The association between study characteristics and outcome in the relation between job stress and cardiovascular disease - a multilevel meta-regression analysis

Scandinavian Journal of Work, Environment & Health
Karolina SzerencsiIjmert Kant

Abstract

Studies about job strain and cardiovascular disease (CVD) have yielded inconsistent results, which hinders making a firm conclusion about the association. Inconsistent findings may be the result of methodological differences. If the relative CVD risk is influenced by methodological differences, these differences should be explored in more detail in future research to clarify which methodological characteristics are inherent to obtain the most accurate estimate between job strain and CVD risk. By assessing how study characteristics are associated with the outcome, we take the first step in unraveling this association. In this review, we explore the following research question: are study characteristics associated with the size of the reported relative CVD risk? A systematic literature search yielded 71 studies about job stress, assessed with the demand-control model, and CVD. Traditional meta-regression was extended enabling the use of correlated data to quantify heterogeneity within and between studies. Compared to studies that use the original Job Content Questionnaire (JCQ), studies in which a more deviant form of the JCQ was used yielded, on average, 43% higher estimates. Studies conducted in the USA yielded about 26% lower ...Continue Reading

Citations

Feb 14, 2015·American Journal of Industrial Medicine·Isabel Judith Garcia-RojasNiklas Krause
Jan 10, 2013·The British Journal of Mathematical and Statistical Psychology·José Antonio López-LópezWolfgang Viechtbauer
Sep 14, 2016·Iranian Red Crescent Medical Journal·Esfandiar Azad-Marzabadi, Mohammad Gholami Fesharaki
Aug 6, 2013·The Medical Journal of Australia·Nick GlozierMaree G Branagan
Jan 18, 2019·International Journal of Environmental Research and Public Health·Toni AltermanKevin M Kelly
May 29, 2018·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Masanori Munakata

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