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Johannes Siegrist, Nico Dragano, Simone Weyers, Raimund Erbel ...

Johannes Siegrist, Nico Dragano, Simone Weyers, Raimund Erbel ...

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Background III: Reasonable evidence of an association<br />

of stressful work (DC/ERI) with CHD/CVD mortality:<br />

several prospective studies (see figure)<br />

Cardiovascular mortality in industrial workers (25,6 ys.) ys.)<br />

2,5<br />

2<br />

1,5<br />

1<br />

0,5<br />

*<br />

1 2 3 1 2 3<br />

High demand /<br />

low control<br />

Effort-Reward<br />

Imbalance<br />

Source: M. Kivimäki et al. (2002), BMJ, 325: 857<br />

*<br />

Tertiles<br />

1 = low;<br />

2 = intermediate;<br />

3 = high<br />

adj. for age, sex,<br />

occupational group,<br />

smoking, physical<br />

activity, SBP,<br />

total chol., BMI<br />

* p < .05

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