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To examine job stress and health behaviors, including their co-occurrence, in Australians aged 31 to 41 year assessed in 2009 to 2011.Cross-sectional analyses using multivariable regression models of the association between the Effort Reward Imbalance (ERI) scale and health behaviors (smoking, alcohol consumption, diet, physical activity, and body mass index [BMI]) both individually and co-occurring (0 to 3 vs 4 to 5 behaviors) were undertaken. Covariates included sociodemographics, personality, and life events.Greater ERI was associated with a significantly lower prevalence of having co-occurring healthy behaviors and poorer diets in both sexes. Higher ERI was also associated greater physical inactivity and sedentary behavior in men and smoking, high alcohol consumption, and more pedometer-measured physical activity in women.Job stress at work was associated with a range of unhealthy behaviors, which may explain the higher chronic disease associated with job stress.

Original publication




Journal article


Journal of occupational and environmental medicine

Publication Date





e117 - e125


Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia (Ms Wang, Dr Sanderson, Dr Dwyer, Dr Venn, Dr Gall); Anhui Medical University, Hefei, Anhui, China (Ms Wang); School of Health Sciences, University of East Anglia, Norwich (Dr Sanderson); The George Institute for Global Health, Oxford Martin School, University of Oxford, Oxford (Dr Dwyer), United Kingdom.