Cardiovascular health outcomes of mobbing at work: results of the population-based, five-year follow-up of the Gutenberg
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RESEARCH
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Cardiovascular health outcomes of mobbing at work: results of the populationbased, five-year follow-up of the Gutenberg health study Karla Romero Starke1,2* , Janice Hegewald1,2, Andreas Schulz3, Susan Garthus-Niegel1, Matthias Nübling4, Philipp S. Wild3,5,6, Natalie Arnold3, Ute Latza7, Sylvia Jankowiak7, Falk Liebers7, Karin Rossnagel7, Merle Riechmann-Wolf8, Stephan Letzel9, Manfred Beutel10, Norbert Pfeiffer11, Karl Lackner12, Thomas Münzel3,5 and Andreas Seidler1
Abstract Background: The aim of this study was to determine if there is an increased risk of incident cardiovascular disease (CVD) resulting from workplace mobbing measured with two mobbing instruments in the Gutenberg Health Study. Methods: In this prospective study, we examined working persons younger than 65 years for the presence of mobbing at baseline and at a 5-year follow-up using a single-item and a 5-item instrument. We used multivariate models to investigate the association between mobbing and incident CVD, hypertension, and change in arterial stiffness and further stratified the models by sex. Results: After adjustment for confounders, mobbed workers appeared to have a higher risk of incident CVD than those not mobbed (single-item HR = 1.28, 95% CI 0.73–2.24; 5-item HR = 1.57, 95% CI 0.96–2.54). With the 5-item instrument, men who reported mobbing had a higher risk of incident CVD (HR = 1.77, 95% CI 1.01–3.09), while no association was observed for women (HR = 1.05, 95% CI 0.38–2.91). There was no difference in risks between men and women with the single-item instrument. No association between mobbing and incident hypertension and arterial stiffness was seen. Conclusions: Our results show an indication of an increased risk of incident CVD for those mobbed at baseline when using the whole study population. Differences in risks between men and women when using the five-item instrument may be due to the instrument itself. Still, it is essential to detect or prevent workplace mobbing, and if present, to apply an intervention to halt it in order to minimize its adverse effects on CVD. Keywords: Workplace mobbing, Bullying, Cardiovascular diseases, Hypertension, Arterial stiffness, Occupational health
* Correspondence: [email protected] 1 Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany 2 Institute for Sociology, Technische Universität Chemnitz, Chemnitz, Germany Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are include
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