{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:06:57Z","timestamp":1789963617165,"version":"4.0.1"},"reference-count":47,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,11,10]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Current economic and social change has contributed to increasing job insecurity and traffic-related pollution in residential areas. Both job insecurity and exposure to noise and air pollution are known determinants of population health and can concur in peoples' lives. This may hold true particularly for socially disadvantaged subpopulations. Nevertheless, the potential independent and joint links of those exposures to health have been rarely examined so far. We aimed to contribute to the scarce body of evidence.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Information on perceived job insecurity and exposures to noise and air pollution as expressed by annoyance as well as on self-rated health were gathered from 2 waves of the population-based German Socio-Economic Panel (2009 and 2011, N=6544). We performed multivariable Poisson regression to examine the independent and joint risk of poor health in 2011 by perceived job insecurity and annoyance due to noise and air pollution in 2009.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After the 2-year follow-up in 2011, 571 (8.7%) participants rated their health as poor. The risk of reporting incident poor health was increased by roughly 40% in employees reporting high versus low perceived job insecurity and annoyance due to noise and air pollution, respectively. This risk increased when both exposures were present at higher levels (risk ratio=1.95 (1.49 to 2.55)).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Work-related and environmental exposures may accumulate and have a joint health impact. Elaboration on the link between occupational and residential exposures is warranted in the light of their concurrence and their implications for health inequities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-012815","type":"journal-article","created":{"date-parts":[[2017,1,23]],"date-time":"2017-01-23T21:30:56Z","timestamp":1485207056000},"page":"e012815","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Do perceived job insecurity and annoyance due to air and noise pollution predict incident self-rated poor health? A prospective analysis of independent and joint associations using a German national representative cohort study"],"prefix":"10.1136","volume":"7","author":[{"given":"Natalie","family":"Riedel","sequence":"first","affiliation":[{"name":"Department of Social Epidemiology, Institute for Public Health and Nursing Research, University of Bremen, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Loerbroks","sequence":"additional","affiliation":[{"name":"Institute for Occupational, Social, and Environmental Medicine, Center for Health and Society, Faculty of Medicine, University of D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Bolte","sequence":"additional","affiliation":[{"name":"Department of Social Epidemiology, Institute for Public Health and Nursing Research, University of Bremen, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Li","sequence":"additional","affiliation":[{"name":"Institute for Occupational, Social, and Environmental Medicine, Center for Health and Society, Faculty of Medicine, University of D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,1,23]]},"reference":[{"key":"2025101814225329000_7.1.e012815.1","unstructured":"van Gyes G , Szeker L . 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New York: Oxford University Press."},{"key":"2025101814225329000_7.1.e012815.13","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1186\/1471-2458-10-716","article-title":"Adult asthma and traffic exposure at residential address, workplace address, and self-reported daily time outdoor in traffic: a two-stage case-control study","volume":"10","author":"Lindgren","year":"2010","journal-title":"BMC Public Health"},{"key":"2025101814225329000_7.1.e012815.14","doi-asserted-by":"crossref","first-page":"308","DOI":"10.4103\/1463-1741.165054","article-title":"Road, rail, and air transportation noise in residential and workplace neighborhoods and blood pressure (RECORD Study)","volume":"17","author":"M\u00e9line","year":"2015","journal-title":"Noise Health"},{"key":"2025101814225329000_7.1.e012815.15","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3324"},{"key":"2025101814225329000_7.1.e012815.16","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1002\/job.1800","article-title":"Cross-lagged associations between perceived external employability, job insecurity, and exhaustion: testing gain and loss spirals according to the conservation of resources theory","volume":"33","author":"de Cuyper","year":"2012","journal-title":"J Org Behav"},{"key":"2025101814225329000_7.1.e012815.17","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1080\/09640568.2013.859129","article-title":"Objective exposure to road traffic noise, noise annoyance and self-rated poor health\u2014framing the relationship between noise and health as a matter of multiple stressors and resources in urban neighbourhoods","volume":"58","author":"Riedel","year":"2015","journal-title":"J Environ Plann Manage"},{"key":"2025101814225329000_7.1.e012815.18","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1002\/smi.2584","article-title":"Perceived control and psychological contract breach as explanations of the relationships between job insecurity, job strain and coping reactions: towards a theoretical integration","volume":"32","author":"van der Elst","year":"2016","journal-title":"Stress Health"},{"key":"2025101814225329000_7.1.e012815.19","unstructured":"van Kamp I . 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