Tags

Type your tag names separated by a space and hit enter

The interaction effect of effort-reward imbalance and overcommitment on hypertension among Chinese workers: findings from SHISO study.
Am J Ind Med. 2013 Dec; 56(12):1433-41.AJ

Abstract

BACKGROUND

No previous studies investigated the interaction of effort-reward imbalance (ERI) and overcommitment on blood pressure. Our aim was to investigate associations of ERI and overcommitment (and their interaction) with blood pressure and hypertension within a Chinese population.

METHODS

Seven hundred thirty-four participants from the Stress and Health in Shenzhen Workers study completed a demographics, job stressor and risk factor questionnaire, and their blood pressure was measured by mercury sphygmomanometers. Risk factors for blood pressure were analyzed by multiple linear regression and risk factors for hypertension by Poisson regression.

RESULTS

Overcommitment was associated with diastolic blood pressure after adjustment for confounders and ERI among men (β = 0.17, P < 0.05); ERI was also associated with diastolic blood pressure and systolic blood pressure after adjustment for confounders and overcommitment. High overcommitment (PR 1.91, 95% CI 1.35-2.69), and ERI (PR = 2.47, 95% CI 1.62-3.75) were each associated with risk of hypertension after adjusting for confounders. After adjusting for ERI, the association with overcommitment was no longer significant (PR = 1.24, 95% CI 0.85-1.82) However, after controlling for overcommitment, ERI remained significantly associated with hypertension risk (PR = 2.38, 95% CI 1.53-3.71). When high overcommitment and high ERI was combined, hypertension risk was highest (adjusted PR = 2.99, 95% CI 1.82-4.91, adjusted synergy index 5.85). The interaction was significant when it was tested by an interaction term in the regression (P < 0.001).

CONCLUSIONS

The interaction effect of overcommitment and ERI on hypertension was independent and synergistic.

Authors+Show Affiliations

Department of Cardiology, Peking University Third Hospital and Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24038080

Citation

Xu, Weixian, et al. "The Interaction Effect of Effort-reward Imbalance and Overcommitment On Hypertension Among Chinese Workers: Findings From SHISO Study." American Journal of Industrial Medicine, vol. 56, no. 12, 2013, pp. 1433-41.
Xu W, Yu H, Hang J, et al. The interaction effect of effort-reward imbalance and overcommitment on hypertension among Chinese workers: findings from SHISO study. Am J Ind Med. 2013;56(12):1433-41.
Xu, W., Yu, H., Hang, J., Gao, W., Zhao, Y., & Guo, L. (2013). The interaction effect of effort-reward imbalance and overcommitment on hypertension among Chinese workers: findings from SHISO study. American Journal of Industrial Medicine, 56(12), 1433-41. https://doi.org/10.1002/ajim.22254
Xu W, et al. The Interaction Effect of Effort-reward Imbalance and Overcommitment On Hypertension Among Chinese Workers: Findings From SHISO Study. Am J Ind Med. 2013;56(12):1433-41. PubMed PMID: 24038080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The interaction effect of effort-reward imbalance and overcommitment on hypertension among Chinese workers: findings from SHISO study. AU - Xu,Weixian, AU - Yu,Haiyi, AU - Hang,Juan, AU - Gao,Wei, AU - Zhao,Yiming, AU - Guo,Lijun, Y1 - 2013/09/13/ PY - 2013/08/19/accepted PY - 2013/9/17/entrez PY - 2013/9/17/pubmed PY - 2014/10/25/medline KW - chinese KW - effort-reward imbalance KW - hypertension KW - job stress KW - overcommitment SP - 1433 EP - 41 JF - American journal of industrial medicine JO - Am. J. Ind. Med. VL - 56 IS - 12 N2 - BACKGROUND: No previous studies investigated the interaction of effort-reward imbalance (ERI) and overcommitment on blood pressure. Our aim was to investigate associations of ERI and overcommitment (and their interaction) with blood pressure and hypertension within a Chinese population. METHODS: Seven hundred thirty-four participants from the Stress and Health in Shenzhen Workers study completed a demographics, job stressor and risk factor questionnaire, and their blood pressure was measured by mercury sphygmomanometers. Risk factors for blood pressure were analyzed by multiple linear regression and risk factors for hypertension by Poisson regression. RESULTS: Overcommitment was associated with diastolic blood pressure after adjustment for confounders and ERI among men (β = 0.17, P < 0.05); ERI was also associated with diastolic blood pressure and systolic blood pressure after adjustment for confounders and overcommitment. High overcommitment (PR 1.91, 95% CI 1.35-2.69), and ERI (PR = 2.47, 95% CI 1.62-3.75) were each associated with risk of hypertension after adjusting for confounders. After adjusting for ERI, the association with overcommitment was no longer significant (PR = 1.24, 95% CI 0.85-1.82) However, after controlling for overcommitment, ERI remained significantly associated with hypertension risk (PR = 2.38, 95% CI 1.53-3.71). When high overcommitment and high ERI was combined, hypertension risk was highest (adjusted PR = 2.99, 95% CI 1.82-4.91, adjusted synergy index 5.85). The interaction was significant when it was tested by an interaction term in the regression (P < 0.001). CONCLUSIONS: The interaction effect of overcommitment and ERI on hypertension was independent and synergistic. SN - 1097-0274 UR - https://www.unboundmedicine.com/medline/citation/24038080/The_interaction_effect_of_effort_reward_imbalance_and_overcommitment_on_hypertension_among_Chinese_workers:_findings_from_SHISO_study_ L2 - https://doi.org/10.1002/ajim.22254 DB - PRIME DP - Unbound Medicine ER -