Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies

Katriina Heikkilä; Solja T Nyberg; Eleonor I Fransson; Lars Alfredsson; Dirk De Bacquer; Jakob B Bjorner; Sébastien Bonenfant; Marianne Borritz; Hermann Burr; Els Clays; Annalisa Casini; Nico Dragano; Raimund Erbel; Goedele A Geuskens; Marcel Goldberg; Wendela E Hooftman; Irene L Houtman; Matti Joensuu; Karl-Heinz Jöckel; France Kittel; Anders Knutsson; Markku Koskenvuo; Aki Koskinen; Anne Kouvonen; Constanze Leineweber; Thorsten Lunau; Ida E H Madsen; Linda L Magnusson Hanson; Michael G Marmot; Martin L Nielsen; Maria Nordin; Jaana Pentti; Paula Salo; Reiner Rugulies; Andrew Steptoe; Johannes Siegrist; Sakari Suominen; Jussi Vahtera; Marianna Virtanen; Ari Väänänen; Peter Westerholm; Hugo Westerlund; Marie Zins; Töres Theorell; Mark Hamer; Jane E Ferrie; Archana Singh-Manoux; G David Batty; Mika Kivimäki; for the IPD-Work Consortium

doi:10.1371/journal.pone.0035463

Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies

Katriina Heikkilä, Solja T Nyberg, Eleonor I Fransson, Lars Alfredsson, Dirk De Bacquer, Jakob B Bjorner, Sébastien Bonenfant, Marianne Borritz, Hermann Burr, Els Clays, Annalisa Casini, Nico Dragano, Raimund Erbel, Goedele A Geuskens, Marcel Goldberg, Wendela E Hooftman, Irene L Houtman, Matti Joensuu, Karl-Heinz Jöckel, France KittelAnders Knutsson, Markku Koskenvuo, Aki Koskinen, Anne Kouvonen, Constanze Leineweber, Thorsten Lunau, Ida E H Madsen, Linda L Magnusson Hanson, Michael G Marmot, Martin L Nielsen, Maria Nordin, Jaana Pentti, Paula Salo, Reiner Rugulies, Andrew Steptoe, Johannes Siegrist, Sakari Suominen, Jussi Vahtera, Marianna Virtanen, Ari Väänänen, Peter Westerholm, Hugo Westerlund, Marie Zins, Töres Theorell, Mark Hamer, Jane E Ferrie, Archana Singh-Manoux, G David Batty, Mika Kivimäki, for the IPD-Work Consortium

Research output: Contribution to journal › Article › peer-review

82 Citations (Scopus)

Abstract

BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

Original language	English
Article number	e35463
Pages (from-to)	e35463
Journal	PLoS ONE
Volume	7
Issue number	7
DOIs	https://doi.org/10.1371/journal.pone.0035463
Publication status	Published - 06 Jul 2012

ASJC Scopus subject areas

Agricultural and Biological Sciences(all)
Biochemistry, Genetics and Molecular Biology(all)
Medicine(all)

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Heikkilä, K., Nyberg, S. T., Fransson, E. I., Alfredsson, L., De Bacquer, D., Bjorner, J. B., Bonenfant, S., Borritz, M., Burr, H., Clays, E., Casini, A., Dragano, N., Erbel, R., Geuskens, G. A., Goldberg, M., Hooftman, W. E., Houtman, I. L., Joensuu, M., Jöckel, K-H., ... for the IPD-Work Consortium (2012). Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies. PLoS ONE, 7(7), e35463. [e35463]. https://doi.org/10.1371/journal.pone.0035463

Heikkilä, Katriina ; Nyberg, Solja T ; Fransson, Eleonor I ; Alfredsson, Lars ; De Bacquer, Dirk ; Bjorner, Jakob B ; Bonenfant, Sébastien ; Borritz, Marianne ; Burr, Hermann ; Clays, Els ; Casini, Annalisa ; Dragano, Nico ; Erbel, Raimund ; Geuskens, Goedele A ; Goldberg, Marcel ; Hooftman, Wendela E ; Houtman, Irene L ; Joensuu, Matti ; Jöckel, Karl-Heinz ; Kittel, France ; Knutsson, Anders ; Koskenvuo, Markku ; Koskinen, Aki ; Kouvonen, Anne ; Leineweber, Constanze ; Lunau, Thorsten ; Madsen, Ida E H ; Hanson, Linda L Magnusson ; Marmot, Michael G ; Nielsen, Martin L ; Nordin, Maria ; Pentti, Jaana ; Salo, Paula ; Rugulies, Reiner ; Steptoe, Andrew ; Siegrist, Johannes ; Suominen, Sakari ; Vahtera, Jussi ; Virtanen, Marianna ; Väänänen, Ari ; Westerholm, Peter ; Westerlund, Hugo ; Zins, Marie ; Theorell, Töres ; Hamer, Mark ; Ferrie, Jane E ; Singh-Manoux, Archana ; Batty, G David ; Kivimäki, Mika ; for the IPD-Work Consortium. / Job Strain and Tobacco Smoking : An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies. In: PLoS ONE. 2012 ; Vol. 7, No. 7. pp. e35463.

