Psychosocial Aspects of Work and the Risk of Colon Cancer
Because experimental and epidemiologic evidence indicates that the colon is particularly sensitive to stress, and because work conditions contribute to an individual's stress experience, we examined the relation of both job stress (defined in terms of perceived job demand and job control) and j...
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| Veröffentlicht in: | Epidemiology (Cambridge, Mass.) Mass.), 1996-03, Vol.7 (2), p.175-181 |
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| container_title | Epidemiology (Cambridge, Mass.) |
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| creator | Courtney, Joseph G. Longnecker, Matthew P. Peters, Ruth K. |
| description | Because experimental and epidemiologic evidence indicates that the colon is particularly sensitive to stress, and because work conditions contribute to an individual's stress experience, we examined the relation of both job stress (defined in terms of perceived job demand and job control) and job social support to the risk of colon cancer in a large population-based case-control study (744 pairs) in Los Angeles. Controls were individually matched to cases on age, sex, and neighborhood. For jobs held 5 years before, participants in the lowest tertile of job control had a slightly increased risk when compared with those in the highest tertile (multivariate adjusted odds ratio = 1.3; 95% confidence interval = 1.0-1.6), but there was no evidence of a trend. Lower levels of job social support were associated with a decreased risk of colon cancer (odds ratio = 0.6 for lowest vs highest tertile; 95% confidence interval = 0.4-1.0). We saw no effect for job demand. The effect of job control appeared to be independent of the level of job demand. We found no consistent pattern of effects associated with jobs held 30 years before. These findings indicate that if job stress, as reflected by perceived job demand or control, is a determinant of colon cancer, it is probably not a strong one. |
| doi_str_mv | 10.1097/00001648-199603000-00012 |
| format | Article |
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Controls were individually matched to cases on age, sex, and neighborhood. For jobs held 5 years before, participants in the lowest tertile of job control had a slightly increased risk when compared with those in the highest tertile (multivariate adjusted odds ratio = 1.3; 95% confidence interval = 1.0-1.6), but there was no evidence of a trend. Lower levels of job social support were associated with a decreased risk of colon cancer (odds ratio = 0.6 for lowest vs highest tertile; 95% confidence interval = 0.4-1.0). We saw no effect for job demand. The effect of job control appeared to be independent of the level of job demand. We found no consistent pattern of effects associated with jobs held 30 years before. These findings indicate that if job stress, as reflected by perceived job demand or control, is a determinant of colon cancer, it is probably not a strong one.</description><identifier>ISSN: 1044-3983</identifier><identifier>EISSN: 1531-5487</identifier><identifier>DOI: 10.1097/00001648-199603000-00012</identifier><identifier>PMID: 8834558</identifier><language>eng</language><publisher>Philadelphia, PA: Williams & Wilkins and Epidemiology Resources Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Case control studies ; Colonic Neoplasms - epidemiology ; Colonic Neoplasms - psychology ; Colorectal cancer ; Confidence interval ; Confidence Intervals ; Cross-Sectional Studies ; Epidemiology ; Family history ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Incidence ; Internal-External Control ; Job stress ; Los Angeles - epidemiology ; Male ; Medical sciences ; Middle Aged ; Occupational Diseases - epidemiology ; Occupational Diseases - psychology ; Occupational Exposure - adverse effects ; Odds Ratio ; Psychological stress ; Psychophysiologic Disorders - epidemiology ; Psychophysiologic Disorders - psychology ; Questionnaires ; Risk ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Stress, Psychological - complications ; Tumors ; Urban Population - statistics & numerical data ; Working women ; Workload - psychology</subject><ispartof>Epidemiology (Cambridge, Mass.), 1996-03, Vol.7 (2), p.175-181</ispartof><rights>Copyright 1996 Epidemiology Resources Inc.</rights><rights>Lippincott-Raven Publishers.</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5522-51df15530b11b2fc360ba2b4890a6e9b0b56d3bddbd07ca116bb6dabb7095c2d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3703032$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3703032$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,782,786,805,27933,27934,58026,58259</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3015592$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8834558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Courtney, Joseph G.</creatorcontrib><creatorcontrib>Longnecker, Matthew P.</creatorcontrib><creatorcontrib>Peters, Ruth K.</creatorcontrib><title>Psychosocial Aspects of Work and the Risk of Colon Cancer</title><title>Epidemiology (Cambridge, Mass.)</title><addtitle>Epidemiology</addtitle><description>Because experimental and epidemiologic evidence indicates that the colon is particularly sensitive to stress, and because work conditions contribute to an individual's stress experience, we examined the relation of both job stress (defined in terms of perceived job demand and job control) and job social support to the risk of colon cancer in a large population-based case-control study (744 pairs) in Los Angeles. Controls were individually matched to cases on age, sex, and neighborhood. For jobs held 5 years before, participants in the lowest tertile of job control had a slightly increased risk when compared with those in the highest tertile (multivariate adjusted odds ratio = 1.3; 95% confidence interval = 1.0-1.6), but there was no evidence of a trend. Lower levels of job social support were associated with a decreased risk of colon cancer (odds ratio = 0.6 for lowest vs highest tertile; 95% confidence interval = 0.4-1.0). We saw no effect for job demand. The effect of job control appeared to be independent of the level of job demand. We found no consistent pattern of effects associated with jobs held 30 years before. These findings indicate that if job stress, as reflected by perceived job demand or control, is a determinant of colon cancer, it is probably not a strong one.