Associations of depressive symptoms and brachial artery reactivity among police officers

Details

• Personal Author:
  Andrew, Michael E. ; Burchfiel CM ; Charles LE ; Dorn JM ; Gu JK ; Joseph PN ; Violanti JM
• Description:
  Objectives: Mental health has been shown to be linked with certain underlying physiological mechanisms. The objective of this cross sectional study was to investigate the relationship between depressive symptoms and brachial artery reactivity (BAR) in an understudied population: police officers. Methods: Participants were 351 police officers who were clinically examined in the Buffalo Cardio-Metabolic Police Stress (BCOPS) study. BAR was performed using standard B-Mode ultrasound procedures. Depressive symptoms were measured using the Center for Epidemiological Studies Depression (CES-D) scale. Mean values of the difference between the baseline and maximum diameters of the brachial artery were determined across three categories of CES-D score using the analysis of variance and the analysis of covariance. P-values for linear trends were obtained from linear regression models. Results: The mean age (+/- standard deviation) of all officers was 40.9 +/- 7.2 years. Women had a slightly higher mean CES-D score than men (8.9 +/- 8.9 vs. 7.4 +/- 6.4) and a slightly higher percentage increase of BAR than men (6.90 vs. 5.26%). Smoking status significantly modified the associations between depressive symptoms and BAR. Among current smokers, mean absolute values of BAR significantly decreased as depressive symptoms increased after adjustment for age, gender, race/ethnicity, hypertension, and diabetes; the multivariate-adjusted p-values were 0.033 (absolute) and 0.040 (%). Associations between depressive symptoms and BAR were not statistically significant among former smokers or never smokers. Conclusion: Depressive symptoms were inversely associated with BAR among police officers who were current smokers and together may be considered a risk factor for cardiovascular disease among police officers. Further prospective research is warranted. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Demography Emergency Responders Epidemiology Law Enforcement Men Mental Disorders Mental Health Occupational Health Risk Assessment Risk Factors Safety Smokers Stress, Psychological Tobacco Products Women

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• Keywords:
  Author Keywords: Police Cardiovascular-disease Cardiovascular-system-disease Cardiovascular-system-disorders Cardiovascular Diseases Cigarette-smoking Demographic-characteristics Depression Emergency-responders Humans Mathematical-models Mental-stress Occupational Health Police-officers Psychological-disorders Psychological-effects Psychological-stress Risk-factors Smoking Statistical-analysis Stress Ultrasound

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• ISSN:
  2093-7911
• Document Type:
  Text
• Funding:
  Grant ; Contract
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  27-36
• Volume:
  4
• Issue:
  1
• NIOSHTIC Number:
  nn:20043725
• Citation:
  Saf Health Work 2013 Mar; 4(1):27-36
• Contact Point Address:
  J. M. Violanti, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY 14214, USA
• Email:
  violanti@buffalo.edu
• Federal Fiscal Year:
  2013
• NORA Priority Area:
  Public Safety
• Performing Organization:
  State University of New York at Buffalo
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  Safety and Health at Work
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:64704dcbdea7cf25e2b88010e5a93edd98b44eacf6370afbfe52dd1a41a78ae2dcea9013b0255d009d378c653700e8f1c1c8a2259a72a6215345dc56e379cd1b
• Download URL:
  https://stacks.cdc.gov/view/cdc/195548/cdc_195548_DS1.pdf
• File Type:
  [PDF - 223.17 KB ]