Workplace psychosocial factors associated with hypertension in the U.S. workforce: a cross-sectional study based on the 2010 National Health Interview Survey.
Kaur H; Luckhaupt SE; Li J; Alterman T; Calvert GM
Am J Ind Med 2014 Sep; 57(9):1011-1021
Objective: To explore associations between self-reported hypertension and workplace psychosocial factors that are common among U.S. workers and to identify industries and occupations (I&Os) that are associated with a high prevalence of hypertension, even after adjustment for common known risk factors. Methods: Data from the 2010 National Health Interview Survey were used to examine relationships between the prevalence of self-reported hypertension and job insecurity, hostile work environment, work- family imbalance, work hours and I&O. Results: Job insecurity (adjusted prevalence ratio (aPR): 1.11; 95% confidence interval (CI): 1.04-1.19)) and hostile work environment (aPR: 1.15; 95% CI: 1.03-1.29) were significantly associated with hypertension. Hypertension prevalence was significantly elevated among those employed in Healthcare Support occupations and Public Administration industries. Conclusion: Addressing hostile work environments and the stress associated with job insecurity may improve workers' health. Other occupational factors that contribute to the variation in prevalence of hypertension by I&O should be sought.
Humans; Men; Women; Hypertension; Cardiovascular-disease; Cardiovascular-system; Cardiovascular-system-disease; Psychology; Psychological-effects; Sociological-factors; Exposure-levels; Risk-factors; Workers; Work-environment; Statistical-analysis; Violence-prevention; Age-groups; Questionnaires; Racial-factors; Demographic-characteristics; Surveillance-programs;
Author Keywords: hypertension; occupational health; occupational exposures; national survey
Sara E. Luckhaupt,MD,MPH,National Institute for Occupational Safety and Health,4676 Columbia Parkway,R-17, Cincinnati,OH 45226
American Journal of Industrial Medicine