Paul A Landsbergis1, Ana V Diez-Roux, Kaori Fujishiro, Sherry Baron, Joel D Kaufman, John D Meyer, George Koutsouras, Daichi Shimbo, Sandi Shrager, Karen Hinckley Stukovsky, Moyses Szklo. 1. Department of Environmental and Occupational Health Sciences (Dr Landsbergis, Mr Koutsouras), State University of New York Downstate School of Public Health, Brooklyn; School of Public Health (Dr Diez-Roux), Drexel University, Philadelphia, Pennsylvania; Division of Surveillance, Hazard Evaluations, and Field Studies (Dr Fujishiro), National Institute for Occupational Safety and Health, Cincinnati, Ohio; Barry Commoner Center for Health and the Environment (Dr Baron), Queens College, New York; Department of Environmental and Occupational Health Sciences (Dr Kaufman), University of Washington, Seattle; Department of Preventive Medicine (Dr Meyer), Mount Sinai School of Medicine; Department of Medicine (Dr Shimbo), Columbia University, New York; Department of Biostatistics (Ms Shrager), University of Washington, Seattle; and Department of Epidemiology (Dr Szklo), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Abstract
OBJECTIVE: To assess associations of occupational categories and job characteristics with prevalent hypertension. METHODS: We analyzed 2517 Multi-Ethnic Study of Atherosclerosis participants, working 20+ hours per week, in 2002 to 2004. RESULTS: Higher job decision latitude was associated with a lower prevalence of hypertension, prevalence ratio = 0.78 (95% confidence interval 0.66 to 0.91) for the top versus bottom quartile of job decision latitude. Associations, however, differed by occupation: decision latitude was associated with a higher prevalence of hypertension in health care support occupations (interaction P = 0.02). Occupation modified associations of sex with hypertension: a higher prevalence of hypertension in women (vs men) was observed in health care support and in blue-collar occupations (interaction P = 0.03). CONCLUSIONS: Lower job decision latitude is associated with hypertension prevalence in many occupations. Further research is needed to determine reasons for differential impact of decision latitude and sex on hypertension across occupations.
OBJECTIVE: To assess associations of occupational categories and job characteristics with prevalent hypertension. METHODS: We analyzed 2517 Multi-Ethnic Study of Atherosclerosisparticipants, working 20+ hours per week, in 2002 to 2004. RESULTS: Higher job decision latitude was associated with a lower prevalence of hypertension, prevalence ratio = 0.78 (95% confidence interval 0.66 to 0.91) for the top versus bottom quartile of job decision latitude. Associations, however, differed by occupation: decision latitude was associated with a higher prevalence of hypertension in health care support occupations (interaction P = 0.02). Occupation modified associations of sex with hypertension: a higher prevalence of hypertension in women (vs men) was observed in health care support and in blue-collar occupations (interaction P = 0.03). CONCLUSIONS: Lower job decision latitude is associated with hypertension prevalence in many occupations. Further research is needed to determine reasons for differential impact of decision latitude and sex on hypertension across occupations.
Authors: Paul A Landsbergis; Peter L Schnall; Thomas G Pickering; Katherine Warren; Joseph E Schwartz Journal: Scand J Work Environ Health Date: 2003-06 Impact factor: 5.024
Authors: Aram V Chobanian; George L Bakris; Henry R Black; William C Cushman; Lee A Green; Joseph L Izzo; Daniel W Jones; Barry J Materson; Suzanne Oparil; Jackson T Wright; Edward J Roccella Journal: JAMA Date: 2003-05-14 Impact factor: 56.272
Authors: Diane E Bild; David A Bluemke; Gregory L Burke; Robert Detrano; Ana V Diez Roux; Aaron R Folsom; Philip Greenland; David R Jacob; Richard Kronmal; Kiang Liu; Jennifer Clark Nelson; Daniel O'Leary; Mohammed F Saad; Steven Shea; Moyses Szklo; Russell P Tracy Journal: Am J Epidemiol Date: 2002-11-01 Impact factor: 4.897
Authors: M G Marmot; G D Smith; S Stansfeld; C Patel; F North; J Head; I White; E Brunner; A Feeney Journal: Lancet Date: 1991-06-08 Impact factor: 79.321
Authors: Penelope J Allison; Neal W Jorgensen; Desta Fekedulegn; Paul Landsbergis; Michael E Andrew; Capri Foy; Karen Hinckley Stukovsky; Luenda E Charles Journal: Am J Ind Med Date: 2019-12-17 Impact factor: 2.214
Authors: Chris Calitz; Charlotte Pratt; Nicolaas P Pronk; Janet E Fulton; Kimberly Jinnett; Anne N Thorndike; Ebyan Addou; Ross Arena; Alison G M Brown; Chia-Chia Chang; Lisa Latts; Debra Lerner; Michiel Majors; Michelle Mancuso; Drew Mills; Eduardo Sanchez; David Goff Journal: J Am Heart Assoc Date: 2021-08-28 Impact factor: 5.501
Authors: Tongtan Chantarat; Eva A Enns; Rachel R Hardeman; Patricia M McGovern; Samuel L Myers; Janette Dill Journal: J Econ Race Policy Date: 2022-03-22