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Publications (8 of 8) Show all publications
Stadin, M., Nordin, M., Broström, A., Magnusson Hanson, L., Westerlund, H. & Fransson, E. I. (2019). Repeated exposure to high ICT demands at work, and development of suboptimal self-rated health: findings from a 4-year follow-up of the SLOSH study. International Archives of Occupational and Environmental Health, 92(5), 717-728
Open this publication in new window or tab >>Repeated exposure to high ICT demands at work, and development of suboptimal self-rated health: findings from a 4-year follow-up of the SLOSH study
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2019 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 92, no 5, p. 717-728Article in journal (Refereed) Published
Abstract [en]

Purpose

The knowledge about the association between Information and Communication Technology (ICT) demands at work and self-rated health (SRH) is insufficient. The aim of this study was to examine the association between repeated exposure to high ICT demands at work, and risk of suboptimal SRH, and to determine modifications by sex or socioeconomic position (SEP).

Methods

A prospective design was used, including repeated measurement of ICT demands at work, measured 2 years apart. SRH was measured at baseline and at follow-up after 4 years. The data were derived from the Swedish Longitudinal Occupational Survey of Health (SLOSH), including 4468 gainfully employees (1941 men, 2527 women) with good SRH at baseline.

Results

In the total study sample, repeated exposure to high ICT demands at work was associated with suboptimal SRH at follow-up (OR 1.34 [CI 1.06–1.70]), adjusted for age, sex, SEP, health behaviours, BMI, job strain and social support. An interaction between ICT demands and sex was observed (p = 0.010). The risk was only present in men (OR 1.53 [CI 1.09–2.16]), and not in women (OR 1.17 [CI 0.85–1.62]). The risk of suboptimal SRH after consistently high ICT demands at work was most elevated in participants with high SEP (OR 1.68 [CI 1.02–2.79]), adjusted for age, sex, health behaviours, BMI and job strain. However, no significant interaction between ICT demands and SEP regarding SRH was observed.

Conclusion

Repeated exposure to high ICT demands at work was associated with suboptimal SRH at follow-up, and the association was modified by sex.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
ICT demands at work; Occupational health; Work-related stress; Self-rated health; Gender differences; Socioeconomic position
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-42592 (URN)10.1007/s00420-019-01407-6 (DOI)000473828600010 ()30684000 (PubMedID)2-s2.0-85060727375 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-1141
Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-08-14Bibliographically approved
Lindgren, P., Stadin, M., Blomberg, I., Nordin, K., Sahlgren, H. & Ingvoldstad Malmgren, C. (2017). Information about first-trimester screening and self-reported distress among pregnant women and partners - comparing two methods of information giving in Sweden. Acta Obstetricia et Gynecologica Scandinavica, 96(10), 1243-1250
Open this publication in new window or tab >>Information about first-trimester screening and self-reported distress among pregnant women and partners - comparing two methods of information giving in Sweden
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2017 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 96, no 10, p. 1243-1250Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION:

Balanced information before prenatal diagnosis (PND) aims to help expectant parents to make an informed choice. However, it is important that the information does not increase the expectant parents' psychological distress. The aim was to examine psychological distress among expectant parents, before and after receiving information about PND, to evaluate the possible differences between two different procedures of information giving, and to evaluate the association between satisfaction with the information and psychological distress.

MATERIAL AND METHODS:

A longitudinal design, based on questionnaire data from 380 expectant parents from four counties in Sweden. The measurement points; T1, before the information about PND was given and T2, 2 weeks after the prenatal screening or 15 weeks of gestation. The Hospital Anxiety and Depression Scale (HADS) and the Swedish version of the Cambridge Worrying Scale (CWS) measured psychological distress. The Satisfaction with Genetic Counseling Scale (SCS) measured satisfaction with information about PND.

RESULTS:

The rate of psychological distress was stable among the pregnant women, but decreased among their partners, after the information was received. General anxiety and the social-medical dimension of pregnancy-related worry decreased among the participants who received information, using the more distinct two-stage process (group A), but was unchanged in group B (less distinct two-stage process). Health-related worry decreased in both groups, whereas relational worry and level of depressive symptoms were unchanged in both groups.

