{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T23:21:28Z","timestamp":1793834488142,"version":"4.6.1"},"reference-count":55,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,8,20]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Psychosocial stressors at work, defined by the job strain and effort\u2013reward imbalance at work (ERI) models, were shown to increase coronary heart disease risk. No previous study has examined the adverse effect of psychosocial stressors at work from both models on atrial fibrillation (AF) incidence. The objective of this study was to examine the separate and combined effect of psychosocial stressors at work from the job strain and ERI models on AF incidence in a prospective cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">A total of 5926 white\u2010collar workers (3021 women and 2905 men) free of cardiovascular disease at baseline were followed for an average of 18\u2009years. Job strain (high psychological demands combined with low decision latitude) and ERI were assessed using validated instruments. AF events were identified in medical databases with universal coverage. Hazard ratios (HRs) with 95% CIs were estimated using Cox regression models, controlling for socioeconomic characteristics and lifestyle\u2010related and clinical risk factors. A total of 186 AF incident events were identified over 18\u2009years. Workers exposed to job strain (HR, 1.83 [95% CI, 1.14\u20132.92]) and ERI (HR, 1.44 [95% CI, 1.05\u20131.98]) had a higher risk of AF in fully adjusted models. Combined exposure to job strain and ERI was associated with a 2\u2010fold AF risk increase (HR, 1.97 [95% CI, 1.26\u20133.07]).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Psychosocial stressors at work from the job strain and ERI models are associated with an increased risk of AF, separately and in combination. Workplace prevention strategies targeting these psychosocial stressors at work may be effective to reduce the burden associated with AF.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.123.032414","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T10:05:57Z","timestamp":1723629957000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Psychosocial Stressors at Work and Atrial Fibrillation Incidence: An 18\u2010Year Prospective Study"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2582-4732","authenticated-orcid":false,"given":"Edwige","family":"Tiwa Diffo","sequence":"first","affiliation":[{"name":"Population Health and Optimal Health Practices Research Unit CHU de Qu\u00e9bec\u2010Laval University Quebec City Quebec Canada"},{"name":"Departement of Social and Preventive Medicine Laval University Quebec City Quebec 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