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Perceived job insecurity as a risk factor for incident coronary heart disease : systematic review and meta-analysis

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Abstract
Objective: To determine the association between self reported job insecurity and incident coronary heart disease. Design: A meta-analysis combining individual level data from a collaborative consortium and published studies identified by a systematic review. Data sources: We obtained individual level data from 13 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. Four published prospective cohort studies were identified by searches of Medline (to August 2012) and Embase databases (to October 2012), supplemented by manual searches. Review methods: Prospective cohort studies that reported risk estimates for clinically verified incident coronary heart disease by the level of self reported job insecurity. Two independent reviewers extracted published data. Summary estimates of association were obtained using random effects models. Results: The literature search yielded four cohort studies. Together with 13 cohort studies with individual participant data, the meta-analysis comprised up to 174 438 participants with a mean follow-up of 9.7 years and 1892 incident cases of coronary heart disease. Age adjusted relative risk of high versus low job insecurity was 1.32 (95% confidence interval 1.09 to 1.59). The relative risk of job insecurity adjusted for sociodemographic and risk factors was 1.19 (1.00 to 1.42). There was no evidence of significant differences in this association by sex, age (<50 v >= 50 years), national unemployment rate, welfare regime, or job insecurity measure. Conclusions: The modest association between perceived job insecurity and incident coronary heart disease is partly attributable to poorer socioeconomic circumstances and less favourable risk factor profiles among people with job insecurity.
Keywords
COPENHAGEN PSYCHOSOCIAL QUESTIONNAIRE, EFFORT-REWARD IMBALANCE, HEALTH-RELATED BEHAVIORS, BRITISH CIVIL-SERVANTS, OCCUPATIONAL-HEALTH, CARDIOVASCULAR-DISEASES, PRECARIOUS EMPLOYMENT, WORK-ENVIRONMENT, WHITEHALL-II, BASE-LINE

