TY - JOUR
T1 - The Association of Work Characteristics with Ovarian Cancer Risk and Mortality
AU - Trudel-Fitzgerald, Claudia
AU - Poole, Elizabeth M.
AU - Idahl, Annika
AU - Lundin, Eva
AU - Sood, Anil K.
AU - Kawachi, Ichiro
AU - Kubzansky, Laura D.
AU - Tworoger, Shelley S.
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Objective Ovarian cancer (OvCA) is a leading cause of cancer death for women. Depression and social isolation have been associated with a higher OvCA risk and poorer survival, but other forms of chronic psychosocial stress, including work-related characteristics, remain understudied. Methods Women from three prospective cohorts (Nurses' Health Study: n = 31,754; Nurses' Health Study II: n = 74,260; Northern Sweden Health and Disease Study: nnested case-control study = 196) completed a job questionnaire, assessing demand and control at work, social support provided by coworkers and supervisor, and job security. Multivariate Cox and conditional logistic regression models estimated hazard ratios (Nurses' Health Study/Nurses' Health Study II) and odd ratios (Northern Sweden Health and Disease Study) of OvCA risk and mortality among cases. Random coefficient models were used for meta-Analyses. Results There were 396 OvCA cases and 186 deaths during follow-up. Overall, job strain, strain chronicity, social support, and job security were not significantly associated with OvCA risk (e.g., pooled relative risk [RR]high demand/low control = 1.06, confidence interval [CI] = 0.72-1.55) or mortality (e.g., pooled RRhigh demand/low control = 1.08, CI = 0.64-1.82). When considered individually, compared with low levels, only moderate levels of demand were associated with a reduced OvCA risk (pooled RR = 0.66, CI = 0.49-0.90). Social support provided by the coworker or the supervisor did not moderate the association of job strain with either OvCA risk or overall mortality. Conclusions We did not observe clear associations between work characteristics and OvCA incidence or mortality, but further research with diverse populations is warranted.
AB - Objective Ovarian cancer (OvCA) is a leading cause of cancer death for women. Depression and social isolation have been associated with a higher OvCA risk and poorer survival, but other forms of chronic psychosocial stress, including work-related characteristics, remain understudied. Methods Women from three prospective cohorts (Nurses' Health Study: n = 31,754; Nurses' Health Study II: n = 74,260; Northern Sweden Health and Disease Study: nnested case-control study = 196) completed a job questionnaire, assessing demand and control at work, social support provided by coworkers and supervisor, and job security. Multivariate Cox and conditional logistic regression models estimated hazard ratios (Nurses' Health Study/Nurses' Health Study II) and odd ratios (Northern Sweden Health and Disease Study) of OvCA risk and mortality among cases. Random coefficient models were used for meta-Analyses. Results There were 396 OvCA cases and 186 deaths during follow-up. Overall, job strain, strain chronicity, social support, and job security were not significantly associated with OvCA risk (e.g., pooled relative risk [RR]high demand/low control = 1.06, confidence interval [CI] = 0.72-1.55) or mortality (e.g., pooled RRhigh demand/low control = 1.08, CI = 0.64-1.82). When considered individually, compared with low levels, only moderate levels of demand were associated with a reduced OvCA risk (pooled RR = 0.66, CI = 0.49-0.90). Social support provided by the coworker or the supervisor did not moderate the association of job strain with either OvCA risk or overall mortality. Conclusions We did not observe clear associations between work characteristics and OvCA incidence or mortality, but further research with diverse populations is warranted.
KW - control
KW - demand
KW - job strain
KW - mortality
KW - ovarian cancer
KW - social support
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U2 - 10.1097/PSY.0000000000000464
DO - 10.1097/PSY.0000000000000464
M3 - Article
C2 - 28306624
AN - SCOPUS:85015628451
SN - 0033-3174
VL - 79
SP - 1059
EP - 1067
JO - Psychosomatic medicine
JF - Psychosomatic medicine
IS - 9
ER -