Job strain, occupational category, and hypertension prevalence: The Multi-Ethnic Study of Atherosclerosis
Published Date:Nov 2015
Source:J Occup Environ Med. 57(11):1178-1184.
Pubmed Central ID:PMC4636023
Funding:N01-HC-95162/HC/NHLBI NIH HHS/United States
N01-HC-95163/HC/NHLBI NIH HHS/United States
N01-HC-95168/HC/NHLBI NIH HHS/United States
K24 ES013195/ES/NIEHS NIH HHS/United States
K24ES013195/ES/NIEHS NIH HHS/United States
N01-HC-95159/HC/NHLBI NIH HHS/United States
T32 ES015459/ES/NIEHS NIH HHS/United States
N01-HC-95165/HC/NHLBI NIH HHS/United States
N01-HC-95169/HC/NHLBI NIH HHS/United States
N01-HC-95164/HC/NHLBI NIH HHS/United States
CC999999/Intramural CDC HHS/United States
N01-HC-95160/HC/NHLBI NIH HHS/United States
FY08 CRN SLB8/PHS HHS/United States
N01-HC-95161/HC/NHLBI NIH HHS/United States
N01-HC-95166/HC/NHLBI NIH HHS/United States
N01 HC095159/HC/NHLBI NIH HHS/United States
N01-HC-95167/HC/NHLBI NIH HHS/United States
To assess associations of occupational categories and job characteristics with prevalent hypertension.
We analyzed 2,517 Multi-Ethnic Study of Atherosclerosis (MESA) participants, working 20+ hours per week, in 2002–4.
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).
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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