The Association of Work-related Stress According to the Demand–Control Model With Aggravation of Pre-existing Disease During the First State of COVID-19 Emergency in Japan

Background: The job environment has changed a lot during the period of the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to investigate the association between work-related stress and aggravation of pre-existing disease in workers during the first state of COVID-19 emergency in Japa...

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Bibliographic Details
Published in:Journal of Epidemiology 2021/12/05, Vol.31(12), pp.642-647
Main Authors: He, Yupeng, Yatsuya, Hiroshi, Chiang, Chifa, Ota, Atsuhiko, Okubo, Ryo, Ishimaru, Tomohiro, Tabuchi, Takahiro
Format: Article
Language:English
Subjects:
Confidence intervals
Coronaviruses
COVID-19
Demand
Disease
Diseases
Emergencies
job control
job demand
Multivariable control
Occupational health
Occupational stress
Original
Pandemics
pre-existing disease
Public Health
Regression analysis
Regression models
Statistical analysis
Stress
Viral diseases
work-related stress
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Summary:Background: The job environment has changed a lot during the period of the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to investigate the association between work-related stress and aggravation of pre-existing disease in workers during the first state of COVID-19 emergency in Japan.Methods: Data were obtained from a large internet survey conducted between August 25 and September 30, 2020 in Japan. Participants who reported that they had a job as well as current history of disease(s) (ie, pre-existing conditions) were included (n = 3,090). Aggravation of pre-existing disease during the state of emergency was self-reported. Work-related stress from April 2020 (since the state of COVID-19 emergency) was assessed according to a job demand–control model. Multivariable logistic regression models were used to analyze the association.Results: Aggravation of pre-existing diseases was reported by 334 participants (11%). The numbers of participants with high demand and low control were 112 (18%) and 100 (14%), respectively. Compared to medium demand, high demand was significantly associated with aggravation of pre-existing diseases (odds ratio 1.77; 95% confidence interval, 1.30–2.42). Low control compared to medium control was also significantly associated with aggravation of pre-existing diseases (odds ratio 1.39; 95% confidence interval, 1.02–1.92).Conclusion: Work-related stress during the first state of COVID-19 emergency was associated with aggravation of pre-existing disease during that period.
ISSN:0917-5040
1349-9092
DOI:10.2188/jea.JE20210146