Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). 1988

R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
Department of Industrial and Systems Engineering, University of Southern California, Los Angeles 90089-0193.

Associations between psychosocial job characteristics and past myocardial infarction (MI) prevalence for employed males were tested with the Health Examination Survey (HES) 1960-61, N = 2,409, and the Health and Nutrition Examination Survey (HANES) 1971-75, N = 2,424. A new estimation method is used which imputes to census occupation codes, job characteristic information from national surveys of job characteristics (US Department of Labor, Quality of Employment Surveys). Controlling for age, we find that employed males with jobs which are simultaneously low in decision latitude and high in psychological work load (a multiplicative product term isolating 20 per cent of the population) have a higher prevalence of myocardial infarction in both data bases. In a logistic regression analysis, using job measures adjusted for demographic factors and controlling for age, race, education, systolic blood pressure, serum cholesterol, smoking (HANES only), and physical exertion, we find a low decision latitude/high psychological demand multiplicative product term associated with MI in both data bases. Additional multiple logistic regressions show that low decision latitude is associated with increased prevalence of MI in both the HES and the HANES. Psychological workload and physical exertion are significant only in the HANES.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D009749 Nutrition Surveys A systematic collection of factual data pertaining to the nutritional status of a human population within a given geographic area. Data from these surveys are used in preparing NUTRITION ASSESSMENTS. NHANES,National Health and Nutrition Examination Survey,Nutritional Surveys,Nutrition Survey,Nutritional Survey,Survey, Nutrition,Survey, Nutritional,Surveys, Nutrition,Surveys, Nutritional
D003657 Decision Making The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea. Credit Assignment,Assignment, Credit,Assignments, Credit,Credit Assignments
D004651 Employment The state of being engaged in an activity or service for wages or salary. Employment Termination,Employment Status,Labor Force,Occupational Status,Status, Occupational,Underemployment,Labor Forces,Status, Employment,Termination, Employment
D006306 Health Surveys A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area. Abortion Surveys,Abortion Survey,Health Survey,Survey, Abortion,Survey, Health,Surveys, Abortion,Surveys, Health
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
January 1987, Annual review of nutrition,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
January 1985, Journal of chronic diseases,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
January 2015, Preventive medicine reports,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
April 1995, Environmental health perspectives,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
May 2012, Arthritis and rheumatism,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
March 2024, BMJ open,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
May 2023, medRxiv : the preprint server for health sciences,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
January 2024, Nutrients,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
September 1996, American journal of epidemiology,
R A Karasek, and T Theorell, and J E Schwartz, and P L Schnall, and C F Pieper, and J L Michela
November 2012, BMJ (Clinical research ed.),
Copied contents to your clipboard!