Why the Workplace and Cardiovascular Disease?

Details

• Personal Author:
  Baker, Dean B. ; Belkic K ; Landsbergis P ; Schnall P ; Baker, Dean B. ; Belkic K ; Landsbergis P ; Schnall P
• Description:
  As will be demonstrated in this volume, an emerging body of evidence implicates specific features of work as important causes of hypertension as well as other manifestations of CVD. Chapters 2-5 explore this empirical evidence and the theoretical constructs concerning the relationship between the workplace and CVD. Psychosocial factors identified with the workplace are a particular focus. We develop the paradigm of "econeurocardiology" as a conceptual bridge which renders plausible the various theoretical constructs of work stress as they relate to CVD. The econeurocardiology concept offers a framework in which the reader can understand how these stress mechanisms give rise to various cardiovascular target organ responses. Chapter 6 explores the methodological issues in the measurement of psychosocial factors at the workplace. Recommendations are made on how to improve the reliability, validity, and feasibility of these measures. Chapters 7-10 offer the clinician a set of tools for the evaluation and management of working people at risk for heart disease. A new, more advanced approach to "occupational cardiology" is presented. Chapters 11-13 provide a public health overview, addressing economics and the legislative, legal, and preventive interventions necessary to deal with this workplace-induced CVD epidemic. Finally, Chapter 14 summarizes the evidence, makes the case for a causal relationship between the workplace and CVD, and discusses the implications of the trends toward deteriorating working conditions (e.g., lean production, downsizing, and longer work hours). These trends may result in greater exposure to psychosocial risk factors at the workplace, which may, in turn, increase the CVD epidemic. Since this CVD epidemic is engendered, at least in part, by the social organization of work and other noxious workplace exposures, primary prevention may be possible via interventions aimed at improving the work environment. Legislative changes and public health interventions can help create a climate in which healthy work becomes the priority. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Diagnosis Occupational Health Safety Stress, Psychological
• Keywords:
  Blood Pressure Cardiac Function Cardiology Cardiovascular Disease Clinical Diagnosis Heart Disease Hypertension Job Stress Psychosocial Factors
• ISSN:
  0885-114X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  California ; 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
• Pages in Document:
  1-5
• Volume:
  15
• Issue:
  1
• NIOSHTIC Number:
  nn:20058211
• Citation:
  Occup Med: State of the Art Rev 2000 Jan-Mar; 15(1):1-5
• Federal Fiscal Year:
  2000
• Performing Organization:
  University of California, School of Public Health, Los Angeles, CA
• Peer Reviewed:
  True
• Start Date:
  19990701
• Source Full Name:
  Occupational Medicine: State of the Art Reviews
• End Date:
  20040630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:01eeb2a8090a5a0a779a7b6843dc6382d1a5194d62eeab18526197601a51b8fd25590ee7101b822dabfca2cda86a8bd2217ba41f3c8c591958bf52eb4b854eb1
• Download URL:
  https://stacks.cdc.gov/view/cdc/221345/cdc_221345_DS1.pdf
• File Type:
  [PDF - 220.02 KB ]