Exposure to psychosocial work strain and changes in smoking behavior during pregnancy - a longitudinal study within the Danish National Birth Cohort
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Exposure to psychosocial work strain and changes in smoking behavior during pregnancy - a longitudinal study within the Danish National Birth Cohort. / Mattsson, Kristina; Hougaard, Karin Sorig; Sejbaek, Camilla Sandal.
I: Scandinavian Journal of Work, Environment & Health, Bind 47, Nr. 1, 2021, s. 70-77.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Exposure to psychosocial work strain and changes in smoking behavior during pregnancy - a longitudinal study within the Danish National Birth Cohort
AU - Mattsson, Kristina
AU - Hougaard, Karin Sorig
AU - Sejbaek, Camilla Sandal
PY - 2021
Y1 - 2021
N2 - Objective Knowledge of the relationship between psychosocial strain in the work environment and smoking during pregnancy is scarce. This study aimed to examine the association between psychosocial job strain and change in smoking behavior during pregnancy.Methods The cohort included 65 645 pregnancies from the Danish National Birth Cohort (1996-2002), where pregnant women were interviewed on job factors and lifestyle during the first and third trimesters. Smoking was categorized into non-, non-daily, and daily smoking at each interview. Psychosocial job strain was categorized into four groups based on the concept of Karasek's demand-control model: low strain (reference), passive, active and high strain. Associations between psychosocial strain and change in smoking status between the first and second interviews were analyzed by multinomial logistic regression, separately for each smoking category at first interview.Results Non-smoking women exposed to high strain work were more likely to become daily smokers [adjusted odds ratio (ORadj) 1.41, (95% confidence interval (CI) 1.08-1.83)] compared to non-smoking women exposed to low strain work. Non-smoking women exposed to passive work were more likely to become both non-daily and daily smokers [ORadj 1.59 (95% CI 1.21-2.08) and ORadj 1.32 (95% CI 1.03-1.70), respectively]. Daily smoking women exposed to high strain work were less likely to decrease their smoking [ORadj 0.57 (95% CI 0.32-0.99)] compared to daily smoking women exposed to low strain work.Conclusions Psychosocial strain influenced the women's smoking behavior during pregnancy, especially in job types with low control.
AB - Objective Knowledge of the relationship between psychosocial strain in the work environment and smoking during pregnancy is scarce. This study aimed to examine the association between psychosocial job strain and change in smoking behavior during pregnancy.Methods The cohort included 65 645 pregnancies from the Danish National Birth Cohort (1996-2002), where pregnant women were interviewed on job factors and lifestyle during the first and third trimesters. Smoking was categorized into non-, non-daily, and daily smoking at each interview. Psychosocial job strain was categorized into four groups based on the concept of Karasek's demand-control model: low strain (reference), passive, active and high strain. Associations between psychosocial strain and change in smoking status between the first and second interviews were analyzed by multinomial logistic regression, separately for each smoking category at first interview.Results Non-smoking women exposed to high strain work were more likely to become daily smokers [adjusted odds ratio (ORadj) 1.41, (95% confidence interval (CI) 1.08-1.83)] compared to non-smoking women exposed to low strain work. Non-smoking women exposed to passive work were more likely to become both non-daily and daily smokers [ORadj 1.59 (95% CI 1.21-2.08) and ORadj 1.32 (95% CI 1.03-1.70), respectively]. Daily smoking women exposed to high strain work were less likely to decrease their smoking [ORadj 0.57 (95% CI 0.32-0.99)] compared to daily smoking women exposed to low strain work.Conclusions Psychosocial strain influenced the women's smoking behavior during pregnancy, especially in job types with low control.
KW - Denmark
KW - job strain
KW - pregnant population
KW - psychosocial stress
KW - smoking cessation
KW - CESSATION
KW - RISK
KW - STRESSORS
KW - RELAPSE
KW - WOMEN
U2 - 10.5271/sjweh.3921
DO - 10.5271/sjweh.3921
M3 - Journal article
C2 - 32898276
VL - 47
SP - 70
EP - 77
JO - Scandinavian Journal of Work, Environment & Health
JF - Scandinavian Journal of Work, Environment & Health
SN - 0355-3140
IS - 1
ER -
ID: 254721699