Relationship between job strain and smoking cessation: the Finnish Public Sector Study

A. Kouvonen, J. Vahtera, A. Väänänen, R. De Vogli, T. Heponiemi, M. Elovainio, M. Virtanen, T. Oksanen, S. J. Cox, J. Pentti, M. Kivimäki

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Aims: To examine whether job strain (ie, excessive demands combined with low control) is related to smoking cessation. Methods: Prospective cohort study of 4928 Finnish employees who were baseline smokers. In addition to individual scores, coworker-assessed work unit level scores were calculated. A multilevel logistic regression analysis, with work units at the second level, was performed. Results: At follow-up, 21% of baseline smokers had quit smoking. After adjustment for sex, age, employer and marital status, elevated odds ratios (ORs) for smoking cessation were found for the lowest vs the highest quartile of work unit level job strain (OR 1.43, 95% Cl 1.17 to 1.75) and for the highest vs the lowest quartile of work unit level job control (OR 1.61, 95% CI 1.31 to 1.96). After additional adjustment for health behaviours and trait anxiety, similar results were observed. Further adjustment for socioeconomic position slightly attenuated these associations, but an additional adjustment for individual strain/control had little effect on the results. The association between job strain and smoking cessation was slightly stronger in light than in moderate/heavy smokers. The results for individual job strain and job control were in the same direction as the work unit models, although these relationships became insignificant after adjustment for socioeconomic position. Job demands were not associated with smoking cessation. Conclusions: Smoking cessation may be less likely in workplaces with high strain and low control. Policies and programs addressing employee job strain and control might also contribute to the effectiveness of smoking cessation interventions.

Original languageEnglish (US)
Pages (from-to)108-114
Number of pages7
JournalTobacco Control
Volume18
Issue number2
DOIs
StatePublished - Apr 1 2009
Externally publishedYes

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Public Sector
Smoking Cessation
smoking
public sector
Odds Ratio
socioeconomic position
employee
Health Behavior
job demand
Marital Status
co-worker
Workplace
health behavior
marital status
Cohort Studies
Anxiety
Logistic Models
Smoking
Regression Analysis
Prospective Studies

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Kouvonen, A., Vahtera, J., Väänänen, A., De Vogli, R., Heponiemi, T., Elovainio, M., ... Kivimäki, M. (2009). Relationship between job strain and smoking cessation: the Finnish Public Sector Study. Tobacco Control, 18(2), 108-114. https://doi.org/10.1136/tc.2008.025411

Relationship between job strain and smoking cessation : the Finnish Public Sector Study. / Kouvonen, A.; Vahtera, J.; Väänänen, A.; De Vogli, R.; Heponiemi, T.; Elovainio, M.; Virtanen, M.; Oksanen, T.; Cox, S. J.; Pentti, J.; Kivimäki, M.

In: Tobacco Control, Vol. 18, No. 2, 01.04.2009, p. 108-114.

Research output: Contribution to journalArticle

Kouvonen, A, Vahtera, J, Väänänen, A, De Vogli, R, Heponiemi, T, Elovainio, M, Virtanen, M, Oksanen, T, Cox, SJ, Pentti, J & Kivimäki, M 2009, 'Relationship between job strain and smoking cessation: the Finnish Public Sector Study', Tobacco Control, vol. 18, no. 2, pp. 108-114. https://doi.org/10.1136/tc.2008.025411
Kouvonen A, Vahtera J, Väänänen A, De Vogli R, Heponiemi T, Elovainio M et al. Relationship between job strain and smoking cessation: the Finnish Public Sector Study. Tobacco Control. 2009 Apr 1;18(2):108-114. https://doi.org/10.1136/tc.2008.025411
Kouvonen, A. ; Vahtera, J. ; Väänänen, A. ; De Vogli, R. ; Heponiemi, T. ; Elovainio, M. ; Virtanen, M. ; Oksanen, T. ; Cox, S. J. ; Pentti, J. ; Kivimäki, M. / Relationship between job strain and smoking cessation : the Finnish Public Sector Study. In: Tobacco Control. 2009 ; Vol. 18, No. 2. pp. 108-114.
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