251. Professional Driver’s Job Stress and 8-year Risk of Cardiovascular Disease
- Author
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Chung-Ching Wang, Su-Shan Tsai, Trong-Neng Wu, Yu-Jen Lin, Tung-Sheng Shih, Wei-Te Wu, and Saou-Hsing Liou
- Subjects
Adult ,Male ,Gerontology ,Automobile Driving ,medicine.medical_specialty ,Epidemiology ,Taiwan ,Disease ,01 natural sciences ,Occupational safety and health ,Occupational Stress ,010104 statistics & probability ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Surveys and Questionnaires ,Humans ,Medicine ,030212 general & internal medicine ,0101 mathematics ,Proportional Hazards Models ,Job stress ,business.industry ,Proportional hazards model ,Middle Aged ,Motor Vehicles ,Cardiovascular Diseases ,Risk assessment ,business ,Psychosocial ,Cohort study - Abstract
Two main job stress models-the Demand-Control-Support (DC) model and the Effort-Reward Imbalance (ERI) model have been used to assess the impact of psychosocial work-related factors for cardiovascular disease (CVD). Limited evidence elaborates the independent and combined effects on CVD events, especially for professional drivers. This study assesses the independent and combined effects of DC and ERI models on an 8-year risk of CVD among professional drivers.The Taiwan Bus Driver Cohort Study recruited 1650 professional drivers from a large bus company in 2005. The subjects were interviewed in person and completed the two job stress questionnaires. Researchers found 94 new cases of CVD (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM]: 390-459) from 2006 to 2012. A Cox proportional hazards model was performed to estimate the hazard ratio (HR) for CVD events.Occupational drivers with high overcommitment scores (thresholds of 15) had an elevated risk for CVD (HR = 1.71; 95% CI = 1.04, 2.82). Regarding target disease, overcommitment had an increased risk for CVD (not including hypertensive disease) (HR = 1.27; 95% CI = 1.05, 1.54) and ischemic heart disease (HR = 1.32; 95% CI = 1.05-1.65).Overcommitment, which is associated with job stress, appears to be associated with CVD risk in professional drivers.
- Published
- 2019