6533b7d3fe1ef96bd1261506
RESEARCH PRODUCT
The annual costs of cardiovascular diseases and mental disorders attributable to job strain in France.
Jean-françois ChastangHélène Sultan-taïebHélène Sultan-taïebMalika MansouriIsabelle Niedhammersubject
GerontologyMaleTotal costCoronary DiseaseIndirect costs0302 clinical medicineAnnual costsCost of IllnessEpidemiologycostPrevalenceMedicine[ SHS.ECO ] Humanities and Social Sciences/Economies and finances030212 general & internal medicineProspective StudiesComputingMilieux_MISCELLANEOUShealth care economics and organizationsjob stressMental Disorders[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologieattributable fractionMiddle Aged[SHS.ECO]Humanities and Social Sciences/Economics and Finance030210 environmental & occupational health3. Good healthOccupational DiseasesCardiovascular diseasesSick leaveeconomic burdenFemaleFranceSick LeaveResearch ArticleAdultEmploymentRiskmedicine.medical_specialtyAdolescent03 medical and health sciencesYoung AdultHumansWork stressjob strainJob strainbusiness.industryPublic Health Environmental and Occupational Health[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologieRelative riskAttributable risk[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieOccupational stressbusinessStress Psychologicaloccupational stressDemographydescription
International audience; BACKGROUND: Work stress has become a major occupational risk factor in industrialized countries and an important economic issue. The objective was to estimate the annual costs of coronary heart diseases (CHD) and mental disorders (MD) attributable to job strain exposure according to Karasek's model in France for the year 2003 from a societal perspective. METHODS: We produced attributable fraction estimates which were applied to the number of cases (morbidity and mortality) and the costs of CHD and MD. Relative risk estimates came from a systematic literature review of prospective studies. We conducted meta-analyses based on this selection of studies. Prevalence of exposure to job strain came from the national SUMER survey conducted in France in 2003. Costs included direct medical costs and indirect costs: production losses due to sick leaves and premature deaths. RESULTS: Between 8.8 and 10.2% of CHD morbidity was attributable to job strain, and between 9.4 and 11.2% of CHD mortality was attributable to this exposure for men. Between 15.2 and 19.8% of MD was attributable to job strain for men, and between 14.3 and 27.1% for women. As a whole, between 450 000 and 590 000 cases of diseases and 910--1130 deaths were attributable to job strain for men. From 730 000 to 1 380 000 cases of diseases and from 150 to 280 deaths were attributable to job strain for women. The total number of sick leave days amounted from 5 to 6.6 million days for men, and from 8.5 to 16 million days for women. The total costs of CHD and MD attributable to job strain exposure ranged from 1.8 to 3 billion euros for the year 2003 (0.12-0.19% GDP). Medical costs accounted for 11% of the total costs, value of life costs accounted for 13-15% and sick leave costs for 74-77%. The cost of CHD was estimated at 113--133 million euros and the cost of MD was between 1.7 - 2.8 billion euros in 2003. CONCLUSION: This study on the economic burden of diseases attributable to job strain in France provides relevant insights for policy-makers when defining public health priorities for prevention policies.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2013-08-13 |