Occupational stress and hypertension

Department of Physiology and Pharmacology, Hypertension Research Unit, Sackler School of Medicine, Tel Aviv University, Israel.
Journal of the American Society of Hypertension (JASH) (Impact Factor: 2.61). 02/1982; 6(1):2-22. DOI: 10.1016/j.jash.2011.09.002
Source: PubMed


Occupational stress, or job strain, resulting from a lack of balance between job demands and job control, is considered one of the frequent factors in the etiology of hypertension in modern society. Stress, with its multifactorial causes, is complex and difficult to analyze at the physiological and psychosocial levels. The possible relation between job strain and blood pressure levels has been extensively studied, but the literature is replete with conflicting results regarding the relationship between the two. Further analysis of this relationship, including the many facets of job strain, may lead to operative proposals at the individual and public health levels designed to reduce the effects on health and well-being. In this article, we review the literature on the subject, discussing the various methodologies, confounding variables, and suggested approaches for a healthier work environment.

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    • "Although most studies point to a positive association between psychosocial work stressors and cardiovascular disease risk factors (CVDRF) or cardiovascular disease [Backe et al., 2012; Kivimaki et al., 2012; Choi et al., 2013; Landsbergis et al., 2013], the literature also includes some findings of inverse or null associations [Eaker et al., 2004; Olesen et al., 2012; Rosenthal and Alter, 2012; Szerencsi et al., 2012]. "
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    ABSTRACT: Background Psychosocial job factors (PJF) have been implicated in the development of cardiovascular disease. The paucity of data from developing economies including Mexico hampers the development of worksite intervention efforts in those regions.Methods This cross-sectional study of 2,330 Mexican workers assessed PJF (job strain [JS], social support [SS], and job insecurity [JI]) and biological cardiovascular disease risk factors [CVDRF] by questionnaire and on-site physical examinations. Alternative formulations of the JS scales were developed based on factor analysis and literature review. Associations between both traditional and alternative job factor scales with CVDRF were examined in multiple regression models, adjusting for physical workload, and socio-demographic factors.ResultsAlternative formulations of the job demand and control scales resulted in substantial changes in effect sizes or statistical significance when compared with the original scales. JS and JI showed hypothesized associations with most CVDRF, but they were inversely associated with diastolic blood pressure and some adiposity measures. SS was mainly protective against CVDRF.Conclusion Among Mexican workers, alternative PJF scales predicted health outcomes better than traditional scales, and psychosocial stressors were associated with most CVDRF. Am. J. Ind. Med. 58:331-351, 2015. © 2015 Wiley Periodicals, Inc.
    American Journal of Industrial Medicine 02/2015; 58(3):331-351. DOI:10.1002/ajim.22410 · 1.74 Impact Factor
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    • "Rosenthal and Alter [2012] enumerated a variety of work-related characteristics that are potential risk factors for hypertension development. They include: irregular work schedules, time pressures, repetitive routine or monotonous activities, contact with the public, solitary or interactive tasks, and controllable or uncontrollable tasks, lack of autonomy, co-worker conflicts, unfair treatments, and ambiguous or contradictory work demands [Rosenthal and Alter, 2012]. Hotel housekeeping is a high stress job with characteristics that increase the risk for hypertension [Hunter Powell and Watson, 2006; Rugulies et al., 2008; Krause et al., 2009; Lee and Krause, 2002]. "
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    ABSTRACT: Background Characteristics of hotel housekeeping work increase the risk for hypertension development. Little is known about the influences of such work on hypertension management. Methods For this qualitative study, 27 Haitian immigrant hotel housekeepers from Miami-Dade County, FL were interviewed. Interview transcripts were analyzed with the assistance of the Atlas.ti software for code and theme identification. ResultsInfluences of hotel housekeeping work on hypertension management arose both at the individual and system levels. Factors at the individual level included co-worker dynamics and maintenance of transmigrant life. Factors at the system level included supervisory support, workload, work pace, and work hiring practices. No positive influences were reported for workload and hiring practices. Conclusions Workplace interventions may be beneficial for effective hypertension management among hotel housekeepers. These work influences must be considered when determining effective methods for hypertension management among hotel housekeepers. Am. J. Ind. Med. 56:1402-1413. (c) 2013 Wiley Periodicals, Inc.
    American Journal of Industrial Medicine 12/2013; 56(12). DOI:10.1002/ajim.22209 · 1.74 Impact Factor
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    • "Occupational stress is considered to result from a combination of high demands with low decision latitude in the workplace [2]. Harmful physical and emotional responses occur when the requirements of a job do not match the capabilities, resources, or needs of the worker. "
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    ABSTRACT: Surgeons serve one of the most challenging and stressful professions. Ineffective control of occupational stress leads to burnout of the surgeon. The aim of this study was to obtain preliminary data on the sources and the degree of stress of surgeons and to determine the feasibility of the survey. A total of 63 surgeons in our three affiliated hospitals were enrolled in this study. Fifty-five questions were used to assess the demographics, characteristics and Korean occupational stress scale (KOSS), which were prepared and validated by the National Study for Development and Standardization of Occupational Stress. Forty-seven of the 63 surgeons participated in this study (74.6%). The mean KOSS score of the survey was 50.9 ± 8.55, which was significantly higher than that of other professions (P < 0.01). Drinking and smoking habits were not related to the KOSS score. Doing exercise was related to a low KOSS score in terms of low KOSS total score (P < 0.01). Average duty hours (P < 0.01) and night duty days per week (P = 0.01) were strongly related to higher KOSS in the linear regression analysis. This is the first study to evaluate job stress of surgeons in Korea. This study showed that Korean Surgeons had higher occupational stress than other Korean professions. A larger study based on this pilot study will help generate objective data for occupational stress of Korean Surgeons by performing a survey of the members of the Korean Surgical Society.
    Journal of the Korean Surgical Society 05/2013; 84(5):261-6. DOI:10.4174/jkss.2013.84.5.261 · 0.73 Impact Factor
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