Job strain, occupational category, systolic blood pressure, and hypertension prevalence: the Multi-Ethnic Study of Atherosclerosis

Details

• Personal Author:
  Baron, Sherry L. ; Diez-Roux AV ; Fujishiro K ; Hinckley Stukovsky KH ; Kaufman JD ; Koutsouras G ; Landsbergis PA ; Meyer, J. D. ; Shimbo D ; Shrager S ; Szklo M
• Description:
  Objective: To assess associations of occupational categories and job characteristics with prevalent hypertension. Methods: We analyzed 2517 Multi-Ethnic Study of Atherosclerosis participants, working 20+ hours per week, in 2002 to 2004. Results: Higher job decision latitude was associated with a lower prevalence of hypertension, prevalence ratio =0.78 (95% confidence interval 0.66 to 0.91) for the top versus bottom quartile of job decision latitude. Associations, however, differed by occupation: decision latitude was associated with a higher prevalence of hypertension in health care support occupations (interaction P=0.02). Occupation modified associations of sex with hypertension: a higher prevalence of hypertension in women (vs men) was observed in health care support and in blue-collar occupations (interaction P=0.03). Conclusions: Lower job decision latitude is associated with hypertension prevalence in many occupations. Further research is needed to determine reasons for differential impact of decision latitude and sex on hypertension across occupations. [Description provided by NIOSH]
• Subjects:
  Blood Cardiovascular Diseases Cardiovascular System Decision Making Health Personnel Men Occupational Health Race Factors Safety Sex Characteristics Stress, Psychological Women

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• Keywords:
  Blood-pressure Blood-vessels Cardiovascular-disease Cardiovascular-system-disease Decision-making Health-care-personnel Humans Hypertension Job-analysis Job-stress Occupations Racial-factors Sex-factors Surveillance Systolic-pressure Worker-health

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• ISSN:
  1076-2752
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; New York ; Ohio ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; Pennsylvania ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  11
• NIOSHTIC Number:
  nn:20046971
• Citation:
  J Occup Environ Med 2015 Nov; 57(11):1178-1184
• Contact Point Address:
  Paul A. Landsbergis, PhD, Department of Environmental and Occupational Health Sciences, School of Public Health, SUNY-Downstate Medical Center, MSC 43, 450 Clarkson Ave., Brooklyn, NY 11203
• Email:
  paul.landsbergis@downstate.edu
• Federal Fiscal Year:
  2016
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c502266cf6be0516cc730377ec672927facd41a9bcd485a3292b7760d0bd4dd162ca965bbdcf19a8b6955d7e10b5edc640764eb487a937fbedb7d23f5a2a2c98
• Download URL:
  https://stacks.cdc.gov/view/cdc/202218/cdc_202218_DS1.pdf
• File Type:
  [PDF - 288.65 KB ]