Informal caregiving as a risk factor for type 2 diabetes in individuals with favourable and unfavourable psychosocial work environments: A longitudinal multi-cohort study.
Diabetes Metab
; 44(1): 38-44, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-28527866
ABSTRACT
AIM:
To examine whether informal caregiving is associated with increased risk of type 2 diabetes (T2D), and whether job strain and social support at work modify the association.METHODS:
Individual participant's data were pooled from three cohort studies-the French GAZEL study, the Swedish Longitudinal Occupational Survey of Health (SLOSH) and the British Whitehall II study-a total of 21,243 study subjects. Informal caregiving was defined as unpaid care for a closely related person. Job strain was assessed using the demand-control model, and questions on co-worker and supervisor support were combined in a measure of social support at work. Incident T2D was ascertained using registry-based, clinically assessed and self-reported data.RESULTS:
A total of 1058 participants developed T2D during the up to 10 years of follow-up. Neither informal caregiving (OR 1.09, 95% CI 0.92-1.30) nor high job strain (OR 1.04, 95% CI 0.86-1.26) were associated with T2D risk, whereas low social support at work was a risk factor for T2D (OR 1.18, 95% CI 1.02-1.37). Also, informal caregivers who were also exposed to low social support at work were at higher risk of T2D (OR 1.40, 95% CI 1.08-1.82) compared with those who were not informal caregivers and had high social support at work (multiplicative test for interaction, P=0.04; additive test for interaction, synergy index=10).CONCLUSION:
Informal caregiving was not independently associated with T2D risk. However, low social support at work was a risk factor, and informal caregivers with low social support at work had even higher risks of T2D.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Estresse Psicológico
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Cuidadores
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Diabetes Mellitus Tipo 2
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article