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        "data": {
            "key": "PUKH5T4D",
            "version": 41,
            "itemType": "journalArticle",
            "title": "Employment grade and coronary heart disease in British civil servants.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "M G",
                    "lastName": "Marmot"
                },
                {
                    "creatorType": "author",
                    "firstName": "G",
                    "lastName": "Rose"
                },
                {
                    "creatorType": "author",
                    "firstName": "M",
                    "lastName": "Shipley"
                },
                {
                    "creatorType": "author",
                    "firstName": "P J",
                    "lastName": "Hamilton"
                }
            ],
            "abstractNote": "The relationship between grade of employment, coronary risk factors, and coronary heart disease (CHD) mortality has been investigated in a longitudinal study of 17 530 civil servants working in London. After seven and a half years of follow-up there was a clear inverse relationship between grade of employment and CHD mortality. Men in the lowest grade (messengers) had 3.6 times the CHD mortality of men in the highest employment grade (administrators). Men in the lower employment grades were shorter, heavier for their height, had higher blood pressure, higher plasma glucose, smoked more, and reported less leisure-time physical activity than men in the higher grades. Yet when allowance was made for the influence on mortality of all of these factors plus plasma cholesterol, the inverse association between grade of employment and CHD mortality was still strong. It is concluded that the higher CHD mortality experienced by working class men, which is present also in national statistics, can be only partly explained by the established coronary risk factors.",
            "publicationTitle": "Journal of epidemiology and community health",
            "publisher": "",
            "place": "",
            "date": "December 1978",
            "volume": "32",
            "issue": "4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "244–9",
            "series": "",
            "seriesTitle": "",
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            "url": "http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1060958&tool=pmcentrez&rendertype=abstract",
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            "tags": [
                {
                    "tag": "Adult"
                },
                {
                    "tag": "Blood Glucose"
                },
                {
                    "tag": "Blood Glucose: analysis"
                },
                {
                    "tag": "Blood Pressure"
                },
                {
                    "tag": "Body Height"
                },
                {
                    "tag": "Cholesterol"
                },
                {
                    "tag": "Cholesterol: blood"
                },
                {
                    "tag": "Coronary Disease"
                },
                {
                    "tag": "Coronary Disease: mortality"
                },
                {
                    "tag": "Government Agencies"
                },
                {
                    "tag": "Great Britain"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Longitudinal Studies"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Occupational Medicine"
                },
                {
                    "tag": "Physical Exertion"
                },
                {
                    "tag": "Risk"
                },
                {
                    "tag": "Smoking"
                },
                {
                    "tag": "Smoking: epidemiology"
                },
                {
                    "tag": "blood pressure"
                }
            ],
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    },
    {
        "key": "EP62EXP4",
        "version": 25,
        "library": {
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            "creatorSummary": "Marmot et al.",
            "parsedDate": "1997-07",
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        },
        "data": {
            "key": "EP62EXP4",
            "version": 25,
            "itemType": "journalArticle",
            "title": "Contribution of job control and other risk factors to social variations in coronary heart disease incidence",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "MG",
                    "lastName": "Marmot"
                },
                {
                    "creatorType": "author",
                    "firstName": "H",
                    "lastName": "Bosma"
                },
                {
                    "creatorType": "author",
                    "firstName": "H",
                    "lastName": "Hemingway"
                },
                {
                    "creatorType": "author",
                    "firstName": "E",
                    "lastName": "Brunner"
                },
                {
                    "creatorType": "author",
                    "firstName": "S",
                    "lastName": "Stansfeld"
                }
            ],
            "abstractNote": "BackgroundThe first Whitehall Study showed an inverse social gradient in mortality from coronary heart disease (CHD) among British civil servants-namely, that there were higher rates in men of lower employment grade. About a quarter of this gradient could be attributed to coronary risk factors. We analysed 5-year CHD incidence rates from the Whitehall II study to assess the contribution to the social gradient of psychosocial work environment, social support, coronary risk factors, and physical height. MethodsData were collected in the first three phases of examination of men and women in the Whitehall II study. 