{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T20:26:35Z","timestamp":1788207995644,"version":"build-2803163510"},"reference-count":0,"publisher":"Scandinavian Journal of Work, Environment and Health","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scand J Work Environ Health"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"OBJECTIVES: The aim of the study was to examine whether exposure to workplace bullying and violence is associated with changes in health-related behaviors over time.<\/jats:p>\n \n METHODS: This multi-cohort study included four cohorts from Sweden, Denmark, Finland, and Norway, comprising 78 624 participants aged 18\u201365 years at baseline between 2004 and 2016. The data were analyzed using an emulated trial design. The main analysis ascertained both onset of workplace bullying and violence (exposures) and changes in health-related behaviors (outcome) using data from time T\n X<\/jats:sub>\n and T\n X+1<\/jats:sub>\n (concurrent analysis). To clarify temporality, changes in health-related behaviors were further calculated at time T\n X+1<\/jats:sub>\n to T\n X+2<\/jats:sub>\n (longitudinal analysis). We applied logistic regression with generalized estimating equations. Subgroup differences by sex were examined.\n <\/jats:p>\n RESULTS: Among 125 854 participant-observations across 2\u20133 study phases of the 78 624 participants, 6\u20138% experienced onset of workplace bullying and 9\u201314% reported onset of workplace violence over 1\u20132 years. The strongest association was observed between onset of violence and becoming obese, with an odds ratio (OR) of 1.13 [95% confidence interval (CI) 1.00\u20131.27] in the concurrent and 1.31 (95% CI 1.05\u20131.64) in the longitudinal analysis. In addition, onset of bullying (OR 1.23, 95% CI 1.06\u20131.44) and violence (OR 1.11, 95% CI 0.99\u20131.24) were concurrently associated with initiation of excessive alcohol use, with weaker associations in the longitudinal analysis. Exposure\u2013response relationships were observed for all aforementioned associations and findings were consistent across cohorts. Men were more likely to initiate excessive alcohol use than women after experiencing violence (P=0.008).<\/jats:p>\n CONCLUSION: Exposure to workplace bullying and violence was associated with adverse changes in health-related behaviors.<\/jats:p>","DOI":"10.5271\/sjweh.4302","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:23:46Z","timestamp":1777501426000},"page":"549-559","source":"Crossref","is-referenced-by-count":0,"title":["Onset of workplace bullying and violence and changes in health-related behaviors: a multi-cohort study"],"prefix":"10.5271","volume":"52","author":[{"given":"Tianwei","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten Birkeland","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice J","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiner","family":"Rugulies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaana","family":"Pentti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeppe Karl","family":"S\u00f8rensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mads","family":"Nordentoft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Westerlund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sari","family":"Stenholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jussi","family":"Vahtera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida EH","family":"Madsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5se Marie","family":"Hansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Virtanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein","family":"Knardahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuula","family":"Oksanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Kivim\u00e4ki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda L","family":"Magnusson Hanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naja Hulvej","family":"Rod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3229","published-online":{"date-parts":[[2026,4,30]]},"container-title":["Scandinavian Journal of Work, Environment & Health"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T20:06:05Z","timestamp":1788206765000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sjweh.fi\/article\/4302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9,1]]}},"alternative-id":["4302"],"URL":"https:\/\/doi.org\/10.5271\/sjweh.4302","relation":{},"ISSN":["0355-3140","1795-990X"],"issn-type":[{"value":"0355-3140","type":"print"},{"value":"1795-990X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}