Job strain and ambulatory blood pressure: a meta-analysis and systematic review
We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulat...
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| Veröffentlicht in: | American journal of public health (1971) 2013-03, Vol.103 (3), p.e61-e71 |
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| container_end_page | e71 |
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| container_title | American journal of public health (1971) |
| container_volume | 103 |
| creator | Landsbergis, Paul A Dobson, Marnie Koutsouras, George Schnall, Peter |
| description | We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies. Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association. Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions. |
| doi_str_mv | 10.2105/ajph.2012.301153 |
| format | Article |
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We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies. Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association. Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/ajph.2012.301153</identifier><identifier>PMID: 23327240</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Bias ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Cross-sectional studies ; Employment - psychology ; Female ; Humans ; Hypertension ; Hypertension - epidemiology ; Hypertension - etiology ; Hypertension - psychology ; Internal validity ; Longitudinal studies ; Male ; Meta-analysis ; Occupational stress ; Online Systematic Review ; Public health ; Search strategies ; Stress ; Stress, Psychological - etiology ; Stress, Psychological - physiopathology ; Stress, Psychological - psychology ; Studies ; Systematic review ; Validity ; Working hours ; Workload - psychology ; Workload - statistics & numerical data</subject><ispartof>American journal of public health (1971), 2013-03, Vol.103 (3), p.e61-e71</ispartof><rights>Copyright American Public Health Association Mar 2013</rights><rights>American Public Health Association 2013 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-e72ee0c29b9fc0f75cbee66854e0c54664173d139ba8949e83dd19576e9886bf3</citedby><cites>FETCH-LOGICAL-c537t-e72ee0c29b9fc0f75cbee66854e0c54664173d139ba8949e83dd19576e9886bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673518/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673518/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23327240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Landsbergis, Paul A</creatorcontrib><creatorcontrib>Dobson, Marnie</creatorcontrib><creatorcontrib>Koutsouras, George</creatorcontrib><creatorcontrib>Schnall, Peter</creatorcontrib><title>Job strain and ambulatory blood pressure: a meta-analysis and systematic review</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies. Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association. Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions.</description><subject>Bias</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cross-sectional studies</subject><subject>Employment - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - etiology</subject><subject>Hypertension - psychology</subject><subject>Internal validity</subject><subject>Longitudinal studies</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>Occupational stress</subject><subject>Online Systematic Review</subject><subject>Public health</subject><subject>Search strategies</subject><subject>Stress</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - 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| ispartof | American journal of public health (1971), 2013-03, Vol.103 (3), p.e61-e71 |
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| source | MEDLINE; PAIS Index; EBSCOhost Business Source Complete; EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Bias Blood Pressure Blood Pressure Monitoring, Ambulatory Cross-sectional studies Employment - psychology Female Humans Hypertension Hypertension - epidemiology Hypertension - etiology Hypertension - psychology Internal validity Longitudinal studies Male Meta-analysis Occupational stress Online Systematic Review Public health Search strategies Stress Stress, Psychological - etiology Stress, Psychological - physiopathology Stress, Psychological - psychology Studies Systematic review Validity Working hours Workload - psychology Workload - statistics & numerical data |
| title | Job strain and ambulatory blood pressure: a meta-analysis and systematic review |
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