| Author | Santos, Raila de Souza | |
| Author | Griep, Rosane Harter | |
| Author | Fonseca, Maria de Jesus Mendes da | |
| Author | Chor, Dóra | |
| Author | Santos, Itamar de Souza | |
| Author | Melo, Enirtes Caetano Prates | |
| Access date | 2020-05-28T13:59:30Z | |
| Available date | 2020-05-28T13:59:30Z | |
| Document date | 2020 | |
| Citation | SANTOS, Raila de Souza et al. Combined use of job stress models and the incidence of glycemic alterations (Prediabetes and Diabetes): results form ELSA-Brasil Study. International Journal of Environmental Research and Public Health, v. 17, n. 1539, p. 1-17, 2020. | pt_BR |
| ISSN | 1661-7827 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/41431 | |
| Language | eng | pt_BR |
| Publisher | MDPI | pt_BR |
| Rights | open access | |
| Subject in Portuguese | Estresse ocupacional | pt_BR |
| Subject in Portuguese | Diabetes mellitus tipo 2 | pt_BR |
| Subject in Portuguese | Modelo de controle de demanda | pt_BR |
| Subject in Portuguese | Desiquilibrio esforço-recompensa | pt_BR |
| Subject in Portuguese | Disparidades de estado de saúde | pt_BR |
| Subject in Portuguese | Estado de pré diabetes | pt_BR |
| Title | Combined use of a job stress models and the incidence of glycemic alterations (Prediabetes and Diabetes): results from ELSA-Brasil Study | pt_BR |
| Type | Article | |
| DOI | 10.3390/ijerph17051539 | |
| Abstract | Evidence of psychosocial stress at work as a risk factor for diabetes and prediabetes
is restricted. Objectives: Analyze the independent and combined association of the models,
demand–control and social support (DC-SS) and the e ort–reward imbalance and overcommitment
(ERI-OC), and the incidence of glycemic alterations (prediabetes and diabetes). Methods: Aprospective
study was carried out with data from 7503 active workers from the Brazilian Longitudinal Study
of Adult Health (ELSA-Brasil) study in the period 2008–2014. Work stress was measured by two
stress models. Glycemic levels were evaluated by glycated hemoglobin (HbA1c) in two moments and
classified in four groups: normal, maintenance of prediabetes, incident prediabetes, and incident
diabetes. Multinomial logistic regression was analyzed with 5% significance levels stratified by sex,
and multiplicative interactions were investigated. Results: Work stress and glycemic alterations
were more frequent in women. Psychosocial stress at work was shown to be associated to the risk
of prediabetes and diabetes only among women. For women, the combination of models enlarged
the magnitude of the association: prediabetes (DC-ERI = OR 1.51, 95% CI 1.15–1.99) and diabetes
(DC-ERI = OR 2.10, 95% CI 1.20–3.65). Highly-educated women exposed to ERI-OC were four times
more likely to have diabetes. Conclusion: Both models may contribute to explaining the psychosocial
stress load according to each pattern of glycemic alteration among women. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Hospital de Clinicas. Centro de Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Subject | Occupational stress | pt_BR |
| Subject | Demand-control model | pt_BR |
| Subject | Effort-reward imbalance | pt_BR |
| Subject | Prediabetes state | pt_BR |
| Subject | Diabetes mellitus type 2 | pt_BR |
| Subject | Health status disparaties | pt_BR |
| e-ISSN | 1660-4601 | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
