Job Strain as a Risk Factor for Incident Diabetes Mellitus in Middle and Older Age U.S. Workers.

TitleJob Strain as a Risk Factor for Incident Diabetes Mellitus in Middle and Older Age U.S. Workers.
Publication TypeJournal Article
Year of Publication2016
AuthorsMutambudzi, M, Javed, Z
JournalThe journals of gerontology. Series B, Psychological sciences and social sciences
Date Published11/2016
ISSN Number1758-5368
KeywordsAging Workforce, Chronic conditions, Employment and Labor Force, Older Adults, Stress

OBJECTIVES: The current study examined the relationship between the 4 quadrants of the job strain model and incident diabetes in U.S. working adults 50 years and older.

METHODS: This study used longitudinal data from the 2006-2012 waves of the Health and Retirement Study (n = 1,396). Kaplan-Meier survival curves and Cox proportional hazard regression models were used to examine whether job strain significantly predicted diabetes incidence.

RESULTS: Participants in high strain and passive jobs had significantly higher risk of diabetes relative to those in low strain jobs. In the univariate survival curves, significantly higher risk of diabetes was observed in men working in passive jobs. After adjustment for relevant covariates, participants in high strain (hazard ratio [HR] = 1.73, 95% confidence interval [CI] = 1.09-2.75) and passive (HR = 1.66, 95% CI = 1.01-2.73) jobs had a significantly increased risk of diabetes. Among adults 65 years and older, high strain and passive jobs were associated with an approximately fourfold increased risk of incident diabetes.

DISCUSSION: High strain and passive occupations which represent low control over work are associated with increased risk of diabetes incidence among older workers. More research is required to better understand how psychosocial work factors impact health in aging workers. Further, research should continue to explore gender differences in effects of job strain on diabetes.

Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key8570
PubMed ID27445405