7372 people were contacted on all three occasions. Mean length of follow-up was 5·3 years. Characteristics from the baseline, phase 1, questionnaire, and examination were related to newly reported CHD in people without CHD at baseline. Three self-reported CHD outcomes were examined: angina and chest pain from the Rose questionnaire, and doctor-diagnosed ischaemia. The contribution of different factors to the socioeconomic differences in incident CHD was assessed by adjustment of odds ratios. FindingsCompared with men in the highest grade (adminstrators), men in the lowest grade (clerical and office-support staff) had an age-adjusted odds ratio of developing any new CHD of 1·50. The largest difference was for doctor-diagnosed ischaemia (odds ratio for the lowest compared with the highest grade 2·27). For women, the odds ratio in the lowest grade was 1·47 for any CHD. Of factors examined, the largest contribution to the socioeconomic gradient in CHD frequency was from low control at work. Height and standard coronary risk factors made smaller contributions. Adjustment for all these factors reduced the odds ratios for newly reported CHD in the lowest grade from 1·5 to 0·95 in men, and from 1·47 to 1·07 in women. InterpretationMuch of the inverse social gradient in CHD incidence can be attributed to differences in psychosocial work environment. Additional contributions were made by coronary risk factors-mainly smoking-and from factors that act early in life, as represented by physical height.",
            "publicationTitle": "The Lancet",
            "publisher": "",
            "place": "",
            "date": "July 1997",
            "volume": "350",
            "issue": "9073",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "235–239",
            "series": "",
            "seriesTitle": "",
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            "journalAbbreviation": "",
            "DOI": "10.1016/S0140-6736(97)04244-X",
            "citationKey": "",
            "url": "http://www.thelancet.com/journals/a/article/PIIS0140-6736(97)04244-X/fulltext",
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            "PMID": "",
            "PMCID": "",
            "ISSN": "01406736",
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            "dateModified": "2020-01-27T04:35:37Z"
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    {
        "key": "ZHCS6DKG",
        "version": 41,
        "library": {
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            },
            "creatorSummary": "Hilton et al.",
            "parsedDate": "2008-07",
            "numChildren": 0
        },
        "data": {
            "key": "ZHCS6DKG",
            "version": 41,
            "itemType": "journalArticle",
            "title": "The prevalence of psychological distress in employees and associated occupational risk factors.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Michael F",
                    "lastName": "Hilton"
                },
                {
                    "creatorType": "author",
                    "firstName": "Harvey A",
                    "lastName": "Whiteford"
                },
                {
                    "creatorType": "author",
                    "firstName": "Judith S",
                    "lastName": "Sheridan"
                },
                {
                    "creatorType": "author",
                    "firstName": "Catherine M",
                    "lastName": "Cleary"
                },
                {
                    "creatorType": "author",
                    "firstName": "David C",
                    "lastName": "Chant"
                },
                {
                    "creatorType": "author",
                    "firstName": "Philip S",
                    "lastName": "Wang"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ronald C",
                    "lastName": "Kessler"
                }
            ],
            "abstractNote": "OBJECTIVE: There is limited occupational health industry data pertaining to 1) the prevalence of psychological distress in various employee subtypes and 2) risk factors for employee psychological distress. METHOD: The employees of 58 large public and private sector employers were invited to complete the Kessler 6 (K6) as part of the Health and Performance at Work Questionnaire. A K6 score of \\textgreater or =13 was chosen to indicate high psychological distress. RESULTS: Data on 60,556 full-time employees indicate that 4.5% of employees have high psychological distress of which only 22% were in current treatment. Occupational risk factors identified include long working hours, sales staff and non-traditional gender roles. CONCLUSION: High psychological distress is pervasive across all employee subtypes and remains largely untreated. Risk factors identified will guide the targeting of mental health promotion, prevention and screening programs.",
            "publicationTitle": "Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine",
            "publisher": "",
            "place": "",
            "date": "July 2008",
            "volume": "50",
            "issue": "7",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "746–57",
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            "DOI": "10.1097/JOM.0b013e31817e9171",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/18617830",
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            "PMID": "18617830",
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            "tags": [
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                    "tag": "Adolescent"
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                    "tag": "Adult"
                },
                {
                    "tag": "Aged"
                },
                {
                    "tag": "Employment"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Occupational Exposure"
                },
                {
                    "tag": "Odds Ratio"
                },
                {
                    "tag": "Psychological"
                },
                {
                    "tag": "Psychological: epidemiology"
                },
                {
                    "tag": "Questionnaires"
                },
                {
                    "tag": "Risk Factors"
                },
                {
                    "tag": "Stress"
                },
                {
                    "tag": "United States"
                },
                {
                    "tag": "United States: epidemiology"
                },
                {
                    "tag": "Young Adult"
                }
            ],
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    },
