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Lack of predictability at work and risk of acute myocardial infarction: An 18-year prospective study of industrial employees

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  • Väänänen, A.
  • Koskinen, A.
  • Joensuu, M.
  • Kivimäki, M.
  • Vahtera, J.
  • Kouvonen, A.
  • Jäppinen, P.

Abstract

Objectives. We examined whether the distinctive components of job contro l-decision authority, skill discretion, and predictability - were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease-free industrial employees. Methods. We prospectively examined the relation between the components of job control and acute MI among private-sector industrial employees. During an 18-year follow-up, 56 fatal and 316 nonfatal events of acute MI were documented among 7663 employees with no recorded history of cardiovascular disease at baseline (i.e., 1986). Results. After adjustment for demographics, psychological distress, prevalent medical conditions, lifestyle risk factors, and socioeconomic characteristics, low decision autonomy (P

Suggested Citation

  • Väänänen, A. & Koskinen, A. & Joensuu, M. & Kivimäki, M. & Vahtera, J. & Kouvonen, A. & Jäppinen, P., 2008. "Lack of predictability at work and risk of acute myocardial infarction: An 18-year prospective study of industrial employees," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2264-2271.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.122382_4
    DOI: 10.2105/AJPH.2007.122382
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    Cited by:

    1. Matthias Dütsch, 2022. "COVID-19 and the labour market: What are the working conditions in critical jobs?," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 56(1), pages 1-17, December.

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