Multiple forms of perceived job discrimination and hypertension risk among employed women: Findings from the Sister Study

Details

• Alternative Title:
  Am J Ind Med
• Personal Author:
  Coates, Matthew M. ; Arah, Onyebuchi A. ; Matthews, Timothy A. ; Sandler, Dale P. ; Jackson, Chandra L. ; Li, Jian
• Description:
  Background
  
  Hypertension has been linked to socially patterned stressors, including discrimination. Few studies have quantified the risk of hypertension associated with exposure to perceived job discrimination.
  
  Methods
  
  We used prospective cohort data from the Sister Study (enrollment from 2003–2009) to estimate self-reported incident hypertension associated with perceived job discrimination based on race, gender, age, sexual orientation, or health status. Job discrimination in the prior five years was assessed in 2008–2012, and incident doctor-diagnosed hypertension was ascertained in previously hypertension-free participants.
  
  Results
  
  Among the 16,770 eligible participants aged 37 to 78 years at start of follow-up, 10.5% reported job discrimination in the past five years, and 19.2% (n=3,226) reported incident hypertension over a median follow-up of 9.7 years (interquartile range 8.2–11.0 years). Self-reported poor health or inclusion in minoritized groups based on race/ethnicity or sexual orientation were more frequent among those reporting job discrimination. In a Cox proportional hazards model adjusting for covariates, report of at least one type of job discrimination (compared to none) was associated with a 14% (HR=1.14 [95% CI: 1.02–1.27]) higher hypertension risk. Results from sensitivity analyses reinforced the findings.
  
  Conclusions
  
  Results suggest that interventions addressing job discrimination could have workplace equity and health benefits.
  
  
• Subjects:
  Adult Aged Employment Female Humans Hypertension Incidence Middle Aged Proportional Hazards Models Prospective Studies Risk Factors Self Report United States

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• Keywords:
  Hypertension Job Discrimination Prospective Cohort Workers
• Source:
  Am J Ind Med. 67(9):844-856
• Pubmed ID:
  38953171
• Pubmed Central ID:
  PMC11340861
• Document Type:
  Journal Article
• Funding:
  R01 AG072634/AG/NIA NIH HHSUnited States/ ; T42 OH008412/OH/NIOSH CDC HHSUnited States/ ; T32 CA009142/CA/NCI NIH HHSUnited States/ ; Z01ES04405/Intramural Research Program of the NIH, National Institute of Environmental Health Sciences/ ; Z01 ES044005/ImNIH/Intramural NIH HHSUnited States/ ; NIH/NCI T32 CA009142/CA/NCI NIH HHSUnited States/ ; ZIA ES103325/ImNIH/Intramural NIH HHSUnited States/ ; Z1AES103325-01/ES/NIEHS NIH HHSUnited States/
• Volume:
  67
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2f680b3ac80622a9d1a96fe24d9c19a7bf1b64bee5bf0408195f5eba45903bbbeb239433d8390a17b4e568a7805dbafa2d613b3378afa56a0571b7eeb3f1c058
• Download URL:
  https://stacks.cdc.gov/view/cdc/160363/cdc_160363_DS1.pdf
• File Type:
  [PDF - 579.21 KB ]