Table 4.
Multinomial logistic regression, with an odds ratio (OR) and confidence interval (CI) of 95%, of the association of psychosocial stress at work, measured by models DC-SS and ERI-OC, and adjusted glycemic alterations by selected variables, for active women in the second wave of ELSA-Brasil 2008–2014.
| Women | Prediabetes Maintenance | Incident Prediabetes | Incident Diabetes | |||
|---|---|---|---|---|---|---|
| Crude OR (95% CI) |
Adj OR A (95% CI) |
Crude OR (95% CI) |
Adj OR A (95% CI) |
Crude OR(95% CI) | Adj OR A (95% CI) |
|
| Psychological Demands | Demand–Control Model and Social Support at Work | |||||
| 1st tertile (low score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.84 (0.62–1.13) |
0.89 (0.65–1.21) |
1.09 (0.85–1.40) |
1.09 (0.84–1.40) |
2.24 (1.25–4.01) |
2.27 (1.26–4.09) |
| 3rd tertile | 0.91 (0.66–1.25) |
1.02 (0.73–1.43) |
1.17 (0.90–1.53) |
1.17 (0.89–1.54) |
2.36 (1.29–4.33) |
2.41 (1.30–4.50) |
| Job Control | ||||||
| 1st tertile (high score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 1.35 (0.97–1.87) |
1.21 (0.85–1.72) |
1.38 (1.06–1.80) |
1.44 (1.09–1.89) |
0.90 (0.55–1.46) |
0.87 (0.52–1.45) |
| 3rd tertile | 1.62 (1.16–2.27) |
1.16 (0.79–1.71) |
1.52 (1.16–2.01) |
1.46 (1.08–1.99) |
0.76 (0.44–1.32) |
0.64 (0.34–1.18) |
| Demand–Control | ||||||
| 1st tertile (low score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.86 (0.61–1.21) |
0.84 (0.59–1.19) |
1.00 (0.76–1.32) |
0.96 (0.73–1.28) |
1.87 (1.03–3.37) |
1.79 (0.99–3.26) |
| 3rd tertile | 1.19 (0.88–1.62) |
1.08 (0.79–1.49) |
1.42 (1.10–1.82) |
1.34 (1.03–1.73) |
1.86 (1.04–3.30) |
1.77 (0.98–3.19) |
| Social Support | ||||||
| 1st tertile (high score) | ||||||
| 2nd tertile | 0.89 (0.64–1.25) |
1.16 (0.82–1.64) |
1.16 (0.86–1.55) |
1.27 (0.94–1.70) |
1.69 (0.86–3.29) |
1.88 (0.96–3.70) |
| 3rd tertile | 0.80 (0.56–1.13) |
1.10 (0.76–1.59) |
1.16 (0.86–1.57) |
1.29 (0.95–1.75) |
1.69 (0.85–3.35) |
1.93 (0.96–3.87) |
| Effort | Effort–Reward Imbalance Model and Overcommitment | |||||
| 1st tertile (low score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.94 (0.70–1.27) |
1.13 (0.82–1.54) |
1.05 (0.82–1.35) |
1.12 (0.87–1.45) |
0.95 (0.57–1.60) |
1.02 (0.60–1.72) |
| 3rd tertile | 0.84 (0.61–1.15) |
1.03 (0.73–1.45) |
1.05 (0.81–1.36) |
1.08 (0.82–1.42) |
1.14 (0.68–1.90) |
1.17 (0.68–2.01) |
| Reward | ||||||
| 1st tertile (high score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.86 (0.63–1.17) |
0.91 (0.66–1.26) |
1.01 (0.78–1.31) |
1.03 (0.80–1.34) |
1.01 (0.58–1.76) |
1.03 (0.59–1.81) |
| 3rd tertile | 1.01 (0.74–1.39) |
1.22 (0.88–1.69) |
1.17 (0.90–1.52) |
1.26 (0.97–1.64) |
1.60(0.94–2.70) | 1.76 (1.03–2.99) |
| Effort–Reward Imbalance | ||||||
| 1st tertile (low score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.86 (0.63–1.18) |
1.02 (0.73–1.42) |
0.94 (0.72–1.23) |
1.01 (0.77–1.32) |
0.72 (0.40–1.28) |
0.77 (0.43–1.39) |
| 3rd tertile | 0.90(0.66–1.22) | 1.16 (0.83–1.61) |
1.13 (0.88–1.45) |
1.21 (0.93–1.57) |
1.26 (0.77–2.07) |
1.36 (0.81–2.29) |
| Overcommitment | ||||||
| 1st tertile (low score) | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| 2nd tertile | 0.83 (0.62–1.11) |
0.91 (0.67–1.23) |
0.97 (0.76–1.25) |
0.99 (0.76–1.28) |
0.99 (0.57–1.72) |
1.04 (0.59–1.82) |
| 3rd tertile | 0.53 (0.37–0.75) |
0.63 (0.43–0.93) |
0.85 (0.65–1.12) |
0.87 (0.65–1.17) |
1.33 (0.77–2.30) |
1.46 (0.80–2.63) |
95% CI: 95% confidence interval. OR: odds ratio. Adjusted A crude model + adjusted by total effect variables (age—schooling level—weekly workload—work shift).