Long working hours, socioeconomic status, and the risk of incident type 2 diabetes : a meta-analysis of published and unpublished data from 222 120 individuals

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Kivimäki , M , Virtanen , M , Kawachi , I , Nyberg , S T , Alfredsson , L , Batty , G D , Bjorner , J B , Borritz , M , Brunner , E J , Burr , H , Dragano , N , Ferrie , J E , Fransson , E I , Hamer , M , Heikkila , K , Knutsson , A , Koskenvuo , M , Madsen , I E H , Nielsen , M L , Nordin , M , Oksanen , T , Pejtersen , J H , Pentti , J , Rugulies , R , Salo , P , Siegrist , J , Steptoe , A , Suominen , S , Theorell , T , Vahtera , J , Westerholm , P J M , Westerlund , H , Singh-Manoux , A & Jokela , M 2015 , ' Long working hours, socioeconomic status, and the risk of incident type 2 diabetes : a meta-analysis of published and unpublished data from 222 120 individuals ' , The Lancet diabetes & endocrinology , vol. 3 , no. 1 , pp. 27-34 . https://doi.org/10.1016/S2213-8587(14)70178-0

Title: Long working hours, socioeconomic status, and the risk of incident type 2 diabetes : a meta-analysis of published and unpublished data from 222 120 individuals
Author: Kivimäki, Mika; Virtanen, Marianna; Kawachi, Ichiro; Nyberg, Solja T.; Alfredsson, Lars; Batty, G. David; Bjorner, Jakob B.; Borritz, Marianne; Brunner, Eric J.; Burr, Hermann; Dragano, Nico; Ferrie, Jane E.; Fransson, Eleonor I.; Hamer, Mark; Heikkila, Katriina; Knutsson, Anders; Koskenvuo, Markku; Madsen, Ida E. H.; Nielsen, Martin L.; Nordin, Maria; Oksanen, Tuula; Pejtersen, Jan H.; Pentti, Jaana; Rugulies, Reiner; Salo, Paula; Siegrist, Johannes; Steptoe, Andrew; Suominen, Sakari; Theorell, Tres; Vahtera, Jussi; Westerholm, Peter J. M.; Westerlund, Hugo; Singh-Manoux, Archana; Jokela, Markus
Contributor organization: Clinicum
Department of Public Health
Behavioural Sciences
Date: 2015-01
Language: eng
Number of pages: 8
Belongs to series: The Lancet diabetes & endocrinology
ISSN: 2213-8587
DOI: https://doi.org/10.1016/S2213-8587(14)70178-0
URI: http://hdl.handle.net/10138/203735
Abstract: Background Working long hours might have adverse health effects, but whether this is true for all socioeconomic status groups is unclear. In this meta-analysis stratified by socioeconomic status, we investigated the role of long working hours as a risk factor for type 2 diabetes. Methods We identified four published studies through a systematic literature search of PubMed and Embase up to April 30, 2014. Study inclusion criteria were English-language publication; prospective design (cohort study); investigation of the effect of working hours or overtime work; incident diabetes as an outcome; and relative risks, odds ratios, or hazard ratios (HRs) with 95% CIs, or sufficient information to calculate these estimates. Additionally, we used unpublished individual-level data from 19 cohort studies from the Individual-Participant-Data Meta-analysis in Working-Populations Consortium and international open-access data archives. Effect estimates from published and unpublished data from 222 120 men and women from the USA, Europe, Japan, and Australia were pooled with random-effects meta-analysis. Findings During 1.7 million person-years at risk, 4963 individuals developed diabetes (incidence 29 per 10 000 person-years). The minimally adjusted summary risk ratio for long (>= 55 h per week) compared with standard working hours (35-40 h) was 1.07 (95% CI 0.89-1.27, difference in incidence three cases per 10 000 person-years) with significant heterogeneity in study-specific estimates (I-2 = 53%, p = 0.0016). In an analysis stratified by socioeconomic status, the association between long working hours and diabetes was evident in the low socioeconomic status group (risk ratio 1.29, 95% CI 1.06-1.57, difference in incidence 13 per 10 000 person-years, I-2 = 0%, p = 0.4662), but was null in the high socioeconomic status group (1. 00, 95% CI 0.80-1.25, incidence diff erence zero per 10 000 person-years, I-2 = 15%, p = 0.2464). The association in the low socioeconomic status group was robust to adjustment for age, sex, obesity, and physical activity, and remained after exclusion of shift workers. Interpretation In this meta-analysis, the link between longer working hours and type 2 diabetes was apparent only in individuals in the low socioeconomic status groups. Copyright (C) Kivimaki et al. Open Access article distributed under the terms of CC BY.
3142 Public health care science, environmental and occupational health
515 Psychology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion

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