matthias Nübling
- FFAW: The Freiburg Research Centre for Occupational and Social Medicine, Freiburg, Germany
| | - Philipp S Wild
- Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Rhein-Main, Mainz, Germany.,Center of Thrombosis and Hemostatis (CTH), University Medical Center Mainz, Mainz, Germany
| | - Natalie Arnold
- Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Ute Latza
- Division Work and Health, Federal Institute for Occupational Safety and Health, BAuA, Berlin, Germany
| | - Sylvia Jankowiak
- Division Work and Health, Federal Institute for Occupational Safety and Health, BAuA, Berlin, Germany
| | - Falk Liebers
- Division Work and Health, Federal Institute for Occupational Safety and Health, BAuA, Berlin, Germany
| | - Karin Rossnagel
- Division Work and Health, Federal Institute for Occupational Safety and Health, BAuA, Berlin, Germany
| | - Merle Riechmann-Wolf
- Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Stephan Letzel
- Institute of Occupational, Social, and Environmental Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany
| | - Manfred Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Norbert Pfeiffer
- Deparment of Ophtalmology, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Karl Lackner
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Thomas Münzel
- Preventive Cardiology and Preventive Medicine, Center for Cardiology, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Rhein-Main, Mainz, Germany
| | - Andreas Seidler
- Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
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Riechmann-Wolf M, Claus M, Kimbel R, Schöne K, Claus A, Letzel S, Rose DM. [What Enhances Teachers' Health at Inclusive Primary Schools? A Mixed-Methods Approach]. Gesundheitswesen 2017; 80:S29-S36. [PMID: 28697525 DOI: 10.1055/s-0042-123846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
AIM Teachers' suggestions to enhance their health at inclusive primary schools ("Schwerpunktgrundschulen") were analyzed by quantitative content analysis taking personal or job-related parameters of effort and strain into consideration. METHOD The paper and pencil cross-sectional study was conducted by Institut für Lehrergesundheit (IFL) between August 2013 and April 2015 at 14 schools in Rhineland-Palatinate. Overall response rate was 46.3% (143/309 teachers). The answers to the open-ended question "Which concrete job-related measures would enhance your wellbeing or health situation at your work place?" was categorized and quantified. An analysis of the item-non-response was undertaken. The aim was to identify by logistic regression, personal or job-related parameters of effort or strain associated with a specific category. RESULTS Data from 143 teachers were analyzed. 79 teachers made 362 suggestions to enhance the health situation at their work place. Making a suggestion was not related to socio-demographic parameters. 33.6% of the teachers addressed physical environmental conditions of work, e. g., climatic or acoustic conditions or the availability of space for recreation. 29.4% of the teachers made suggestions concerning human resource strategy (e. g., "double teaching"). 9.1% of the teachers referred to aspects of relationships with colleagues. After regression analysis, there were relationships between suggestions of single categories and specific job-related parameters of effort. Furthermore, teachers under (high) strain - here: teachers who (very) strongly experienced their work as hazardous to health - showed significantly higher odds to make suggestions of the categories "Colleagues" (aOR 3.71; 95%CI 1.00-13.76) or "External Support" (e. g., "supervision") (aOR 3.92; 95%CI 1.15-13.41) than teachers experiencing less stress. CONCLUSIONS Teachers of inclusive primary schools are ready to take active part in health-related organizational development. The development of problem- and group-specific measures of intervention will be facilitated by the combined analysis of qualitative and quantitative data.
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Affiliation(s)
- Merle Riechmann-Wolf
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Matthias Claus
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Renate Kimbel
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Klaus Schöne
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Annika Claus
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Stephan Letzel
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
| | - Dirk-Matthias Rose
- Institut für Lehrergesundheit am Institut für Arbeits-, Sozial- und Umweltmedizin, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz
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