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title = "Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies",

abstract = "BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.",

author = "Katriina Heikkil{\"a} and Nyberg, {Solja T} and Fransson, {Eleonor I} and Lars Alfredsson and {De Bacquer}, Dirk and Bjorner, {Jakob B} and S{\'e}bastien Bonenfant and Marianne Borritz and Hermann Burr and Els Clays and Annalisa Casini and Nico Dragano and Raimund Erbel and Geuskens, {Goedele A} and Marcel Goldberg and Hooftman, {Wendela E} and Houtman, {Irene L} and Matti Joensuu and Karl-Heinz J{\"o}ckel and France Kittel and Anders Knutsson and Markku Koskenvuo and Aki Koskinen and Anne Kouvonen and Constanze Leineweber and Thorsten Lunau and Madsen, {Ida E H} and Hanson, {Linda L Magnusson} and Marmot, {Michael G} and Nielsen, {Martin L} and Maria Nordin and Jaana Pentti and Paula Salo and Reiner Rugulies and Andrew Steptoe and Johannes Siegrist and Sakari Suominen and Jussi Vahtera and Marianna Virtanen and Ari V{\"a}{\"a}n{\"a}nen and Peter Westerholm and Hugo Westerlund and Marie Zins and T{\"o}res Theorell and Mark Hamer and Ferrie, {Jane E} and Archana Singh-Manoux and Batty, {G David} and Mika Kivim{\"a}ki and {for the IPD-Work Consortium}",

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Heikkilä, K, Nyberg, ST, Fransson, EI, Alfredsson, L, De Bacquer, D, Bjorner, JB, Bonenfant, S, Borritz, M, Burr, H, Clays, E, Casini, A, Dragano, N, Erbel, R, Geuskens, GA, Goldberg, M, Hooftman, WE, Houtman, IL, Joensuu, M, Jöckel, K-H, Kittel, F, Knutsson, A, Koskenvuo, M, Koskinen, A, Kouvonen, A, Leineweber, C, Lunau, T, Madsen, IEH, Hanson, LLM, Marmot, MG, Nielsen, ML, Nordin, M, Pentti, J, Salo, P, Rugulies, R, Steptoe, A, Siegrist, J, Suominen, S, Vahtera, J, Virtanen, M, Väänänen, A, Westerholm, P, Westerlund, H, Zins, M, Theorell, T, Hamer, M, Ferrie, JE, Singh-Manoux, A, Batty, GD, Kivimäki, M & for the IPD-Work Consortium 2012, 'Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies', PLoS ONE, vol. 7, no. 7, e35463, pp. e35463. https://doi.org/10.1371/journal.pone.0035463

Job Strain and Tobacco Smoking : An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies. / Heikkilä, Katriina; Nyberg, Solja T; Fransson, Eleonor I; Alfredsson, Lars; De Bacquer, Dirk; Bjorner, Jakob B; Bonenfant, Sébastien; Borritz, Marianne; Burr, Hermann; Clays, Els; Casini, Annalisa; Dragano, Nico; Erbel, Raimund; Geuskens, Goedele A; Goldberg, Marcel; Hooftman, Wendela E; Houtman, Irene L; Joensuu, Matti; Jöckel, Karl-Heinz; Kittel, France; Knutsson, Anders; Koskenvuo, Markku; Koskinen, Aki; Kouvonen, Anne; Leineweber, Constanze; Lunau, Thorsten; Madsen, Ida E H; Hanson, Linda L Magnusson; Marmot, Michael G; Nielsen, Martin L; Nordin, Maria; Pentti, Jaana; Salo, Paula; Rugulies, Reiner; Steptoe, Andrew; Siegrist, Johannes; Suominen, Sakari; Vahtera, Jussi; Virtanen, Marianna; Väänänen, Ari; Westerholm, Peter; Westerlund, Hugo; Zins, Marie; Theorell, Töres; Hamer, Mark; Ferrie, Jane E; Singh-Manoux, Archana; Batty, G David; Kivimäki, Mika; for the IPD-Work Consortium.

In: PLoS ONE, Vol. 7, No. 7, e35463, 06.07.2012, p. e35463.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Job Strain and Tobacco Smoking

T2 - An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies

AU - Heikkilä, Katriina

AU - Nyberg, Solja T

AU - Fransson, Eleonor I

AU - Alfredsson, Lars

AU - De Bacquer, Dirk

AU - Bjorner, Jakob B

AU - Bonenfant, Sébastien

AU - Borritz, Marianne

AU - Burr, Hermann

AU - Clays, Els

AU - Casini, Annalisa

AU - Dragano, Nico

AU - Erbel, Raimund

AU - Geuskens, Goedele A

AU - Goldberg, Marcel

AU - Hooftman, Wendela E

AU - Houtman, Irene L

AU - Joensuu, Matti

AU - Jöckel, Karl-Heinz

AU - Kittel, France

AU - Knutsson, Anders

AU - Koskenvuo, Markku

AU - Koskinen, Aki

AU - Kouvonen, Anne

AU - Leineweber, Constanze

AU - Lunau, Thorsten

AU - Madsen, Ida E H

AU - Hanson, Linda L Magnusson

AU - Marmot, Michael G

AU - Nielsen, Martin L

AU - Nordin, Maria

AU - Pentti, Jaana

AU - Salo, Paula

AU - Rugulies, Reiner

AU - Steptoe, Andrew

AU - Siegrist, Johannes

AU - Suominen, Sakari

AU - Vahtera, Jussi

AU - Virtanen, Marianna

AU - Väänänen, Ari

AU - Westerholm, Peter

AU - Westerlund, Hugo

AU - Zins, Marie

AU - Theorell, Töres

AU - Hamer, Mark

AU - Ferrie, Jane E

AU - Singh-Manoux, Archana

AU - Batty, G David

AU - Kivimäki, Mika

AU - for the IPD-Work Consortium

PY - 2012/7/6

Y1 - 2012/7/6

N2 - BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

AB - BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

U2 - 10.1371/journal.pone.0035463

DO - 10.1371/journal.pone.0035463

M3 - Article

C2 - 22792154

VL - 7

SP - e35463

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 7

M1 - e35463

ER -