CONCLUSION:

Information about PND does not increase the psychological distress among expectant parents. A more distinct two-stage process of information giving might even decrease their anxiety.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
Anxiety; first-trimester combined screening; informed choice; prenatal diagnosis; psychological distress; worry
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:hj:diva-37180 (URN)10.1111/aogs.13195 (DOI)000411689100013 ()28742930 (PubMedID)2-s2.0-85028000048 (Scopus ID)
Available from: 2017-09-04 Created: 2017-09-04 Last updated: 2017-10-19Bibliographically approved
Stadin, M., Maria, N., Broström, A., Magnusson Hanson, L., Westerlund, H. & Fransson, E. (2016). Information and communication technology demands at work and development of suboptimal self-rated health: Prospective findings from the SLOSH study. In: : . Paper presented at Forte Talks 2016, Stockholm, 8-9 mars 2016..
Open this publication in new window or tab >>Information and communication technology demands at work and development of suboptimal self-rated health: Prospective findings from the SLOSH study
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2016 (English)Conference paper, Poster (with or without abstract) (Other academic)
Keywords
Work-related stress; information and communication technology demans; self-rated health
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-29612 (URN)
Conference
Forte Talks 2016, Stockholm, 8-9 mars 2016.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, #2013-1141
Available from: 2016-03-11 Created: 2016-03-11 Last updated: 2016-05-11Bibliographically approved
Stadin, M., Nordin, M., Broström, A., Magnusson Hanson, L. L., Westerlund, H. & Fransson, E. I. (2016). Information and communication technology demands at work: the association with job strain, effort-reward imbalance and self-rated health in different socio-economic strata. International Archives of Occupational and Environmental Health, 89(7), 1049-1058
Open this publication in new window or tab >>Information and communication technology demands at work: the association with job strain, effort-reward imbalance and self-rated health in different socio-economic strata
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2016 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 89, no 7, p. 1049-1058Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The use of information and communication technology (ICT) is common in modern working life. ICT demands may give rise to experience of work-related stress. Knowledge about ICT demands in relation to other types of work-related stress and to self-rated health is limited. Consequently, the aim of this study was to examine the association between ICT demands and two types of work-related stress [job strain and effort-reward imbalance (ERI)] and to evaluate the association between these work-related stress measures and self-rated health, in general and in different SES strata.

METHODS: This study is based on cross-sectional data from the Swedish Longitudinal Occupational Survey of Health collected in 2014, from 14,873 gainfully employed people. ICT demands, job strain, ERI and self-rated health were analysed as the main measures. Sex, age, SES, lifestyle factors and BMI were used as covariates.

RESULTS: ICT demands correlated significantly with the dimensions of the job strain and ERI models, especially with the demands (r = 0.42; p < 0.01) and effort (r = 0.51; p < 0.01) dimensions. ICT demands were associated with suboptimal self-rated health, also after adjustment for age, sex, SES, lifestyle and BMI (OR 1.49 [95 % CI 1.36-1.63]), but job strain (OR 1.93 [95 % CI 1.74-2.14) and ERI (OR 2.15 [95 % CI 1.95-2.35]) showed somewhat stronger associations with suboptimal self-rated health.

CONCLUSION: ICT demands are common among people with intermediate and high SES and associated with job strain, ERI and suboptimal self-rated health. ICT demands should thus be acknowledged as a potential stressor of work-related stress in modern working life.

Keywords
ICT demands; Job strain; Effort-reward imbalance; Self-rated health; Socio-economic status
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-29977 (URN)10.1007/s00420-016-1140-8 (DOI)000382703500003 ()27193569 (PubMedID)2-s2.0-84969895686 (Scopus ID)
Funder
Swedish Research Council, 2013-1141
Available from: 2016-05-20 Created: 2016-05-20 Last updated: 2017-11-30Bibliographically approved
Stadin, M., Nordin, M., Broström, A., Magnusson Hanson, L. L., Westerlund, H. & Fransson, E. (2016). Information and communication technology stress at work and development of suboptimal self-rated health. Paper presented at Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain. Occupational and Environmental Medicine, 73(Suppl. 1), A150-A151, Article ID P091.
Open this publication in new window or tab >>Information and communication technology stress at work and development of suboptimal self-rated health
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2016 (English)In: Occupational and Environmental Medicine, ISSN 1351-0711, E-ISSN 1470-7926, Vol. 73, no Suppl. 1, p. A150-A151, article id P091Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Objectives Information and communication technology (ICT) stress is a new type of work-related stress, which is common in modern working life. The prospective association between ICT stress and health have not previously been examined, to the best of our knowledge. The aim of this study was to examine the prospective association between exposure of ICT stress and development of suboptimal self-rated health, including potential differences in this association due to sex or socioeconomic status (SES).

Methods A prospective design was applied, utilising data from three waves of the Swedish Longitudinal Occupational Survey of Health (SLOSH). The analytical sample comprised 4468 gainfully employed people (1941 men, 2527 women, mean age 47.3 years) with good self-rated health at baseline. ICT stress was measured at two points of time, two years apart, and self-rated health was measured at follow-up two years later. Logistic regression analyses were used to derive odds ratios (OR) with 95% confidence intervals (CI).

