Hypertension: Could Lowering Job Strain Be a Specific Therapeutic Modality?

Details

• Personal Author:
  Schnall P ; Schnall P
• Description:
  There is a well-established link between hypertension (elevated BP) and increased risk for stroke and heart disease. Indeed, recognition of rapidly rising rates of stroke and heart attack following World War II led to intensive efforts by private organizations like the American Heart Association and agencies of the U.S. government to modify known risk factors for CVD. This led, in tum, to the conduct of a number of clinical trials that demonstrated the effectiveness of treating hypertension with medications to lower BP with consequent reduction in stroke and CVD morbidity and mortality. It is now well-established medical practice to place individuals on medication for hypertension if clinic-ascertained BPs exceed 140/90 mmHg. Unfortunately, the primary cause(s) of hypertension and CVD-which recent evidence suggests is, in part, a product of the organization and nature of work-remains neglected as potential arenas for intervention and primary prevention. In the U.S., the focus is on medical treatment of individuals with elevated BP. Given the widespread availability of effective pharmacologic and nonpharmacologic treatment for hypertension, the reader may appropriately ask, "Why should we bother with interventions aimed at preventing/reducing work-related stress and/or changing the workplace?" The following pages address this question. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Delivery Of Health Care Occupational Health Risk Assessment Risk Factors Safety Stress, Psychological
• Keywords:
  Blood Pressure Cardiovascular Disease Heart Disease Hypertension Job Stress Medical Care Medical Screening Risk 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:
  233-238
• Volume:
  15
• Issue:
  1
• NIOSHTIC Number:
  nn:20058213
• Citation:
  Occup Med: State of the Art Rev 2000 Jan-Mar; 15(1):233-238
• 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:c5b3a81a222ded320a3f415c7ee96a8c9b2ff2f1c00766b9f88c128ae63c7378c2cb9a064ff369c13446cec60fa0d468b26fb770a5fd4034e4f4fe26ef289ef3
• Download URL:
  https://stacks.cdc.gov/view/cdc/221347/cdc_221347_DS1.pdf
• File Type:
  [PDF - 502.40 KB ]