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Massamba VK, Talbot D, Milot A, Trudel X, Dionne CE, Vézina M, Mâsse B, Gilbert-Ouimet M, Dagenais GR, Pearce N, Brisson C. Association between psychosocial work-related factors at midlife and arterial stiffness at older age in a prospective cohort of 1736 white-collar workers. BMJ Open 2023; 13:e073649. [PMID: 37758677 PMCID: PMC10537828 DOI: 10.1136/bmjopen-2023-073649] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 08/30/2023] [Indexed: 09/29/2023] Open
Abstract
OBJECTIVE Arterial stiffness and exposure to psychosocial work-related factors increase the risk of developing cardiovascular disease. However, little is known about the relationship between psychosocial work-related factors and arterial stiffness. We aimed to examine this relationship. DESIGN Prospective cohort study. SETTING Public organisations in Quebec City, Canada. PARTICIPANTS The study included 1736 white-collar workers (women 52%) from 19 public organisations. PRIMARY AND SECONDARY OUTCOME MEASURES Association between psychosocial work-related factors from the job strain and effort-reward imbalance (ERI) models assessed at study baseline (1999-2001) with validated instruments and arterial stiffness assessed using carotid-femoral pulse wave velocity at follow-up, on average 16 years later (2015-2018). Generalised estimating equations were used to estimate differences in arterial stiffness between exposed and unexposed participants. Subgroup analyses according to sex, age, blood pressure (BP), cardiovascular risk score and employment status were conducted. RESULTS Among participants with high diastolic BP (≥90 mm Hg) at baseline, aged 47 on average, those exposed to high job strain had higher arterial stiffness (1.38 m/s (95% CI: 0.57 to 2.19)) at follow-up, 16 years later, following adjustment for a large set of potential confounders. The trend was similar in participants with high systolic BP (≥140 mm Hg) exposed to high job strain (0.84 m/s (95% CI: -0.35 to 2.03)). No association was observed for ERI in the total sample and counterintuitive associations were observed in subgroup analyses. CONCLUSIONS Job strain may have a long-term deleterious effect on arterial stiffness in people with high BP. Interventions at midlife to reduce job strain may mitigate arterial stiffness progression.
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Affiliation(s)
- Victoria K Massamba
- Department of Social and Preventive Medicine, Université Laval, Quebec, Quebec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
| | - Denis Talbot
- Department of Social and Preventive Medicine, Université Laval, Quebec, Quebec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
| | - Alain Milot
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
- Department of Medicine, Université Laval, Quebec, Quebec, Canada
| | - Xavier Trudel
- Department of Social and Preventive Medicine, Université Laval, Quebec, Quebec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
| | - Clermont E Dionne
- Department of Social and Preventive Medicine, Université Laval, Quebec, Quebec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
| | - Michel Vézina
- Institut national de sante publique du Quebec, Quebec, Quebec, Canada
| | - Benoit Mâsse
- Department of Social and Preventive Medicine, Université de Montréal, Montreal, Quebec, Canada
| | - Mahée Gilbert-Ouimet
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
- Department of Health Sciences, Université du Québec à Rimouski, Rimouski, Quebec, Canada
| | - Gilles R Dagenais
- Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, Quebec, Canada
| | - Neil Pearce
- Departments of Medical Statistics and Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| | - Chantal Brisson
- Department of Social and Preventive Medicine, Université Laval, Quebec, Quebec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Quebec, Quebec, Canada
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Duchaine CS, Aubé K, Gilbert-Ouimet M, Bruno Pena Gralle AP, Vezina M, Ndjaboue R, Massamba VK, Trudel X, Lesage A, Moore L, Laurin D, Brisson C. Effect of psychosocial work factors on the risk of depression: a protocol of a systematic review and meta-analysis of prospective studies. BMJ Open 2019; 9:e033093. [PMID: 31690610 PMCID: PMC6858225 DOI: 10.1136/bmjopen-2019-033093] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION Depression is a common and disabling health problem that contributes to an important social and economic burden, particularly among the working age population. The deleterious effect of psychosocial work factors on depression has been documented. However, the most recent systematic reviews had restrictive eligibility criteria and, since their publications, several original studies have been published. The proposed systematic review aims to update, evaluate and synthesise the effect of psychosocial work factors from three recognised theoretical models, the demand-control-support, effort-reward imbalance and organisational justice models, on the risk of depression among workers. METHOD AND ANALYSIS A systematic literature search will be conducted in seven academic databases (Medline, Embase, CINAHL, Web of Science, PsycInfo, Sociological abstracts and IBSS) as well as three grey literature databases. The search strategy was first run on January 2017, updated in October 2017 and will be updated 6 months prior to submission for publication. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations, study selection will be carried out using a rigorous multistep screening process in duplicate by independent reviewers. Prospective studies evaluating the effect of at least one psychosocial work factor from the three theoretical models on depression or antidepressant medication use among working adults will be included. Extracted data will be used for evidence synthesis as well as to assess risk of bias and methodological quality. Meta-estimates will be provided after considering homogeneity and number of studies. ETHICS AND DISSEMINATION This study will only draw from published studies and grey literature available in electronic databases; ethics approval is not required. The results of this review will be published in a peer review journal and presented at relevant conferences. Given that psychosocial work factors are frequent and modifiable, the results can help reduce the social and economic burden of depression and support public policy-makers to improve occupational health standards. PROSPERO REGISTRATION NUMBER CRD42018107666.
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Affiliation(s)
- Caroline S Duchaine
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
| | - Karine Aubé
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
| | - Mahee Gilbert-Ouimet
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
| | - Ana Paula Bruno Pena Gralle
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
| | - Michel Vezina
- Institut national de santé publique du Québec, Québec City, Québec, Canada
| | - Ruth Ndjaboue
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
| | - Victoria K Massamba
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
| | - Xavier Trudel
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
| | - Alain Lesage
- Department of Psychiatry, University of Montreal, Montreal, Québec, Canada
- Institut universitaire en sante mentale de Montreal, Montreal, Québec, Canada
| | - Lynne Moore
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
| | - Danielle Laurin
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
- Faculty of Pharmacy, Laval University, Québec City, Québec, Canada
| | - Chantal Brisson
- Population Health and Optimal Health Practices Unit, CHU de Québec-Université Laval Research Center, Québec City, Québec, Canada
- Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec City, Québec, Canada
- Social and Preventive Medicine, Laval University, Québec City, Québec, Canada
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