Job control and ambulatory blood pressure

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dc.contributor.author McCarthy, Vera J. C.
dc.contributor.author Perry, Ivan J.
dc.contributor.author Greiner, Birgit A.
dc.date.accessioned 2016-06-02T11:26:18Z
dc.date.available 2016-06-02T11:26:18Z
dc.date.issued 2014-09
dc.identifier.citation McCarthy, V. J. C., Perry, I. J. and Greiner, B. A. (2014) 'Job control and ambulatory blood pressure', Scandinavian Journal of Work, Environment and Health, 40, pp. 457-464. doi: 10.5271/sjweh.3435 en
dc.identifier.volume 40 en
dc.identifier.startpage 457 en
dc.identifier.endpage 464 en
dc.identifier.issn 0355-3140
dc.identifier.uri http://hdl.handle.net/10468/2675
dc.identifier.doi 10.5271/sjweh.3435
dc.description.abstract Objective: The effect of work on blood pressure (BP) in a general population with appropriate adjustment for confounders is not well defined. High job control has been found to be associated with lower BP and with nocturnal BP dipping. However, with older workers this may be compromised and has not been studied extensively. Methods: A cross-sectional study was carried out on a primary care-based sample (N=2047) aged 50–69 years. Data were collected on sociodemographic factors, medication, clinic, and ambulatory blood pressure. Job control was measured using two scales from the Copenhagen Psychosocial Questionnaire (COPSOQ) (possibility for development and influence at work). Nocturnal systolic BP (SBP) dipping was the reduction in SBP from day- to night-time using ambulatory SBP readings. Results: In general, BP increased with age, male gender, and higher body mass index. Workers with high influence at work and high possibility for development were more likely to have high asleep SBP [odds ratio (OR) 2.13, 95% confidence interval (95% CI) 1.05–4.34, P=0.04], (OR 2.27, 95% CI 1.11–4.66, P=0.03) respectively. Influence at work and awake BP were inversely associated: awake SBP (OR 2.44, 95% CI 1.35–4.41, P<0.01), awake DBP (OR 2.42, 95% CI 1.24–4.72, P=0.01). No association was seen between job control and nocturnal SBP dipping. Conclusion: Older workers with high job control may be more at risk of cardiovascular disease resulting from high day- and night-time BP with no evidence of nocturnal dipping. en
dc.description.sponsorship Health Research Board (Centre for Health and Diet Research Grant Ref. HRC/2007/13) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Nordic Association of Occupational Safety and Health en
dc.rights © 2014, Scandinavian Journal of Work, Environment and Health. en
dc.subject DBP en
dc.subject SBP en
dc.subject Cardiovascular disease en
dc.subject Coronary heart disease en
dc.subject Diastolic blood pressure en
dc.subject Hypertension en
dc.subject Job strain en
dc.subject Psychosocial en
dc.subject Stress en
dc.subject Systolic blood pressure en
dc.subject Work stress en
dc.subject Nocturnal hypertension en
dc.subject Prospective cohort en
dc.subject Strain en
dc.subject Mortality en
dc.subject Health en
dc.subject Women en
dc.subject Men en
dc.subject Meta-analysis en
dc.subject Disease en
dc.title Job control and ambulatory blood pressure en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Vera McCarthy, Nursing and Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: v.mccarthy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2015-01-15T15:40:07Z
dc.description.version Accepted Version en
dc.internal.rssid 279269421
dc.internal.wokid 000341342300003
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Scandinavian Journal of Work, Environment and Health en
dc.internal.copyrightchecked No en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress v.mccarthy@ucc.ie en


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