    {
        "key": "VMJQHPD2",
        "version": 41,
        "library": {
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            },
            "creatorSummary": "Cohidon et al.",
            "parsedDate": "2009-07",
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        "data": {
            "key": "VMJQHPD2",
            "version": 41,
            "itemType": "journalArticle",
            "title": "Psychosocial factors at work and perceived health among agricultural meat industry workers in France.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Christine",
                    "lastName": "Cohidon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Patrick",
                    "lastName": "Morisseau"
                },
                {
                    "creatorType": "author",
                    "firstName": "Francis",
                    "lastName": "Derriennic"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marcel",
                    "lastName": "Goldberg"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ellen",
                    "lastName": "Imbernon"
                }
            ],
            "abstractNote": "OBJECTIVE: The objective of this study was to describe the perceived health status of the meat industry employees–i.e., working in the slaughtering, cutting, and boning of large animals and poultry–and its relation to their organisational and psychosocial constraints at work. METHODS: This postal survey included all 3,000 employees of the meat industry (beef, pork and poultry) in four districts in Brittany, France, whose companies were affiliated with the agricultural branch of the national health insurance fund. The questionnaire asked for social and demographic data and information describing their job and the organisation of their work. The psychosocial factors at work were described according to Karasek's questionnaire (demand, latitude and social support at work). Perceived health was measured with the Nottingham Health Profile perceived health indicator. RESULTS: This study shows the high prevalence of poor health reported by the workers in this industry. This poor perceived health was worse in women and increased regularly with age. Among the psychosocial factors studied, high quantitative and qualitative demand at work, inadequate resources for good work and to a lesser extent, inadequate prospects for promotion appear especially associated with poor perceived health. Other factors often associated with poor perceived health included young age at the first job and work hours that disrupt sleep rhythms (especially for women). CONCLUSION: Our results show that this population of workers is especially vulnerable from the point of view of perceived physical and psychological health and is exposed to strong physical, organisational and psychosocial constraints at work. They also demonstrate that poor perceived health is associated with some psychosocial (such as high psychological demand and insufficient resources) and organisational factors at work. These results, in conjunction with those from other disciplines involved in studying this industry, may help the companies to develop preventive activities.",
            "publicationTitle": "International archives of occupational and environmental health",
            "publisher": "",
            "place": "",
            "date": "July 2009",
            "volume": "82",
            "issue": "7",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "807–18",
            "series": "",
            "seriesTitle": "",
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            "journalAbbreviation": "",
            "DOI": "10.1007/s00420-009-0430-9",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/19466444",
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            "PMID": "19466444",
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            "ISSN": "1432-1246",
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            "tags": [
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                    "tag": "Adult"
                },
                {
                    "tag": "Agriculture"
                },
                {
                    "tag": "Female"
                },
                {
                    "tag": "France"
                },
                {
                    "tag": "France: epidemiology"
                },
                {
                    "tag": "Health Status"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Male"
                },
                {
                    "tag": "Meat-Packing Industry"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Occupational Diseases"
                },
                {
                    "tag": "Occupational Diseases: epidemiology"
                },
                {
                    "tag": "Occupational Diseases: psychology"
                },
                {
                    "tag": "Occupations"
                },
                {
                    "tag": "Psychology"
                },
                {
                    "tag": "Questionnaires"
                },
                {
                    "tag": "Self-Assessment"
                },
                {
                    "tag": "Workplace"
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                {
                    "tag": "Workplace: psychology"
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            "title": "The relationship between problem co-workers and quality work practices: A case study of exposure to sexual harassment, substance abuse, violence and job stress",
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                    "firstName": "Joel B.",
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            "date": "October 1999",
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            "tags": [
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            "title": "Policy-level interventions and work-related psychosocial risk management in the European Union",
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                    "firstName": "Stavroula",
                    "lastName": "Leka"
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                    "firstName": "Aditya",
