Unfairness and health: Evidence from the Whitehall II Study

Roberto De Vogli, Jane E. Ferrie, Tarani Chandola, Mika Kivimäki, Michael G. Marmot

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

Objective: To examine the effects of unfairness on incident coronary events and health functioning. Design: Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work characteristics (job strain, effort-reward imbalance and organisational justice) were measured at baseline. Associations between unfairness and incident coronary events and health functioning were determined over an average follow-up of 10.9 years. Participants: 5726 men and 2572 women from 20 civil service departments in London (the Whitehall II Study). Main outcome measures: Incident fatal coronary heart disease, non-fatal myocardial infarction and angina (528 events) and health functioning. Results: Low employment grade is strongly associated with unfairness. Participants reporting higher levels of unfairness are more likely to experience an incident coronary event (HR 1.55, 95% CI 1.11 to 2.17), after adjustment for age, gender, employment grade, established coronary risk factors and other work-related psychosocial characteristics. Unfairness is also associated with poor physical (OR 1.46, 95% CI 1.20 to 1.77) and mental (OR 1.54, 95% CI 1.19 to 1.99) functioning at follow-up, controlling for all other factors and health functioning at baseline. Conclusions: Unfairness is an independent predictor of increased coronary events and impaired health functioning. Further research is needed to disentangle the effects of unfairness from other psychosocial constructs and to investigate the societal, relational and biological mechanisms that may underlie its associations with health and heart disease.

Original languageEnglish (US)
Pages (from-to)513-518
Number of pages6
JournalJournal of Epidemiology and Community Health
Volume61
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

Fingerprint

Health
Social Justice
Reward
Alcohol Drinking
Coronary Disease
Heart Diseases
Cohort Studies
Obesity
Smoking
Myocardial Infarction
Cholesterol
Outcome Assessment (Health Care)
Prospective Studies
Exercise
Hypertension
Serum
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

De Vogli, R., Ferrie, J. E., Chandola, T., Kivimäki, M., & Marmot, M. G. (2007). Unfairness and health: Evidence from the Whitehall II Study. Journal of Epidemiology and Community Health, 61(6), 513-518. https://doi.org/10.1136/jech.2006.052563

Unfairness and health : Evidence from the Whitehall II Study. / De Vogli, Roberto; Ferrie, Jane E.; Chandola, Tarani; Kivimäki, Mika; Marmot, Michael G.

In: Journal of Epidemiology and Community Health, Vol. 61, No. 6, 06.2007, p. 513-518.

Research output: Contribution to journalArticle

De Vogli, R, Ferrie, JE, Chandola, T, Kivimäki, M & Marmot, MG 2007, 'Unfairness and health: Evidence from the Whitehall II Study', Journal of Epidemiology and Community Health, vol. 61, no. 6, pp. 513-518. https://doi.org/10.1136/jech.2006.052563
De Vogli, Roberto ; Ferrie, Jane E. ; Chandola, Tarani ; Kivimäki, Mika ; Marmot, Michael G. / Unfairness and health : Evidence from the Whitehall II Study. In: Journal of Epidemiology and Community Health. 2007 ; Vol. 61, No. 6. pp. 513-518.
@article{c2ef6267f0be46f8a76a3b6928954411,
title = "Unfairness and health: Evidence from the Whitehall II Study",
abstract = "Objective: To examine the effects of unfairness on incident coronary events and health functioning. Design: Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work characteristics (job strain, effort-reward imbalance and organisational justice) were measured at baseline. Associations between unfairness and incident coronary events and health functioning were determined over an average follow-up of 10.9 years. Participants: 5726 men and 2572 women from 20 civil service departments in London (the Whitehall II Study). Main outcome measures: Incident fatal coronary heart disease, non-fatal myocardial infarction and angina (528 events) and health functioning. Results: Low employment grade is strongly associated with unfairness. Participants reporting higher levels of unfairness are more likely to experience an incident coronary event (HR 1.55, 95{\%} CI 1.11 to 2.17), after adjustment for age, gender, employment grade, established coronary risk factors and other work-related psychosocial characteristics. Unfairness is also associated with poor physical (OR 1.46, 95{\%} CI 1.20 to 1.77) and mental (OR 1.54, 95{\%} CI 1.19 to 1.99) functioning at follow-up, controlling for all other factors and health functioning at baseline. Conclusions: Unfairness is an independent predictor of increased coronary events and impaired health functioning. Further research is needed to disentangle the effects of unfairness from other psychosocial constructs and to investigate the societal, relational and biological mechanisms that may underlie its associations with health and heart disease.",
author = "{De Vogli}, Roberto and Ferrie, {Jane E.} and Tarani Chandola and Mika Kivim{\"a}ki and Marmot, {Michael G.}",
year = "2007",
month = "6",
doi = "10.1136/jech.2006.052563",
language = "English (US)",
volume = "61",
pages = "513--518",
journal = "Journal of Epidemiology and Community Health",
issn = "0143-005X",
publisher = "BMJ Publishing Group",
number = "6",

