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Job strain and ambulatory blood pressure: A meta-analysis and systematic review

Author

Listed:
  • Landsbergis, P.A.
  • Dobson, M.
  • Koutsouras, G.
  • Schnall, P.

Abstract

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.

Suggested Citation

  • Landsbergis, P.A. & Dobson, M. & Koutsouras, G. & Schnall, P., 2013. "Job strain and ambulatory blood pressure: A meta-analysis and systematic review," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 61-71.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301153_0
    DOI: 10.2105/AJPH.2012.301153
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    Cited by:

    1. Luciana Fernandes Portela & Lucia Rotenberg & Ana Luiza Pereira Almeida & Paul Landsbergis & Rosane Harter Griep, 2013. "The Influence of Domestic Overload on the Association between Job Strain and Ambulatory Blood Pressure among Female Nursing Workers," IJERPH, MDPI, vol. 10(12), pages 1-12, November.
    2. Meneton, Pierre & Hoertel, Nicolas & Wiernik, Emmanuel & Lemogne, Cédric & Ribet, Céline & Bonenfant, Sébastien & Ménard, Joël & Goldberg, Marcel & Zins, Marie, 2018. "Work environment mediates a large part of social inequalities in the incidence of several common cardiovascular risk factors: Findings from the Gazel cohort," Social Science & Medicine, Elsevier, vol. 216(C), pages 59-66.
    3. Rémi Colin-Chevalier & Bruno Pereira & Amanda Clare Benson & Samuel Dewavrin & Thomas Cornet & Frédéric Dutheil, 2022. "The Protective Role of Job Control/Autonomy on Mental Strain of Managers: A Cross-Sectional Study among Wittyfit’s Users," IJERPH, MDPI, vol. 19(4), pages 1-10, February.
    4. Katharina Otani & Rei Haruyama & Stuart Gilmour, 2018. "Prevalence and Correlates of Hypertension among Japanese Adults, 1975 to 2010," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    5. Solja T Nyberg & Eleonor I Fransson & Katriina Heikkilä & Lars Alfredsson & Annalisa Casini & Els Clays & Dirk De Bacquer & Nico Dragano & Raimund Erbel & Jane E Ferrie & Mark Hamer & Karl-Heinz Jöcke, 2013. "Job Strain and Cardiovascular Disease Risk Factors: Meta-Analysis of Individual-Participant Data from 47,000 Men and Women," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-6, June.
    6. Leidjaira Lopes Juvanhol & Enirtes Caetano Prates Melo & Marilia Sá Carvalho & Dóra Chor & José Geraldo Mill & Rosane Härter Griep, 2017. "Job Strain and Casual Blood Pressure Distribution: Looking beyond the Adjusted Mean and Taking Gender, Age, and Use of Antihypertensives into Account. Results from ELSA-Brasil," IJERPH, MDPI, vol. 14(4), pages 1-19, April.
    7. Sophie-Charlotte Meyer & Lena Hünefeld, 2018. "Challenging Cognitive Demands at Work, Related Working Conditions, and Employee Well-Being," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    8. Bettina Wollesen & Diane Hagemann & Katharina Pabst & Ramona Schlüter & Laura L. Bischoff & Ann-Kathrin Otto & Carolin Hold & Annika Fenger, 2019. "Identifying Individual Stressors in Geriatric Nursing Staff—A Cross-Sectional Study," IJERPH, MDPI, vol. 16(19), pages 1-13, September.

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