Work stress, smoking status and smoking intensity: an observational study of 46 190 employees
Study objective: To examine the relationship between work stress, as indicated by the job strain model and the effort-reward imbalance model, and smoking. Setting: Ten municipalities and 21 hospitals in Finland. Design and Participants: Binary logistic regression models for the prevalence of smok...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Published: |
BMJ Publishing Group
2005
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/799/ |
| _version_ | 1848790483201949696 |
|---|---|
| author | Kouvonen, Anne Kivimäki, Mika Virtanen, Marianna Pentti, Jaana Vahtera, Jussi |
| author_facet | Kouvonen, Anne Kivimäki, Mika Virtanen, Marianna Pentti, Jaana Vahtera, Jussi |
| author_sort | Kouvonen, Anne |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Study objective: To examine the relationship between work stress, as indicated by the job strain model and the effort-reward imbalance model, and smoking.
Setting: Ten municipalities and 21 hospitals in Finland.
Design and Participants: Binary logistic regression models for the prevalence of smoking were related to survey responses of 37 309 female and 8881 male Finnish public sector employees aged 17-65. Separate multinomial logistic regression models were calculated for smoking intensity for 8130 smokers. In addition, binary logistic regression models for ex-smoking were fitted among 16 277 former and current smokers. In all analyses, adjustments were made for age, basic education, occupational status, type of employment and marital status.
Main results: Respondents with high effort-reward imbalance or lower rewards were more likely to be smokers. Among smokers, an increased likelihood of higher intensity of smoking was associated with higher job strain and higher effort-reward imbalance and their components such as low job control and low rewards. Smoking intensity was also higher in active jobs in women, in passive jobs and among employees with low effort expenditure. Among former and current smokers, high job strain, high effort-reward imbalance and high job demands were associated with a higher likelihood of being a current smoker. Lower effort was associated with a higher likelihood of ex-smoking.
Conclusions: This evidence suggests an association between work stress and smoking and implies that smoking cessation programs may benefit from the taking into account the modification of stressful features of work environment.
Key words: effort-reward imbalance; job strain; smoking.
Abbreviations: OR, odds ratio; CI, confidence interval; SES, socioeconomic status |
| first_indexed | 2025-11-14T18:13:20Z |
| format | Article |
| id | nottingham-799 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T18:13:20Z |
| publishDate | 2005 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-7992020-05-04T20:30:39Z https://eprints.nottingham.ac.uk/799/ Work stress, smoking status and smoking intensity: an observational study of 46 190 employees Kouvonen, Anne Kivimäki, Mika Virtanen, Marianna Pentti, Jaana Vahtera, Jussi Study objective: To examine the relationship between work stress, as indicated by the job strain model and the effort-reward imbalance model, and smoking. Setting: Ten municipalities and 21 hospitals in Finland. Design and Participants: Binary logistic regression models for the prevalence of smoking were related to survey responses of 37 309 female and 8881 male Finnish public sector employees aged 17-65. Separate multinomial logistic regression models were calculated for smoking intensity for 8130 smokers. In addition, binary logistic regression models for ex-smoking were fitted among 16 277 former and current smokers. In all analyses, adjustments were made for age, basic education, occupational status, type of employment and marital status. Main results: Respondents with high effort-reward imbalance or lower rewards were more likely to be smokers. Among smokers, an increased likelihood of higher intensity of smoking was associated with higher job strain and higher effort-reward imbalance and their components such as low job control and low rewards. Smoking intensity was also higher in active jobs in women, in passive jobs and among employees with low effort expenditure. Among former and current smokers, high job strain, high effort-reward imbalance and high job demands were associated with a higher likelihood of being a current smoker. Lower effort was associated with a higher likelihood of ex-smoking. Conclusions: This evidence suggests an association between work stress and smoking and implies that smoking cessation programs may benefit from the taking into account the modification of stressful features of work environment. Key words: effort-reward imbalance; job strain; smoking. Abbreviations: OR, odds ratio; CI, confidence interval; SES, socioeconomic status BMJ Publishing Group 2005-01 Article PeerReviewed Kouvonen, Anne, Kivimäki, Mika, Virtanen, Marianna, Pentti, Jaana and Vahtera, Jussi (2005) Work stress, smoking status and smoking intensity: an observational study of 46 190 employees. Journal of Epidemiology and Community Health, 59 (1). pp. 63-69. effort-reward imbalance job strain smoking http://jech.bmj.com/ |
| spellingShingle | effort-reward imbalance job strain smoking Kouvonen, Anne Kivimäki, Mika Virtanen, Marianna Pentti, Jaana Vahtera, Jussi Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title | Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title_full | Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title_fullStr | Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title_full_unstemmed | Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title_short | Work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| title_sort | work stress, smoking status and smoking intensity: an observational study of 46 190 employees |
| topic | effort-reward imbalance job strain smoking |
| url | https://eprints.nottingham.ac.uk/799/ https://eprints.nottingham.ac.uk/799/ |