Abstract
Research evidence suggests harmful effects of overtime work on risk of heart disease. However, whether withdrawing compensation for overtime work (time-off or money) provides a relevant explanation of this association has not been explored. Using cohort data, we included 6345 employees from Germany (3079 men and 3266 women), and applied Poisson regression analysis to examine the prospective association of overtime work without compensation with risk of self-reported incident heart disease over 2 years. Uncompensated overtime work was associated with an elevated risk of heart disease after adjustment for relevant variables (RR = 1.85, 95%CI: 1.05-3.25), compared to no overtime work. Stratified analyses indicated particularly strong effects among women and among employees with low socioeconomic position. In line with the stress-theoretical model of effort-reward imbalance at work, these findings document an important role of compensation on heart disease in the frame of overtime work.
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