}

TY - JOUR

T1 - Unfairness and health

T2 - Evidence from the Whitehall II Study

AU - De Vogli, Roberto

AU - Ferrie, Jane E.

AU - Chandola, Tarani

AU - Kivimäki, Mika

AU - Marmot, Michael G.

PY - 2007/6

Y1 - 2007/6

N2 - Objective: To examine the effects of unfairness on incident coronary events and health functioning. Design: Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work characteristics (job strain, effort-reward imbalance and organisational justice) were measured at baseline. Associations between unfairness and incident coronary events and health functioning were determined over an average follow-up of 10.9 years. Participants: 5726 men and 2572 women from 20 civil service departments in London (the Whitehall II Study). Main outcome measures: Incident fatal coronary heart disease, non-fatal myocardial infarction and angina (528 events) and health functioning. Results: Low employment grade is strongly associated with unfairness. Participants reporting higher levels of unfairness are more likely to experience an incident coronary event (HR 1.55, 95% CI 1.11 to 2.17), after adjustment for age, gender, employment grade, established coronary risk factors and other work-related psychosocial characteristics. Unfairness is also associated with poor physical (OR 1.46, 95% CI 1.20 to 1.77) and mental (OR 1.54, 95% CI 1.19 to 1.99) functioning at follow-up, controlling for all other factors and health functioning at baseline. Conclusions: Unfairness is an independent predictor of increased coronary events and impaired health functioning. Further research is needed to disentangle the effects of unfairness from other psychosocial constructs and to investigate the societal, relational and biological mechanisms that may underlie its associations with health and heart disease.

AB - Objective: To examine the effects of unfairness on incident coronary events and health functioning. Design: Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work characteristics (job strain, effort-reward imbalance and organisational justice) were measured at baseline. Associations between unfairness and incident coronary events and health functioning were determined over an average follow-up of 10.9 years. Participants: 5726 men and 2572 women from 20 civil service departments in London (the Whitehall II Study). Main outcome measures: Incident fatal coronary heart disease, non-fatal myocardial infarction and angina (528 events) and health functioning. Results: Low employment grade is strongly associated with unfairness. Participants reporting higher levels of unfairness are more likely to experience an incident coronary event (HR 1.55, 95% CI 1.11 to 2.17), after adjustment for age, gender, employment grade, established coronary risk factors and other work-related psychosocial characteristics. Unfairness is also associated with poor physical (OR 1.46, 95% CI 1.20 to 1.77) and mental (OR 1.54, 95% CI 1.19 to 1.99) functioning at follow-up, controlling for all other factors and health functioning at baseline. Conclusions: Unfairness is an independent predictor of increased coronary events and impaired health functioning. Further research is needed to disentangle the effects of unfairness from other psychosocial constructs and to investigate the societal, relational and biological mechanisms that may underlie its associations with health and heart disease.

UR - http://www.scopus.com/inward/record.url?scp=34249076979&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34249076979&partnerID=8YFLogxK

U2 - 10.1136/jech.2006.052563

DO - 10.1136/jech.2006.052563

M3 - Article

C2 - 17496260

AN - SCOPUS:34249076979

VL - 61

SP - 513

EP - 518

JO - Journal of Epidemiology and Community Health

JF - Journal of Epidemiology and Community Health

SN - 0143-005X

IS - 6

ER -