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Association between childhood health, socioeconomic and school-related factors and effort-reward imbalance at work: a 25-year follow-up study

Wang, S, Sanderson, K ORCID: 0000-0002-3132-2745, Venn, A ORCID: 0000-0001-7090-1398, Dwyer, T and Gall, S ORCID: 0000-0002-5138-2526 2017 , 'Association between childhood health, socioeconomic and school-related factors and effort-reward imbalance at work: a 25-year follow-up study' , Occupational and Environmental Medicine , pp. 1-9 , doi: 10.1136/oemed-2017-104308.

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Objectives: Stress pathways can have origins inchildhood, but few early predictors have been explored inrelation to adult job stress. This study examined whetherchildhood school, health or socioeconomic factors wereassociated with adult job stress.Methods: Data came from the Childhood Determinantsof Adult Health study that began in 1985 with childrenaged 7-15 years who reported effortreward imbalance(ERI) scales at ages 31-41 years. Linear regressionassessed the association between childhood factors andadult ERI adjusted for age and socioeconomic position(SEP) in childhood and adulthood.Results: There were between 999 and 1390 participantsin each analysis. Lower adulthood ERI, indicating less jobstress, was predicted by several school-related factorsin men. For example, each higher category of learnerself-concept was associated with a 19% (95% CI – 32%to 6%) reduction in adult ERI, and each unit increase inacademic attainment was associated with a 15% (95%CI –28% to 3%) reduction in adult ERI. Childhood healthwas associated with adult ERI. For example, in women,overweight children had 14% (95% CI 5% to 22%)higher adult ERI scores compared with healthy weightchildren, and each unit of negative affect was associatedwith 2% (95% CI 1% to 4%) increase in adult ERI. AdultSEP had no effect on these associations for men butexplained some of the effect in women. Childhood SEPhad inconsistent associations with adult ERI.Conclusion: Our findings suggest that a range ofchildhood socioeconomic, school- and health-relatedfactors might contribute to the development of job stressin adulthood.

Item Type: Article
Authors/Creators:Wang, S and Sanderson, K and Venn, A and Dwyer, T and Gall, S
Journal or Publication Title: Occupational and Environmental Medicine
Publisher: B M J Publishing Group
ISSN: 1351-0711
DOI / ID Number: 10.1136/oemed-2017-104308
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Copyright 2017 The Author(s)

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