The Association of Work-related Stress According to the Demand–Control Model With Aggravation of Pre-existing Disease During the First State of COVID-19 Emergency in Japan

  • He Yupeng
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Yatsuya Hiroshi
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine Department of Public Health, Fujita Health University
  • Chiang Chifa
    Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine
  • Ota Atsuhiko
    Department of Public Health, Fujita Health University
  • Okubo Ryo
    Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry
  • Ishimaru Tomohiro
    Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
  • Tabuchi Takahiro
    Cancer Control Center, Osaka International Cancer Institute

書誌事項

公開日
2021-12-05
資源種別
journal article
DOI
  • 10.2188/jea.je20210146
公開者
日本疫学会

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説明

<p>Background: The job environment has changed a lot during the period of the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to investigate the association between work-related stress and aggravation of pre-existing disease in workers during the first state of COVID-19 emergency in Japan.</p><p>Methods: Data were obtained from a large internet survey conducted between August 25 and September 30, 2020 in Japan. Participants who reported that they had a job as well as current history of disease(s) (ie, pre-existing conditions) were included (n = 3,090). Aggravation of pre-existing disease during the state of emergency was self-reported. Work-related stress from April 2020 (since the state of COVID-19 emergency) was assessed according to a job demand–control model. Multivariable logistic regression models were used to analyze the association.</p><p>Results: Aggravation of pre-existing diseases was reported by 334 participants (11%). The numbers of participants with high demand and low control were 112 (18%) and 100 (14%), respectively. Compared to medium demand, high demand was significantly associated with aggravation of pre-existing diseases (odds ratio 1.77; 95% confidence interval, 1.30–2.42). Low control compared to medium control was also significantly associated with aggravation of pre-existing diseases (odds ratio 1.39; 95% confidence interval, 1.02–1.92).</p><p>Conclusion: Work-related stress during the first state of COVID-19 emergency was associated with aggravation of pre-existing disease during that period.</p>

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