{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390853257565269248.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2188/jea.je20210146"}},{"identifier":{"@type":"PMID","@value":"34544998"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jea/31/12/31_JE20210146/_pdf"}},{"identifier":{"@type":"NAID","@value":"130008125564"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2023019361"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"en","@value":"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"}],"dc:language":"en","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<p><b>Background:</b> 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><b>Methods:</b> 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 (<i>n</i> = 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><b>Results:</b> 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><b>Conclusion:</b> Work-related stress during the first state of COVID-19 emergency was associated with aggravation of pre-existing disease during that period.</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410026890677239434","@type":"Researcher","personIdentifier":[{"@type":"ORCID","@value":"0000-0003-3162-0176"},{"@type":"NRID","@value":"9000414524555"}],"foaf:name":[{"@language":"en","@value":"He Yupeng"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Public Health and Health Systems, Nagoya University Graduate School of 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Tomohiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 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