Job control and ambulatory blood pressure

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dc.contributor.authorMcCarthy, Vera J. C.
dc.contributor.authorPerry, Ivan J.
dc.contributor.authorGreiner, Birgit A.
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2016-06-02T11:26:18Z
dc.date.available2016-06-02T11:26:18Z
dc.date.issued2014-09
dc.date.updated2015-01-15T15:40:07Z
dc.description.abstractObjective: 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.sponsorshipHealth Research Board (Centre for Health and Diet Research Grant Ref. HRC/2007/13)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcCarthy, 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.3435en
dc.identifier.doi10.5271/sjweh.3435
dc.identifier.endpage464en
dc.identifier.issn0355-3140
dc.identifier.journaltitleScandinavian Journal of Work, Environment and Healthen
dc.identifier.startpage457en
dc.identifier.urihttps://hdl.handle.net/10468/2675
dc.identifier.volume40en
dc.language.isoenen
dc.publisherNordic Association of Occupational Safety and Healthen
dc.rights© 2014, Scandinavian Journal of Work, Environment and Health.en
dc.subjectDBPen
dc.subjectSBPen
dc.subjectCardiovascular diseaseen
dc.subjectCoronary heart diseaseen
dc.subjectDiastolic blood pressureen
dc.subjectHypertensionen
dc.subjectJob strainen
dc.subjectPsychosocialen
dc.subjectStressen
dc.subjectSystolic blood pressureen
dc.subjectWork stressen
dc.subjectNocturnal hypertensionen
dc.subjectProspective cohorten
dc.subjectStrainen
dc.subjectMortalityen
dc.subjectHealthen
dc.subjectWomenen
dc.subjectMenen
dc.subjectMeta-analysisen
dc.subjectDiseaseen
dc.titleJob control and ambulatory blood pressureen
dc.typeArticle (peer-reviewed)en
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