Institutional members access full text with Ovid®

Share this article on:

Exposure to Work and Nonwork Stressors and the Development of Heart Disease Among Canadian Workers Aged 40 Years and Older: A 16-year Follow-up Study (1994 to 2010)

Marchand, Alain PhD; Blanc, Marie-Eve PhD; Beauregard, Nancy PhD

Journal of Occupational and Environmental Medicine: September 2017 - Volume 59 - Issue 9 - p 894–902
doi: 10.1097/JOM.0000000000001095
Original Articles

Objective: The aim of this study was to evaluate the contribution of work, nonwork, and individual factors to self-reported heart disease, and to evaluate gender-related differences over a period of 16 years among Canadian workers aged 40 years and more.

Methods: Using the National Population Health Survey (NPHS, 1994 to 2010), we estimated multilevel logistic regression models (N = 2996).

Results: Couple-related strains, being a man, age, hypertension, and body mass index, are associated with an increased risk of heart disease. In analysis stratified by gender, physical demands at work and having high child-related strains were associated with heart disease specifically among women. Psychotropic drug use increased the risk of heart disease only in men.

Conclusion: Our study suggests that work stressors measured by Statistics Canada NPHS are largely not associated with the risk of heart disease, except in women exposed to physical demands at work.

School of Industrial Relations, University of Montreal, Montreal, Quebec, Canada (Drs Marchand, Beauregard), and University of Montreal Research Institute in Public Health, Montreal, Quebec, Canada (Dr Blanc).

Address correspondence to: Alain Marchand, PhD, School of Industrial Relations, University of Montreal, P.O. Box 6128, Downtown Station, Montreal, QC H3C 3J7, Canada (

This study was supported by the Fonds de Recherche du Québec-Santé (FRQS) and University of Montreal Research Institute in Public Health (IRSPUM).

The authors have no competing interests.

Copyright © 2017 by the American College of Occupational and Environmental Medicine