Job strain, occupational category, and hypertension prevalence: The Multi-Ethnic Study of Atherosclerosis

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Landsbergis, Paul A. ; Diez-Roux, Ana V. ; Fujishiro, Kaori ; Baron, Sherry ; Kaufman, Joel D. ; Meyer, John D. ; Koutsouras, George ; Shimbo, Daichi ; Shrager, Sandi ; Stukovsky, Karen Hinckley ; Szklo, Moyses
• 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.
  
  
• Keywords:
  Aged Aged, 80 And Over Blood Pressure Cross-Sectional Studies Female Humans Hypertension Job Strain Male Middle Aged Models, Statistical Occupation Occupational Diseases Occupations Prevalence Risk Factors Sex Factors Stress, Psychological United States

  More +
• Source:
  J Occup Environ Med. 57(11):1178-1184
• Pubmed ID:
  26539765
• Pubmed Central ID:
  PMC4636023
• Document Type:
  Journal Article
• Funding:
  N01-HC-95162/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95163/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95168/HC/NHLBI NIH HHSUnited States/ ; P01 HL047540/HL/NHLBI NIH HHSUnited States/ ; N01HC95169/HL/NHLBI NIH HHSUnited States/ ; K24 ES013195/ES/NIEHS NIH HHSUnited States/ ; K24ES013195/ES/NIEHS NIH HHSUnited States/ ; N01-HC-95159/HC/NHLBI NIH HHSUnited States/ ; T32 ES015459/ES/NIEHS NIH HHSUnited States/ ; N01-HC-95165/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95169/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95164/HC/NHLBI NIH HHSUnited States/ ; N01HC95159/HL/NHLBI NIH HHSUnited States/ ; CC999999/Intramural CDC HHSUnited States/ ; N01-HC-95160/HC/NHLBI NIH HHSUnited States/ ; FY08 CRN SLB8/PHS HHSUnited States/ ; N01-HC-95161/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95166/HC/NHLBI NIH HHSUnited States/ ; N01 HC095159/HC/NHLBI NIH HHSUnited States/ ; N01-HC-95167/HC/NHLBI NIH HHSUnited States/
• Volume:
  57
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:760783f70e2fb82ff6d36b685d53b090a0095792583da2d42aba816c840c30e5
• Download URL:
  https://stacks.cdc.gov/view/cdc/37420/cdc_37420_DS1.pdf
• File Type:
  [PDF - 641.39 KB ]