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            "abstractNote": "Abstract There exists a substantial degree of diversity across strategies to prevent and manage work-related psychosocial risks and their associated health effects. Whereas it is common to distinguish between organizational and individual interventions, the important level of policy-level interventions has been largely neglected in the mainstream academic literature. Despite a number of significant developments towards the management of psychosocial risks that have been achieved at the policy level in the European Union (EU), these initiatives have not had the impact anticipated both by experts and policy makers. This paper discusses the policy context to the management of work-related psychosocial risks in the EU, identifying major achievements and challenges in relation to policy and practice. It draws on the findings of the PRIMA-EF project, a policy-oriented research programme funded by the European Commission's 6th Framework Programme for Research. It is concluded that although a common policy context in the area of psychosocial risk management has developed in the EU, there still exists great variation in the translation of these initiatives into practice in different EU member states. Moreover, evaluation in this area is sporadic, even though it could inform the way forward as concerns both policy and practice developments. Abstract There exists a substantial degree of diversity across strategies to prevent and manage work-related psychosocial risks and their associated health effects. Whereas it is common to distinguish between organizational and individual interventions, the important level of policy-level interventions has been largely neglected in the mainstream academic literature. Despite a number of significant developments towards the management of psychosocial risks that have been achieved at the policy level in the European Union (EU), these initiatives have not had the impact anticipated both by experts and policy makers. This paper discusses the policy context to the management of work-related psychosocial risks in the EU, identifying major achievements and challenges in relation to policy and practice. It draws on the findings of the PRIMA-EF project, a policy-oriented research programme funded by the European Commission's 6th Framework Programme for Research. It is concluded that although a common policy context in the area of psychosocial risk management has developed in the EU, there still exists great variation in the translation of these initiatives into practice in different EU member states. Moreover, evaluation in this area is sporadic, even though it could inform the way forward as concerns both policy and practice developments.",
            "publicationTitle": "Work & Stress",
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            "date": "July 2010",
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            "pages": "298–307",
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            "DOI": "10.1080/02678373.2010.519918",
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            "title": "Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study.",
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                    "creatorType": "author",
                    "firstName": "M",
                    "lastName": "Kivimäki"
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            "abstractNote": "OBJECTIVE: Previous research has focused on overall associations between work stress and body mass index (BMI) ignoring the possibility that stress may cause some people to eat less and lose weight and others to eat more. Using longitudinal data, we studied whether work stress induced weight loss in lean individuals and weight gain in overweight individuals. DESIGN: Prospective cohort study. SUBJECTS: A total of 7965 British civil servants (5547 men and 2418 women) aged 35-55 at study entry (The Whitehall II study). MEASUREMENTS: Work stress, indicated by the job strain model and measured as job control, job demands and job strain, was assessed at baseline and BMI at baseline and at 5-year follow-up. RESULTS: In men, the effect of job strain on weight gain and weight loss was dependent on baseline BMI (P\\textless/=0.03). In the leanest quintile (BMI\\textless22 kg/m(2)) at baseline, high job strain and low job control were associated with weight loss by follow-up, whereas among those in the highest BMI quintile (\\textgreater27 kg/m(2)), these stress indicators were associated with subsequent weight gain. No corresponding interaction was seen among women. CONCLUSION: Inconsistent findings reported by previous studies of stress and BMI have generally been interpreted to indicate the absence of an association. In light of our results, the possibility of differential effects of work stress should also be taken into account.",
            "publicationTitle": "International journal of obesity (2005)",
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            "abstractNote": "BACKGROUND: Workers in poultry processing and pork meatpacking have high rates of acute injuries and chronic disease among. The presence of zoonotic pathogens in these workplaces may interact with injury. METHODS: We investigated incidence of worker injuries, lacerations, and infections reported by 10 companies from 2004 to 2009 and calculated annual incidence rates by industry and company along with temporal trends and job-related risk factors. RESULTS: Average annual mean total injury rates were 6.4 per 100 workers (poultry) and 13.2 per 100 workers (pork). Average annual mean rates for lacerations were 1.8 per 100 workers (poultry) and 1.9 per 100 (pork). Sharp tools and animal products were most frequently reported as sources for lacerations. Animal products were most frequently reported as sources of infected lacerations. CONCLUSIONS: The results indicate that these industries continue to have high injury rates. The results also suggest that zoonotic pathogens may be preventable health and safety risks.",
            "publicationTitle": "American journal of industrial medicine",
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                    "firstName": "Mika",
