Ferrie, Jane E and Virtanen, Marianna and Jokela, Markus and Madsen, Ida EH and Heikkilä, Katriina and Alfredsson, Lars and Batty, G David and Bjorner, Jakob B and Borritz, Marianne and Burr, Hermann and Dragano, Nico and Elovainio, Marko and Fransson, Eleonor I and Knutsson, Anders and Koskenvuo, Markku and Koskinen, Aki and Kouvonen, Anne and Kumari, Meena and Nielsen, Martin L and Nordin, Maria and Oksanen, Tuula and Pahkin, Krista and Pejtersen, Jan H and Pentti, Jaana and Salo, Paula and Shipley, Martin J and Suominen, Sakari B and Tabák, Adam and Theorell, Töres and Väänänen, Ari and Vahtera, Jussi and Westerholm, Peter JM and Westerlund, Hugo and Rugulies, Reiner and Nyberg, Solja T and Kivimäki, Mika (2016) Job insecurity and risk of diabetes: a meta-analysis of individual participant data. Canadian Medical Association Journal, 188 (17-18). E447-E455. DOI https://doi.org/10.1503/cmaj.150942
Ferrie, Jane E and Virtanen, Marianna and Jokela, Markus and Madsen, Ida EH and Heikkilä, Katriina and Alfredsson, Lars and Batty, G David and Bjorner, Jakob B and Borritz, Marianne and Burr, Hermann and Dragano, Nico and Elovainio, Marko and Fransson, Eleonor I and Knutsson, Anders and Koskenvuo, Markku and Koskinen, Aki and Kouvonen, Anne and Kumari, Meena and Nielsen, Martin L and Nordin, Maria and Oksanen, Tuula and Pahkin, Krista and Pejtersen, Jan H and Pentti, Jaana and Salo, Paula and Shipley, Martin J and Suominen, Sakari B and Tabák, Adam and Theorell, Töres and Väänänen, Ari and Vahtera, Jussi and Westerholm, Peter JM and Westerlund, Hugo and Rugulies, Reiner and Nyberg, Solja T and Kivimäki, Mika (2016) Job insecurity and risk of diabetes: a meta-analysis of individual participant data. Canadian Medical Association Journal, 188 (17-18). E447-E455. DOI https://doi.org/10.1503/cmaj.150942
Ferrie, Jane E and Virtanen, Marianna and Jokela, Markus and Madsen, Ida EH and Heikkilä, Katriina and Alfredsson, Lars and Batty, G David and Bjorner, Jakob B and Borritz, Marianne and Burr, Hermann and Dragano, Nico and Elovainio, Marko and Fransson, Eleonor I and Knutsson, Anders and Koskenvuo, Markku and Koskinen, Aki and Kouvonen, Anne and Kumari, Meena and Nielsen, Martin L and Nordin, Maria and Oksanen, Tuula and Pahkin, Krista and Pejtersen, Jan H and Pentti, Jaana and Salo, Paula and Shipley, Martin J and Suominen, Sakari B and Tabák, Adam and Theorell, Töres and Väänänen, Ari and Vahtera, Jussi and Westerholm, Peter JM and Westerlund, Hugo and Rugulies, Reiner and Nyberg, Solja T and Kivimäki, Mika (2016) Job insecurity and risk of diabetes: a meta-analysis of individual participant data. Canadian Medical Association Journal, 188 (17-18). E447-E455. DOI https://doi.org/10.1503/cmaj.150942
Abstract
Background: Job insecurity has been associated with certain health outcomes. We examined the role of job insecurity as a risk factor for incident diabetes. Methods: We used individual participant data from 8 cohort studies identified in 2 open-access data archives and 11 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. We calculated study-specific estimates of the association between job insecurity reported at baseline and incident diabetes over the follow-up period. We pooled the estimates in a meta-analysis to produce a summary risk estimate. Results: The 19 studies involved 140 825 participants from Australia, Europe and the United States, with a mean follow-up of 9.4 years and 3954 incident cases of diabetes. In the preliminary analysis adjusted for age and sex, high job insecurity was associated with an increased risk of incident diabetes compared with low job insecurity (adjusted odds ratio [OR] 1.19, 95% confidence interval [CI] 1.09–1.30). In the multivariable-adjusted analysis restricted to 15 studies with baseline data for all covariates (age, sex, socioeconomic status, obesity, physical activity, alcohol and smoking), the association was slightly attenuated (adjusted OR 1.12, 95% CI 1.01–1.24). Heterogeneity between the studies was low to moderate (age- and sex-adjusted model: I2 = 24%, p = 0.2; multivariable-adjusted model: I2 = 27%, p = 0.2). In the multivariable-adjusted analysis restricted to high-quality studies, in which the diabetes diagnosis was ascertained from electronic medical records or clinical examination, the association was similar to that in the main analysis (adjusted OR 1.19, 95% CI 1.04–1.35). Interpretation: Our findings suggest that self-reported job insecurity is associated with a modest increased risk of incident diabetes. Health care personnel should be aware of this association among workers reporting job insecurity.
Item Type: | Article |
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Uncontrolled Keywords: | IPD-Work Consortium; Humans; Diabetes Mellitus; Obesity; Exercise; Incidence; Multivariate Analysis; Odds Ratio; Risk Factors; Cohort Studies; Alcohol Drinking; Smoking; Social Class; Databases, Factual; Employment; United States; Australia; Europe |
Subjects: | H Social Sciences > H Social Sciences (General) R Medicine > R Medicine (General) |
Divisions: | Faculty of Social Sciences Faculty of Social Sciences > Institute for Social and Economic Research |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 28 Feb 2017 14:54 |
Last Modified: | 07 Aug 2024 19:50 |
URI: | http://repository.essex.ac.uk/id/eprint/19002 |