Job strain and masked hypertension

Psychosomatic Medicine
Xavier TrudelAlain Milot

Abstract

To determine whether psychosocial work characteristics are associated with the prevalence of masked hypertension in a population of white collar workers. White-collar workers were recruited from three public organizations. Blood pressure (BP) was measured at the workplace for manual measurements (mean of the first three readings taken by a trained assistant) followed by ambulatory measurements (mean of all subsequent readings taken during the working day). Masked hypertension (MH) was defined as manual BP <140/90 mm Hg, and ambulatory BP ≥135/85 mm Hg. Job strain was evaluated, using the quadrant method for exposure assessment, as well as alternative formulations. BP measurements were obtained from 2,357 workers (80% participation, 61% women; mean age, 44 years). For men, being in the active group (high psychological demands and high decision latitude) was associated with MH (adjusted odds ratio, 2.07; 95% confidence interval, 1.30-3.31). No significant association with a higher prevalence of MH was observed in women. MH is associated with job strain in men. Workers in "active" job situations may be more likely to have the condition.

References

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Citations

May 25, 2013·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Paul A LandsbergisPeter L Schnall
Jan 19, 2013·American Journal of Public Health·Paul A LandsbergisPeter Schnall
Jan 10, 2013·Annual Review of Public Health·Andrew Steptoe, Mika Kivimäki
Nov 8, 2015·American Journal of Hypertension·Lawrence R Krakoff
Mar 26, 2013·Journal of the American Society of Hypertension : JASH·Yuichiro Yano, George L Bakris
Oct 26, 2011·Journal of the American Society of Hypertension : JASH·Talma Rosenthal, Ariela Alter
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Oct 3, 2015·Current Hypertension Reports·Shia T KentPaul Muntner
Feb 7, 2014·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Paolo Palatini
Mar 14, 2018·International Journal of Epidemiology·Xavier TrudelUNKNOWN Collaborators
Dec 20, 2017·Hypertension·Frederic BauerTimm H Westhoff
Sep 27, 2018·European Journal of Preventive Cardiology·Xavier TrudelAlain Milot
Oct 8, 2014·Hypertension·Stanley S FranklinJan A Staessen
Jun 7, 2019·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Mathilde Lavigne-RobichaudChantal Brisson
Aug 14, 2012·Journal of Occupational and Environmental Medicine·Evelyn P DavilaPeter Nsubuga
Jun 24, 2017·Journal of Human Hypertension·P BoucherC Brisson
Jun 18, 2018·Current Hypertension Reports·Olga E Redina, Arcady L Markel
May 4, 2020·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Vincenzo CesarioGiuliano Tocci
Oct 13, 2018·Current Cardiology Reports·Xavier TrudelAlain Milot

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