Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Psychosocial Working Conditions and the Risk of Esophageal and Gastric Cardia Cancers

Catarina Jansson, Anna L. V. Johansson, Kerstin Jeding, Paul W. Dickman, Olof Nyrén and Jesper Lagergren
European Journal of Epidemiology
Vol. 19, No. 7 (2004), pp. 631-641
Published by: Springer
Stable URL: http://www.jstor.org/stable/3582752
Page Count: 11
  • Download ($43.95)
  • Cite this Item
Psychosocial Working Conditions and the Risk of Esophageal and Gastric Cardia Cancers
Preview not available

Abstract

Background: For reasons yet unknown, the incidence of esophageal and gastric cardia adenocarcinoma is increasing rapidly and moderately, respectively. These tumors occur predominantly among males. We hypothesized that stressful psychosocial working conditions might be involved in the etiology of these cancers. Objective: To study if job strain, work pace satisfaction and coping are linked to the risk of esophageal or cardia cancers. Methods: A nationwide Swedish population-based case-control study including 189 and 262 esophageal and cardia adenocarcinoma cases, respectively, 167 esophageal squamous-cell carcinoma cases, and 820 controls. All study subjects were interviewed. The relative risk was estimated using odds ratios, with 95% confidence intervals, adjusted for potential confounders. Results: We found no statistically significant associations between two different measures of job strain and the three cancer types, except between one job strain measure and risk of cardia adenocarcinoma (OR: 2.2; 95% CI: 1.0-4.8). There was a moderately strong association between having a covert coping style, compared to an overt, and risk of both esophageal (OR: 1.8; 95% CI: 1.2-2.8) and cardia adenocarcinoma (OR: 1.5; 95% CI: 1.0-2.3). Among subjects reporting low work pace satisfaction we found an almost 4-fold increased risk of esophageal squamous-cell carcinoma (OR: 3.8; 95% CI: 1.3-11.0), and a nearly 3-fold increased risk of esophageal adenocarcinoma (OR: 2.8; 95% CI: 1.1-7.0). Conclusions: Work-related stress does not seem to be of importance in the etiology of adenocarcinoma of the esophagus or the gastric cardia. However, the interaction of a stressful work environment and the individual's responses to it may be associated with a moderately increased risk of these cancer types.

Page Thumbnails

  • Thumbnail: Page 
[631]
    [631]
  • Thumbnail: Page 
632
    632
  • Thumbnail: Page 
633
    633
  • Thumbnail: Page 
634
    634
  • Thumbnail: Page 
635
    635
  • Thumbnail: Page 
636
    636
  • Thumbnail: Page 
637
    637
  • Thumbnail: Page 
638
    638
  • Thumbnail: Page 
639
    639
  • Thumbnail: Page 
640
    640
  • Thumbnail: Page 
641
    641