TY - JOUR

T1 - Characteristics of Workplace Psychosocial Resources and Risk of Diabetes

T2 - A Prospective Cohort Study

AU - Xu, Tianwei

AU - Clark, Alice J

AU - Pentti, Jaana

AU - Rugulies, Reiner

AU - Lange, Theis

AU - Vahtera, Jussi

AU - Magnusson Hanson, Linda L

AU - Westerlund, Hugo

AU - Kivimäki, Mika

AU - Rod, Naja H

N1 - © 2021 by the American Diabetes Association.

PY - 2022

Y1 - 2022

N2 - OBJECTIVE: To examine whether characteristics of workplace psychosocial resources are associated with the risk of type 2 diabetes among employees.RESEARCH DESIGN AND METHODS: Participants were 49,835 employees (77% women, aged 40-65 years, and diabetes free at baseline) from the Finnish Public Sector cohort study. Characteristics of horizontal (culture of collaboration and support from colleagues) and vertical (leadership quality and organizational procedural justice) psychosocial resources were self-reported. Incident type 2 diabetes (n = 2,148) was ascertained through linkage to electronic health records from national registers. We used latent class modeling to assess the clustering of resource characteristics. Cox proportional hazards models were used to examine the relationship between the identified clusters and risk of type 2 diabetes during 10.9 years of follow-up, adjusting for age, sex, marital status, educational level, type of employment contract, comorbidity, and diagnosed mental disorders.RESULTS: We identified four patterns of workplace psychosocial resources: unfavorable, favorable vertical, favorable horizontal, and favorable vertical and horizontal. Compared with unfavorable, favorable vertical (hazard ratio 0.87 [95% CI 0.78; 0.97]), favorable horizontal (0.77 [0.67; 0.88]), and favorable vertical and horizontal (0.77 [0.68; 0.86]) resources were associated with a lower risk of type 2 diabetes, with the strongest associations seen in employees at age ≥55 years (P interaction = 0.03). These associations were robust to multivariable adjustments and were not explained by reverse causation.CONCLUSIONS: A favorable culture of collaboration, support from colleagues, leadership quality, and organizational procedural justice are associated with a lower risk of employees developing type 2 diabetes than in those without such favorable workplace psychosocial resources.

AB - OBJECTIVE: To examine whether characteristics of workplace psychosocial resources are associated with the risk of type 2 diabetes among employees.RESEARCH DESIGN AND METHODS: Participants were 49,835 employees (77% women, aged 40-65 years, and diabetes free at baseline) from the Finnish Public Sector cohort study. Characteristics of horizontal (culture of collaboration and support from colleagues) and vertical (leadership quality and organizational procedural justice) psychosocial resources were self-reported. Incident type 2 diabetes (n = 2,148) was ascertained through linkage to electronic health records from national registers. We used latent class modeling to assess the clustering of resource characteristics. Cox proportional hazards models were used to examine the relationship between the identified clusters and risk of type 2 diabetes during 10.9 years of follow-up, adjusting for age, sex, marital status, educational level, type of employment contract, comorbidity, and diagnosed mental disorders.RESULTS: We identified four patterns of workplace psychosocial resources: unfavorable, favorable vertical, favorable horizontal, and favorable vertical and horizontal. Compared with unfavorable, favorable vertical (hazard ratio 0.87 [95% CI 0.78; 0.97]), favorable horizontal (0.77 [0.67; 0.88]), and favorable vertical and horizontal (0.77 [0.68; 0.86]) resources were associated with a lower risk of type 2 diabetes, with the strongest associations seen in employees at age ≥55 years (P interaction = 0.03). These associations were robust to multivariable adjustments and were not explained by reverse causation.CONCLUSIONS: A favorable culture of collaboration, support from colleagues, leadership quality, and organizational procedural justice are associated with a lower risk of employees developing type 2 diabetes than in those without such favorable workplace psychosocial resources.

U2 - 10.2337/dc20-2943

DO - 10.2337/dc20-2943

M3 - Journal article

C2 - 34740912

VL - 45

SP - 59

EP - 66

JO - Diabetes Care

JF - Diabetes Care

SN - 1935-5548

IS - 1

ER -