Multiple Forms of Perceived Job Discrimination and Hypertension Risk Among Employed Women: Findings from the Sister Study

Details

• Personal Author:
  Arah OA ; Coates MM ; Jackson CL ; Li J ; Matthews TA ; Sandler DP ; Arah OA ; Coates MM ; Jackson CL ; Li J ; Matthews TA ; Sandler DP
• 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 5 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 37-78 years at the start of follow-up, 10.5% reported job discrimination in the past 5 years, and 19.2% (n = 3226) reported incident hypertension during 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% (hazard ratio = 1.14 [95% confidence: 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. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Cohort Studies Occupational Health Safety Stress, Psychological Women
• Keywords:
  Author Keywords: Hypertension Blood Pressure Cohort Studies Discrimination Health Equity Hypertension Job Discrimination Job Stress Prospective Cohort Workers
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  California ; Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Volume:
  67
• Issue:
  9
• NIOSHTIC Number:
  nn:20069853
• Citation:
  Am J Ind Med 2024 Sep; 67(9):844-856
• Contact Point Address:
  Chandra L. Jackson, PhD, 111 TW Alexander Dr, MD A3-05, Research Triangle Park, NC 27709
• Email:
  Chandra.Jackson@nih.gov
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f453d851bb1b2a68232892b70617b107207ca4ad9843e1adfd98a24af1f1f08f24089295b7c93ee8ec42e07c8935068150b1ec63b8b7aa962e03e7f1373a15f3
• Download URL:
  https://stacks.cdc.gov/view/cdc/208196/cdc_208196_DS1.pdf
• File Type:
  [PDF - 906.30 KB ]