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            "abstractNote": "OBJECTIVES: To examine whether the association between psychosocial factors at work and incident coronary heart disease (CHD) is explained by pre-employment factors, such as family history of CHD, education, paternal education and social class, number of siblings and height. METHODS: A prospective cohort study of 6435 British men aged 35-55 years at phase 1 (1985-1988) and free from prevalent CHD at phase 2 (1989-1990) was conducted. Psychosocial factors at work were assessed at phases 1 and 2 and mean scores across the two phases were used to determine long-term exposure. Selected pre-employment factors were assessed at phase 1. Follow-up for coronary death, first non-fatal myocardial infarction or definite angina between phase 2 and 1999 was based on clinical records (250 events, follow-up 8.7 years). RESULTS: The selected pre-employment factors were associated with risk for CHD: HRs (95% CI) were 1.33 (1.03 to 1.73) for family history of CHD, 1.18 (1.05 to 1.32) for each quartile decrease in height and 1.16 (0.99 to 1.35) for each category increase in number of siblings. Psychosocial work factors also predicted CHD: 1.72 (1.08 to 2.74) for low job control and 1.72 (1.10 to 2.67) for low organisational justice. Adjustment for pre-employment factors changed these associations by 4.1% or less. CONCLUSIONS: In this occupational cohort of British men, the association between psychosocial factors at work and CHD was largely independent of family history of CHD, education, paternal educational attainment and social class, number of siblings and height.",
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            "publisher": "",
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            "parsedDate": "2009-12",
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            "title": "Psychosocial stress at work doubles the risk of type 2 diabetes in middle-aged women: evidence from the Whitehall II study.",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Alexandros",
                    "lastName": "Heraclides"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tarani",
                    "lastName": "Chandola"
                },
                {
                    "creatorType": "author",
                    "firstName": "Daniel R",
                    "lastName": "Witte"
                },
                {
                    "creatorType": "author",
                    "firstName": "Eric J",
                    "lastName": "Brunner"
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            "abstractNote": "OBJECTIVE: To investigate the effect of psychosocial stress at work on risk of type 2 diabetes, adjusting for conventional risk factors, among a sample of British, white-collar, middle-aged men and women. RESEARCH DESIGN AND METHODS: This was a prospective analysis (1991-2004) from the Whitehall II cohort study. The current sample consists of 5,895 Caucasian middle-aged civil servants free from diabetes at baseline. Type 2 diabetes was ascertained by an oral glucose tolerance test supplemented by self-reports at baseline and four consecutive waves of data collection including two screening phases. The job strain and iso-strain models were used to assess psychosocial work stress. RESULTS: Iso-strain in the workplace was associated with a twofold higher risk of type 2 diabetes in age-adjusted analysis in women but not in men (hazard ratio 1.94 [95% CI 1.17-3.21). This effect remained robust to adjustment for socioeconomic position and outside work stressors and was only attenuated by 20% after adjustment for health behaviors, obesity, and other type 2 diabetes risk factors. CONCLUSIONS: Psychosocial work stress was an independent predictor of type 2 diabetes among women after a 15-year follow-up. This association was not explained by potential confounding and mediating factors. More evidence from prospective studies using the same work stress models is needed to support the current findings and provide further information on sex differences.",
            "publicationTitle": "Diabetes care",
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            "date": "December 2009",
            "volume": "32",
            "issue": "12",
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            "pages": "2230–5",
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                {
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                    "tag": "C-Reactive Protein"
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            "title": "The Study of Stress at Work",
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            "title": "Assessing the economic impact of stress[mdash ]The modern day hidden epidemic",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Madhu",
                    "lastName": "Kalia"
                }
            ],
            "abstractNote": "This article examines the economic effects of all forms of stress—work-related stress, home stress, and post-traumatic stress disorder (PTSD)—as health hazards. Such an approach inherently broadens the analysis from a few well-defined, quantitative variables, such as those most commonly studied by economists who traditionally examine job stress alone. It also enables us to draw conclusions regarding the socioeconomic factors and the psychology of stress and helps in understanding the larger question of the economic cost of stress in today's global environment. Stress and its related comorbid diseases are responsible for a large proportion of disability worldwide. The World Health Organization (WHO) Global Burden of Disease Survey estimates that mental disease, including stress-related disorders, will be the second leading cause of disabilities by the year 2020. Although the term “stress” is used in a wide variety of contexts, it has consistently been demonstrated that individuals with stress and related disorders experience impaired physical and mental functioning, more work days lost, increased impairment at work, and a high use of health care services. The disability caused by stress is just as great as the disability caused by workplace accidents or other common medical conditions such as hypertension, diabetes, and arthritis. We present evidence that calls for early recognition of workplace stress and for businesses to allocate more resources to stress management in the workplace. Copyright 2002, Elsevier Science (USA). All rights reserved.",
            "publicationTitle": "Metabolism",
            "publisher": "",
