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In a four year prospective study of 21 290 female nurses in the United
States Cheng et al (p 1432 found that stressful job conditions,
characterised by low control, high demands, and low social support,
predicted significant declines in physical functioning and mental
health. Low control in jobs has been shown to increase the risk of
cardiovascular disease, and the authors suggest that lowered quality of
life should be added to this. The size of the loss in functional health
status associated with job stress over the four year follow up was at
least as large as that associated with smoking and sedentary lifestyle.
Hospitals need to consider the redesign of jobs as a health promotion strategy.
UK medical students have published unreleased government plans to restrict failed asylum seekers' access to medical care