Life-course exposure to job strain and ambulatory blood pressure in men

被引:69
作者
Landsbergis, PA
Schnall, PL
Pickering, TG
Warren, K
Schwartz, JE
机构
[1] CUNY Mt Sinai Sch Med, Dept Community & Prevent Med, New York, NY 10029 USA
[2] Mt Sinai Sch Med, Div Cardiol, Dept Med, New York, NY USA
[3] Univ Calif Irvine, Ctr Occupat & Environm Med, Irvine, CA USA
[4] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
[5] Columbia Univ, Mailman Sch Publ Hlth, Stony Brook, NY USA
关键词
blood pressure; blood pressure monitoring; ambulatory; employment; hypertension; social class; stress; work;
D O I
10.1093/aje/kwg095
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This 1985-1995 study was designed to assess the association between blood pressure (measured by using an ambulatory monitor) and history of exposure to job strain. Items from the Job Content Questionnaire were completed by 213 employed men, aged 30-60 years at entry into the Work Site Blood Pressure Study in New York City, New York, for each previous job they had held. The systolic blood pressure of men employed for greater than or equal to25 years who were exposed to job strain for 50% of their work life was 4.8 mmHg (95% confidence interval: -3.7, 13.4) higher at work and 7.9 mmHg (95% confidence interval: 0.8, 15.0) higher at home than that of men with no past exposure, independent of current exposure. Evidence was inconsistent for the hypothesis of rapid induction of/recovery from the effects of job strain on blood pressure, and there was little effect of past job strain on diastolic blood pressure. These findings provide some support for the hypothesis of an effect of cumulative burden of exposure to job strain on systolic blood pressure.
引用
收藏
页码:998 / 1006
页数:9
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