Results In the total study sample, exposure of ICT stress at two points of time was associated with suboptimal self-rated health at follow-up (OR 1.34 [CI: 1.06–1.70], adjusted for age, sex, SES, lifestyle, BMI, job strain and social support). This association was stronger in men (OR 1.53 [CI: 1.09–2.16]) than in women (OR 1.17 [CI: 0.85–1.62]). Regarding SES, ICT stress exposure at two point of time was more prevalent in participants with high SES, but in the multivariable adjusted analyses, the strongest association between ICT stress and suboptimal self-rated health was observed among participants with low SES (OR 1.67 [CI: 1.04–2.66]), adjusted for age, sex, SES, lifestyle, BMI, job strain and social support).

Conclusion Exposure of ICT stress at two point of time was associated with increased risk of developing suboptimal self-rated health during follow-up, especially among men and in low SES groups.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-31681 (URN)10.1136/oemed-2016-103951.412 (DOI)
External cooperation:
Conference
Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain
Available from: 2016-09-07 Created: 2016-09-07 Last updated: 2017-11-21Bibliographically approved
Stadin, M., Maria, N., Broström, A., Magnusson Hanson, L., Westerlund, H. & Fransson, E. (2015). Information and communication technology demands: The association with job strain and effort-reward imbalance in different socioeconimic strata. In: : . Paper presented at Nordic Conference on Advances in Health Care Sciences Research 2015, Stockholm, 11-12 november, 2015..
Open this publication in new window or tab >>Information and communication technology demands: The association with job strain and effort-reward imbalance in different socioeconimic strata
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2015 (English)Conference paper, Poster (with or without abstract) (Other academic)
Keywords
Work-related stress; Information and communication technology demands; self-rated health; Socioeconomic status
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-28365 (URN)
Conference
Nordic Conference on Advances in Health Care Sciences Research 2015, Stockholm, 11-12 november, 2015.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, grant #2013-1141
Available from: 2015-12-08 Created: 2015-11-23 Last updated: 2016-05-11Bibliographically approved
Fransson, E., Stadin, M., Nordin, M., Malm, D., Knutsson, A., Alfredsson, L. & Westerholm, P. (2015). Job strain and the risk of atrial fibrillation: Results from the Swedish WOLF study. In: : . Paper presented at 31st International Congress on Occupational Health (ICOH).
Open this publication in new window or tab >>Job strain and the risk of atrial fibrillation: Results from the Swedish WOLF study
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2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-26923 (URN)
Conference
31st International Congress on Occupational Health (ICOH)
Available from: 2015-06-03 Created: 2015-06-03 Last updated: 2016-06-30
Fransson, E. I., Stadin, M., Nordin, M., Malm, D., Knutsson, A., Alfredsson, L. & Westerholm, P. J. M. (2015). The association between job strain and atrial fibrillation: Results from the Swedish WOLF Study. BioMed Research International, 2015, 1-7, Article ID 371905.
Open this publication in new window or tab >>The association between job strain and atrial fibrillation: Results from the Swedish WOLF Study
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2015 (English)In: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, Vol. 2015, p. 1-7, article id 371905Article in journal (Refereed) Published
Abstract [en]

Introduction. Atrial fibrillation (AF) is a common heart rhythm disorder. Several life-style factors have been identified as risk factors for AF, but less is known about the impact of work-related stress. This study aims to evaluate the association between work-related stress, defined as job strain, and risk of AF. Methods. Data from the Swedish WOLF study was used, comprising 10,121 working men and women. Job strain was measured by the demand-control model. Information on incident AF was derived from national registers. Cox proportional hazard regression was used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for the association between job strain and AF risk. Results. In total, 253 incident AF cases were identified during a total follow-up time of 132,387 person-years. Job strain was associated with AF risk in a time-dependent manner, with stronger association after 10.7 years of follow-up (HR 1.93, 95% CI 1.10–3.36 after 10.7 years, versus HR 1.11, 95% CI 0.67–1.83 before 10.7 years). The results pointed towards a dose-response relationship when taking accumulated exposure to job strain over time into account. Conclusion. This study provides support to the hypothesis that work-related stress defined as job strain is linked to an increased risk of AF.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-26259 (URN)10.1155/2015/371905 (DOI)000364059500001 ()2-s2.0-84947232204 (Scopus ID)
Available from: 2015-03-24 Created: 2015-03-24 Last updated: 2017-12-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8196-1289

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