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The European Journal of Public Health 1999 9(1):52-57; doi:10.1093/eurpub/9.1.52
© 1999 by European Journal of Public Health
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OCCUPATIONAL HEALTH

Job stress, absenteeism and coronary heart disease European cooperative study (the JACE study): Design of a multicentre prospective study

IRENE HOUTMAN1,, MARCEL KORNITZER2, PATRICK DE SMET2, RAMAZAN KOYUNCU2, GUY DE BACKER3, EDWIN PELFRENE3, MONIQUE ROMON4, CHARLES BOULENGUEZ4, MARCO FERRARIO5, GIANNI ORIGGI5, SUSANA SANS6, INAKI PEREZ6, LARS WILHELMSEN7, ANNIKA ROSENGREN7, SVEN OLOFISACSSON8 and PER-OLOF ÖSTERGREN8

1TNO Work and Employment Hoofddorp, The Netherlands
2School of Public Health ULB Brussels, Belgium
3Department of Public Health, University Hospital Gent, Belgium
4CERESTE Lille, France
5Institute of Biomedical Sciences Hospital San Gerardo, and Institute of Occupational Health, University of Milan Monza (Ml), Italy
6Institute of Health Studies Barcelona, Spain
7Section of Preventive Cardiology, Sahlgrenska University Hospital Göteborg, Sweden
8Department of Community Health Services, Malmo General Hospital Malmö, Sweden

Correspondence: Irene LD. Houtman, TNO Work and Employment, P.O. Box 718, 2130 AS Hoofddorp, The Netherlands

Background: The motives, objectives and design of a multicentre prospective study on job stress, absenteeism and coronary heart disease in Europe (the JACE study) is presented in this paper. Some specific gaps in the reviewed literature are explicitly tapped into by the JACE study. Its objectives are i) to compare the distributions of the Karasek job stress scales for the same broad categories of occupations in different European countries (in males and females), ii) to study the predictive power of the job stress scales and the job strain model for one year of sickness absence (in males and females) and iii) to study the predictive power of the job stress scales and the job strain model for a three year incidence of coronary heart disease (In males only). Methods: In answering these questions, relations are studied controlling for gender, age, level of education, company size, physical work risks and shift work, as well as traditional risk factors for CHD (i.e serum cholesterol, serum HDL cholesterol, smoking habits and blood pressure). The JACE study is a Biomed 1 concerted action. The JACE group consists of eight participating centres from six countries, i.e. from Belgium and Sweden (two centres), France, Italy, Spain, Sweden and The Netherlands (each one centre). The coordination of the group is in Brussels. The participating centres brought in over 15, 000 European workers to test the hypotheses.

Keywords: coronary heart disease, job stress, multicentre prospective study, sickness absence


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