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Job Strain and Recurrent Coronary Heart Disease Events—Reply
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In Reply: Dr Hassan and colleagues first question whether the results of our study can be applied to other populations because of social, cultural, and economic covariates that could influence job strain. In an international comparison of job strain scales that was undertaken in 4 countries with different work cultures (United States, Canada-Quebec, the Netherlands, and Japan), substantial similarities were found across countries regarding means and standard deviations, as well as significant correlations among scales and between scales and sociodemographic variables,1 indicating that these psychosocial job characteristics tend to be similar across industrialized countries.
Regarding the multivariate analysis, it is a strength of the study that the effect measures were adjusted for a comprehensive spectrum of relevant covariates, including coronary heart disease risk factors; clinical prognosis factors; lifestyle, work-related, and psychosocial variables; and psychological distress, which measures depression and anxiety symptoms. Only 3 covariates were true confounders. The degree to . . . [Full Text of this Article]
Corine Aboa-Éboulé, MD, PhD
Chantal Brisson, PhD
cbrisson@uresp.ulaval.ca
Centre Hospitalier Affilié Universitaire de Québec
Quebec City, Quebec, Canada
RELATED LETTER
Job Strain and Recurrent Coronary Heart Disease Events
Yusuf Hassan
JAMA. 2008;299(5):520.
EXTRACT
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RELATED ARTICLE
Job Strain and Risk of Acute Recurrent Coronary Heart Disease Events
Corine Aboa-Éboulé, Chantal Brisson, Elizabeth Maunsell, Benoît Mâsse, Renée Bourbonnais, Michel Vézina, Alain Milot, Pierre Théroux, and Gilles R. Dagenais
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