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Job strain, occupational category, and hypertension prevalence: The Multi-Ethnic Study of Atherosclerosis
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Nov 2015
Source: J Occup Environ Med. 57(11):1178-1184 -
Alternative Title:J Occup Environ Med
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Description:Objective
To assess associations of occupational categories and job characteristics with prevalent hypertension.
Methods
We analyzed 2,517 Multi-Ethnic Study of Atherosclerosis (MESA) participants, working 20+ hours per week, in 2002–4.
Results
Higher job decision latitude was associated with a lower prevalence of hypertension, prevalence ratio (PR)=0.78 (95% CI 0.66–0.91) for the top vs. bottom quartile of job decision latitude. However, associations differed by occupation: decision latitude was associated with a higher prevalence of hypertension in healthcare support occupations (interaction p=.02). Occupation modified associations of gender with hypertension: a higher prevalence of hypertension in women (vs men) was observed in healthcare support and in blue-collar occupations (interaction p=.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 gender on hypertension across occupations.
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Subject:
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Pubmed ID:26539765
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Pubmed Central ID:PMC4636023
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