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Case control studies</subject><subject>Colonic Neoplasms - epidemiology</subject><subject>Colonic Neoplasms - psychology</subject><subject>Colorectal cancer</subject><subject>Confidence interval</subject><subject>Confidence Intervals</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Family history</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internal-External Control</subject><subject>Job stress</subject><subject>Los Angeles - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - psychology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Odds Ratio</subject><subject>Psychological stress</subject><subject>Psychophysiologic Disorders - epidemiology</subject><subject>Psychophysiologic Disorders - psychology</subject><subject>Questionnaires</subject><subject>Risk</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Stress, Psychological - complications</subject><subject>Tumors</subject><subject>Urban Population - statistics & numerical data</subject><subject>Working women</subject><subject>Workload - psychology</subject><issn>1044-3983</issn><issn>1531-5487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1LwzAUhoMoc07_gUIvxLtq0jRtczmGXzBQRPEy5KusW7bMnI6xf29m67wyN8k553nfkDcIJQTfEszLOxwXKfIqJZwXmMYq3XeyIzQkjJKU5VV5HM84z1PKK3qKzgDmkSgpYQM0qCqaM1YNEX-FnZ558LqRLhnD2uoWEl8nnz4sErkySTuzyVsDi31z4p1fJRO50jaco5NaOrAX_T5CHw_375OndPry-DwZT1PNWJaljJiaMEaxIkRltaYFVjJTecWxLCxXWLHCUGWMMrjUkpBCqcJIpUrMmc4MHaGbzncd_NfGQiuWDWjrnFxZvwFBSpzhErMIVh2ogwcIthbr0Cxl2AmCxT418ZuaOKQmflKL0qv-jo1aWnMQ9jHF-XU_l6Clq0NMoIEDRnF8Id_b5B229a61ARZus7VBzKx07Uz892dRdtnJ5tD68OdaRohm9BuKkIvL</recordid><startdate>199603</startdate><enddate>199603</enddate><creator>Courtney, Joseph G.</creator><creator>Longnecker, Matthew P.</creator><creator>Peters, Ruth K.</creator><general>Williams & Wilkins and Epidemiology Resources Inc</general><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>199603</creationdate><title>Psychosocial Aspects of Work and the Risk of Colon Cancer</title><author>Courtney, Joseph G. ; Longnecker, Matthew P. ; Peters, Ruth K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5522-51df15530b11b2fc360ba2b4890a6e9b0b56d3bddbd07ca116bb6dabb7095c2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Case control studies</topic><topic>Colonic Neoplasms - epidemiology</topic><topic>Colonic Neoplasms - psychology</topic><topic>Colorectal cancer</topic><topic>Confidence interval</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Family history</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Incidence</topic><topic>Internal-External Control</topic><topic>Job stress</topic><topic>Los Angeles - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - psychology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Odds Ratio</topic><topic>Psychological stress</topic><topic>Psychophysiologic Disorders - epidemiology</topic><topic>Psychophysiologic Disorders - psychology</topic><topic>Questionnaires</topic><topic>Risk</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Stress, Psychological - complications</topic><topic>Tumors</topic><topic>Urban Population - statistics & numerical data</topic><topic>Working women</topic><topic>Workload - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Courtney, Joseph G.</creatorcontrib><creatorcontrib>Longnecker, Matthew P.</creatorcontrib><creatorcontrib>Peters, Ruth K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Epidemiology (Cambridge, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Courtney, Joseph G.</au><au>Longnecker, Matthew P.</au><au>Peters, Ruth K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial Aspects of Work and the Risk of Colon Cancer</atitle><jtitle>Epidemiology (Cambridge, Mass.)</jtitle><addtitle>Epidemiology</addtitle><date>1996-03</date><risdate>1996</risdate><volume>7</volume><issue>2</issue><spage>175</spage><epage>181</epage><pages>175-181</pages><issn>1044-3983</issn><eissn>1531-5487</eissn><abstract>Because experimental and epidemiologic evidence indicates that the colon is particularly sensitive to stress, and because work conditions contribute to an individual's stress experience, we examined the relation of both job stress (defined in terms of perceived job demand and job control) and job social support to the risk of colon cancer in a large population-based case-control study (744 pairs) in Los Angeles. Controls were individually matched to cases on age, sex, and neighborhood. For jobs held 5 years before, participants in the lowest tertile of job control had a slightly increased risk when compared with those in the highest tertile (multivariate adjusted odds ratio = 1.3; 95% confidence interval = 1.0-1.6), but there was no evidence of a trend. Lower levels of job social support were associated with a decreased risk of colon cancer (odds ratio = 0.6 for lowest vs highest tertile; 95% confidence interval = 0.4-1.0). We saw no effect for job demand. The effect of job control appeared to be independent of the level of job demand. We found no consistent pattern of effects associated with jobs held 30 years before. 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| source | JSTOR Archive Collection A-Z Listing; Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Adult Aged Biological and medical sciences Case control studies Colonic Neoplasms - epidemiology Colonic Neoplasms - psychology Colorectal cancer Confidence interval Confidence Intervals Cross-Sectional Studies Epidemiology Family history Female Gastroenterology. Liver. Pancreas. Abdomen Humans Incidence Internal-External Control Job stress Los Angeles - epidemiology Male Medical sciences Middle Aged Occupational Diseases - epidemiology Occupational Diseases - psychology Occupational Exposure - adverse effects Odds Ratio Psychological stress Psychophysiologic Disorders - epidemiology Psychophysiologic Disorders - psychology Questionnaires Risk Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Stress, Psychological - complications Tumors Urban Population - statistics & numerical data Working women Workload - psychology |
| title | Psychosocial Aspects of Work and the Risk of Colon Cancer |
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