Decision latitude, job strain, and myocardial infarction: A study of working men in Stockholm

Töres Theorell, Akizumi Tsutsumi, Johan Hallquist, Christina Reuterwall, Christer Hogstedt, Peeter Fredlund, Nils Emlund, Jeffrey V. Johnson

Research output: Contribution to journalArticle

Abstract

Objectives. This study examined the role of decision latitude and job strain in the etiology of a first myocardial infarction. Methods. Eligible case patients were all full-time working men 45 to 64 years of age who suffered a first myocardial infarction during the period January 1992 to January 1993 in the greater Stockholm region. Referents were selected from the general population. Participation rates were 82% (case patients) and 75% (referents). Results. Both inferred and self-reported low decision latitude were associated with increased risk of a first myocardial infarction, although this association was weakened after adjustment for social class. A decrease in inferred decision latitude during the 10 years preceding the myocardial infarction was associated with increased risk after all adjustments, including chest pain and social class. The combination of high self-reported demands and low self-reported decision latitude was an independent predictor of risk after all adjustments. Conclusions. Both negative change in inferred decision latitude and self-reported job strain are important risk indicators in men less than 55 years of age and in blue- collar workers.

Original languageEnglish (US)
Pages (from-to)382-388
Number of pages7
JournalAmerican journal of public health
Volume88
Issue number3
DOIs
StatePublished - Mar 1998

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Decision latitude, job strain, and myocardial infarction: A study of working men in Stockholm'. Together they form a unique fingerprint.

  • Cite this

    Theorell, T., Tsutsumi, A., Hallquist, J., Reuterwall, C., Hogstedt, C., Fredlund, P., Emlund, N., & Johnson, J. V. (1998). Decision latitude, job strain, and myocardial infarction: A study of working men in Stockholm. American journal of public health, 88(3), 382-388. https://doi.org/10.2105/AJPH.88.3.382