            "place": "",
            "date": "June 2002",
            "volume": "51",
            "issue": "6",
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            "partNumber": "",
            "partTitle": "",
            "pages": "49–53",
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            "DOI": "10.1053/meta.2002.33193",
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            "url": "http://linkinghub.elsevier.com/retrieve/pii/S0026049502437924",
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    {
        "key": "FM7QAUN3",
        "version": 42,
        "library": {
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            },
            "creatorSummary": "Faresjö et al.",
            "parsedDate": "2007-02",
            "numChildren": 0
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            "key": "FM7QAUN3",
            "version": 42,
            "itemType": "journalArticle",
            "title": "A population-based case-control study of work and psychosocial problems in patients with irritable bowel syndrome–women are more seriously affected than men.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Ashild",
                    "lastName": "Faresjö"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ewa",
                    "lastName": "Grodzinsky"
                },
                {
                    "creatorType": "author",
                    "firstName": "Saga",
                    "lastName": "Johansson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Mari-Ann",
                    "lastName": "Wallander"
                },
                {
                    "creatorType": "author",
                    "firstName": "Toomas",
                    "lastName": "Timpka"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ingemar",
                    "lastName": "Akerlind"
                }
            ],
            "abstractNote": "OBJECTIVE: Everyday psychosocial functioning and quality of life are known to be reduced for patients with irritable bowel syndrome (IBS), but few previous studies have analyzed associations with functioning in working life. Accordingly, we examined perceptions of working conditions, functioning in the workplace, quality of life, and psychological complaints among IBS patients compared with age- and sex-matched controls. METHODS: A case-control study design was used based on 347 IBS patients from Swedish general practice who were compared with age- and sex-matched controls (N = 1,041) randomly selected from the general population. A survey was performed including validated questions concerning job strain, quality of life (SF-36 [Short Form 36]), absence because of illness, depression, anxiety, and sleeping habits. RESULTS: The IBS patients reported considerably more often that their daily performance in working life was affected by their gastrointestinal problems (OR [odds ratio] 7.14, 95% CI 5.45-9.36). Male IBS cases only reported less authority regarding decisions on their working pace (OR 5.44, 95% CI 1.28-23.18), while female IBS patients reported less decision authority regarding planning their work (OR 2.29, 95% CI 1.13-4.64), fewer learning opportunities at work (OR 2.12, 95% CI 1.26-3.57), and more long-term sick leave than their controls (OR 3.70, 95% CI 1.94-7.07). The female IBS cases also reported lower quality of life in all dimensions than their controls. CONCLUSION: In particular, female IBS patients reported lower authority over decisions at work and problems in their daily functioning in the workplace. These associations persisted after adjustments for possible confounders such as mood, sleeping problems, and perceived health.",
            "publicationTitle": "The American journal of gastroenterology",
            "publisher": "",
            "place": "",
            "date": "February 2007",
            "volume": "102",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "371–9",
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            "DOI": "10.1111/j.1572-0241.2006.01012.x",
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            "url": "http://dx.doi.org/10.1111/j.1572-0241.2006.01012.x",
            "accessDate": "",
            "PMID": "17156145",
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            "shortTitle": "Am J Gastroenterol",
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                    "tag": "Adolescent"
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                {
                    "tag": "Adult"
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                {
                    "tag": "Aged"
                },
                {
                    "tag": "Attitude to Health"
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                {
                    "tag": "Cross-Cultural Comparison"
                },
                {
                    "tag": "Female"
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                {
                    "tag": "Follow-Up Studies"
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                {
                    "tag": "Humans"
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                {
                    "tag": "Irritable Bowel Syndrome"
                },
                {
                    "tag": "Irritable Bowel Syndrome: epidemiology"
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                {
                    "tag": "Irritable Bowel Syndrome: psychology"
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                {
                    "tag": "Life Style"
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                {
                    "tag": "Male"
                },
                {
                    "tag": "Middle Aged"
                },
                {
                    "tag": "Occupational Exposure"
                },
                {
                    "tag": "Population Surveillance"
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                {
                    "tag": "Quality of Life"
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                {
                    "tag": "Retrospective Studies"
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                {
                    "tag": "Risk Factors"
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                {