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MLA
Virtanen, Marianna, Solja T Nyberg, G David Batty, et al. “Perceived Job Insecurity as a Risk Factor for Incident Coronary Heart Disease : Systematic Review and Meta-analysis.” BMJ-BRITISH MEDICAL JOURNAL 347 (2013): n. pag. Print.
APA
Virtanen, M., Nyberg, S. T., Batty, G. D., Jokela, M., Heikkilä, K., Fransson, E. I., Alfredsson, L., et al. (2013). Perceived job insecurity as a risk factor for incident coronary heart disease : systematic review and meta-analysis. BMJ-BRITISH MEDICAL JOURNAL, 347.
Chicago author-date
Virtanen, Marianna, Solja T Nyberg, G David Batty, Markus Jokela, Katriina Heikkilä, Eleonor I Fransson, Lars Alfredsson, et al. 2013. “Perceived Job Insecurity as a Risk Factor for Incident Coronary Heart Disease : Systematic Review and Meta-analysis.” Bmj-british Medical Journal 347.
Chicago author-date (all authors)
Virtanen, Marianna, Solja T Nyberg, G David Batty, Markus Jokela, Katriina Heikkilä, Eleonor I Fransson, Lars Alfredsson, Jakob B Bjorner, Marianne Borritz, Hermann Burr, Annalisa Casini, Els Clays, Dirk De Bacquer, Nico Dragano, Marko Elovainio, Raimund Erbel, Jane E Ferrie, Mark Hamer, Karl-Heinz Jöckel, France Kittel, Anders Knutsson, Markku Koskenvuo, Aki Koskinen, Thorsten Lunau, Ida EH Madsen, Martin L Nielsen, Maria Nordin, Tuula Oksanen, Krista Pahkin, Jan H Pejtersen, Jaana Pentti, Reiner Rugulies, Paula Salo, Martin J Shipley, Johannes Siegrist, Andrew Steptoe, Sakari B Suominen, Töres Theorell, Salla Toppinen-Tanner, Ari Väänänen, Jussi Vahtera, Peter JM Westerholm, Hugo Westerlund, Natalie Slopen, Ichiro Kawachi, Archana Singh-Manoux, and Mika Kivimäki. 2013. “Perceived Job Insecurity as a Risk Factor for Incident Coronary Heart Disease : Systematic Review and Meta-analysis.” Bmj-british Medical Journal 347.
Vancouver
1.
Virtanen M, Nyberg ST, Batty GD, Jokela M, Heikkilä K, Fransson EI, et al. Perceived job insecurity as a risk factor for incident coronary heart disease : systematic review and meta-analysis. BMJ-BRITISH MEDICAL JOURNAL. 2013;347.
IEEE
[1]
M. Virtanen et al., “Perceived job insecurity as a risk factor for incident coronary heart disease : systematic review and meta-analysis,” BMJ-BRITISH MEDICAL JOURNAL, vol. 347, 2013.
@article{4301607,
  abstract     = {Objective: To determine the association between self reported job insecurity and incident coronary heart disease.
Design: A meta-analysis combining individual level data from a collaborative consortium and published studies identified by a systematic review.
Data sources: We obtained individual level data from 13 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. Four published prospective cohort studies were identified by searches of Medline (to August 2012) and Embase databases (to October 2012), supplemented by manual searches.
Review methods: Prospective cohort studies that reported risk estimates for clinically verified incident coronary heart disease by the level of self reported job insecurity. Two independent reviewers extracted published data. Summary estimates of association were obtained using random effects models.
Results: The literature search yielded four cohort studies. Together with 13 cohort studies with individual participant data, the meta-analysis comprised up to 174 438 participants with a mean follow-up of 9.7 years and 1892 incident cases of coronary heart disease. Age adjusted relative risk of high versus low job insecurity was 1.32 (95% confidence interval 1.09 to 1.59). The relative risk of job insecurity adjusted for sociodemographic and risk factors was 1.19 (1.00 to 1.42). There was no evidence of significant differences in this association by sex, age (<50 v >= 50 years), national unemployment rate, welfare regime, or job insecurity measure.
Conclusions: The modest association between perceived job insecurity and incident coronary heart disease is partly attributable to poorer socioeconomic circumstances and less favourable risk factor profiles among people with job insecurity.},
  articleno    = {f4746},
  author       = {Virtanen, Marianna and Nyberg, Solja T and Batty, G David and Jokela, Markus and Heikkilä, Katriina and Fransson, Eleonor I and Alfredsson, Lars and Bjorner, Jakob B and Borritz, Marianne and Burr, Hermann and Casini, Annalisa and Clays, Els and De Bacquer, Dirk and Dragano, Nico and Elovainio, Marko and Erbel, Raimund and Ferrie, Jane E and Hamer, Mark and Jöckel, Karl-Heinz and Kittel, France and Knutsson, Anders and Koskenvuo, Markku and Koskinen, Aki and Lunau, Thorsten and Madsen, Ida EH and Nielsen, Martin L and Nordin, Maria and Oksanen, Tuula and Pahkin, Krista and Pejtersen, Jan H and Pentti, Jaana and Rugulies, Reiner and Salo, Paula and Shipley, Martin J and Siegrist, Johannes and Steptoe, Andrew and Suominen, Sakari B and Theorell, Töres and Toppinen-Tanner, Salla and Väänänen, Ari and Vahtera, Jussi and Westerholm, Peter JM and Westerlund, Hugo and Slopen, Natalie and Kawachi, Ichiro and Singh-Manoux, Archana and Kivimäki, Mika},
  issn         = {1756-1833},
  journal      = {BMJ-BRITISH MEDICAL JOURNAL},
  keywords     = {COPENHAGEN PSYCHOSOCIAL QUESTIONNAIRE,EFFORT-REWARD IMBALANCE,HEALTH-RELATED BEHAVIORS,BRITISH CIVIL-SERVANTS,OCCUPATIONAL-HEALTH,CARDIOVASCULAR-DISEASES,PRECARIOUS EMPLOYMENT,WORK-ENVIRONMENT,WHITEHALL-II,BASE-LINE},
  language     = {eng},
  pages        = {16},
  title        = {Perceived job insecurity as a risk factor for incident coronary heart disease : systematic review and meta-analysis},
  url          = {http://dx.doi.org/10.1136/bmj.f4746},
  volume       = {347},
  year         = {2013},
}

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