Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study

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Why the study?

Does job strain increase the risk of incident coronary heart disease in adult civil servants?

Population

10,308 civil servants aged 35-55, London-based office staff in 20 civil service departments.

Design

Cohort

Follow-up

mean 11 years

Authors

Discussion

Job strain may raise CHD risk most in younger adults; hypothesis-generating and should not yet change practice.

Does job strain increase the risk of incident coronary heart disease in adult civil servants?

Population

10,308 civil servants (6,895 male and 3,413 female) aged 35-55, London-based office staff in 20 civil service departments.

Intervention

Job strain (concurrent low decision latitude and high demands)

Outcome

Incident validated coronary heart disease (CHD)hard clinical

Job strain, characterized by high job demands and low decision latitude, is associated with an increased risk of incident coronary heart disease.

Hannah Kuper (2003) studied this question.

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