                    "tag": "Sickness Impact Profile"
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                {
                    "tag": "Workplace"
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    {
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        "version": 41,
        "library": {
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            "creatorSummary": "Bonde",
            "parsedDate": "2008-07",
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            "version": 41,
            "itemType": "journalArticle",
            "title": "Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "J P E",
                    "lastName": "Bonde"
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            ],
            "abstractNote": "OBJECTIVES: Major depression is a leading cause of psychiatric morbidity and may be influenced by psychosocial factors in the workplace, although evidence so far remains circumstantial. This paper reviews follow-up studies addressing the risk of major depression and depressive symptoms relative to psychosocial stressors in the working environment and evaluates the evidence for causality. METHOD: Follow-up studies were identified by a systematic Medline search combining search terms for the outcome and measures of job-related psychosocial factors. The quality of the studies was evaluated using 22 criteria related to their potential for bias and confounding. RESULTS: Sixteen company or population-based studies including some 63,000 employees were identified. Validated multi-item scales were used to measure perceived psychosocial stressors in most of the studies. Major depression was defined by clinical criteria in seven studies and by symptom scales in another seven. The follow-up period ranged from 1 to 13 years. The prevalence of depressive disorder varied substantially, suggesting a high degree of study heterogeneity. The adjusted relative risk for onset of a major depressive episode according to job stressors ranged from 0.5 to 1.5 in 44 of 61 reported associations with various psychosocial factor dimensions. Associations were strongest and most consistent for job strain defined as high demand and low decision latitude among men. Most studies shared common limitations such as lack of independent measures of exposure and outcome and potential confounding. Although a meta-analysis would technically be possible, heterogeneity across studies evidenced by variation in the prevalence of depression made this unfeasible. CONCLUSION: This review provides consistent findings that perception of adverse psychosocial factors in the workplace is related to an elevated risk of subsequent depressive symptoms or major depressive episode; however, methodological limitations preclude causal inference. Studies implementing objective measures of job stressors or independent outcome ascertainment are warranted.",
            "publicationTitle": "Occupational and environmental medicine",
            "publisher": "",
            "place": "",
            "date": "July 2008",
            "volume": "65",
            "issue": "7",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "438–45",
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            "seriesTitle": "",
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            "DOI": "10.1136/oem.2007.038430",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/18417557",
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            "PMID": "18417557",
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            "ISSN": "1470-7926",
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            "tags": [
                {
                    "tag": "Decision Making"
                },
                {
                    "tag": "Depression"
                },
                {
                    "tag": "Depression: psychology"
                },
                {
                    "tag": "Female"
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                {
                    "tag": "Follow-Up Studies"
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                {
                    "tag": "Humans"
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                {
                    "tag": "Male"
                },
                {
                    "tag": "Occupational Diseases"
                },
                {
                    "tag": "Occupational Diseases: psychology"
                },
                {
                    "tag": "Occupations"
                },
                {
                    "tag": "Odds Ratio"
                },
                {
                    "tag": "Psychological"
                },
                {
                    "tag": "Psychology"
                },
                {
                    "tag": "Risk"
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                {
                    "tag": "Stress"
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            "creatorSummary": "Benedek et al.",
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            "title": "Emergency mental health management in bioterrorism events.",
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                    "creatorType": "author",
                    "firstName": "David M",
                    "lastName": "Benedek"
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                {
                    "creatorType": "author",
                    "firstName": "Harry C",
                    "lastName": "Holloway"
                },
                {
                    "creatorType": "author",
                    "firstName": "Steven M",
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                }
            ],
            "abstractNote": "The United States has not suffered significant psychosocial or medical consequences from the use of biological weapons within its territories. This has contributed to a \"natural\" state of denial at the community level. This denial could amplify the sense of crisis, anxiety, fear, chaos, and disorder that would accompany such a bioterrorist event. A key part of primary prevention involves counteracting this possibility before an incident occurs. Doing so will require realistic information regarding the bioterrorism threat followed by the development of a planned response and regular practice of that response. Unlike in natural disasters or other situations resulting in mass casualties, emergency department physicians or nurses and primary care physicians (working in concert with epidemiologic agencies), rather than police, firemen, or ambulance personnel, will be most likely to first identify the unfolding disaster associated with a biological attack. Like community leaders, this group of medical responders must be aware of its own susceptibility to mental health sequelae and performance decrement as the increasing demands of disaster response outpace the availability of necessary resources. A bioterrorist attack will necessitate treatment of casualties who experience neuropsychiatric symptoms and syndromes. Although symptoms may result from exposure to infection with specific biological agents, similar symptoms may result from the mere perception of exposure or arousal precipitated by fear of infection, disease, suffering, and death. Conservative use of psychotropic medications may reduce symptoms in exposed and uninfected individuals, as may cognitive-behavioral interventions. Clear, consistent, accessible, reliable, and redundant information (received from trusted sources) will diminish public uncertainty about the cause of symptoms that might otherwise prompt persons to seek unnecessary treatment. Training and preparation for contingencies experienced in an attack have the potential to enhance delivery of care. Initiating supportive social, psychotherapeutic, and psychopharmacologic treatments judiciously for symptoms and syndromes known to accompany the traumatic stress response can aid the efficient treatment of some patients and reduce long-term morbidity in affected individuals. Preventive strategies and planning must take into account the idea that specific groups within the population are at higher risk for psychiatric morbidity. First responders comprise one group at psychologic risk in this situation, and healthcare providers comprise another. These and other high-risk groups will benefit from the same supportive interventions developed for the community as a whole.",
            "publicationTitle": "Emergency medicine clinics of North America",
            "publisher": "",
            "place": "",
            "date": "May 2002",
            "volume": "20",
            "issue": "2",
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            "pages": "393–407",
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            "tags": [
                {
                    "tag": "Bioterrorism"
                },
                {
                    "tag": "Community Mental Health Services"
                },
                {
                    "tag": "Community Mental Health Services: organization & a"
                },
                {
                    "tag": "Disaster Planning"
                },
                {
                    "tag": "Emergency Services"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Post-Traumatic"
                },
                {
                    "tag": "Post-Traumatic: therapy"
                },
                {
                    "tag": "Psychiatric"
                },
                {
                    "tag": "Psychological"
                },
                {
                    "tag": "Psychological: prevention & control"
                },
                {
                    "tag": "Stress"
                },
                {
                    "tag": "Stress Disorders"
                },
                {
                    "tag": "United States"
                }
            ],
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            "title": "Examining psychosocial and physical hazards in the Ghanaian mining industry and their implications for employees' safety experience.",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Kwesi",
                    "lastName": "Amponsah-Tawiah"
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                    "firstName": "Aditya",
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            "abstractNote": "INTRODUCTION: In addition to hazardous conditions that are prevalent in mines, there are various physical and psychosocial risk factors that can affect mine workers' safety and health. Without due diligence to mine safety, these risk factors can affect workers' safety experience, in terms of near misses, disabling injuries and accidents experienced or witnessed by workers. METHOD: This study sets out to examine the effects of physical and psychosocial risk factors on workers' safety experience in a sample of Ghanaian miners. 307 participants from five mining companies responded to a cross sectional survey examining physical and psychosocial hazards and their implications for employees' safety experience. RESULTS: Zero-inflated Poisson regression models indicated that mining conditions, equipment, ambient conditions, support and security, and work demands and control are significant predictors of near misses, disabling injuries, and accidents experienced or witnessed by workers. The type of mine had important implications for workers' safety experience.",
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                    "tag": "Accidents"
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                {
                    "tag": "Ghana"
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                },
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                    "tag": "Male"
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                    "tag": "Middle Aged"
                },
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                    "tag": "Mining"
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                    "tag": "Mining: standards"
                },
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                    "tag": "Occupational: prevention & control"
                },
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                    "tag": "Occupational: statistics & numerical da"
                },
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                    "tag": "Prevalence"
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                    "tag": "Risk Factors"
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