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Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand-control-support and effort-reward imbalance models.
Scand J Work Environ Health. 2014 Mar; 40(2):109-32.SJ

Abstract

OBJECTIVES

A growing body of research has investigated the adverse effects of psychosocial work factors on blood pressure (BP) elevation. There is now a clear need for an up-to-date, critical synthesis of reliable findings on this topic. This systematic review aimed to evaluate the adverse effects of psychosocial work factors of both the demand-control-support (DCS) and effort-reward imbalance (ERI) models on BP among men and women, according to the methodological quality of the studies.

METHODS

To be eligible, studies had to: (i) evaluate at least one psychosocial work factor, (ii) evaluate BP or hypertension, (iii) comprise ≥100 workers, (iv) be written in English or French, and (v) be published in a peer-reviewed journal.

RESULT

A total of 74 studies were included. Of these, 64 examined the DCS model, and 12 looked at the ERI model, with 2 studies considering both models. Approximately half the studies observed a significant adverse effect of psychosocial work factors on BP. A more consistent effect was observed, however, among men than women. For job strain, a more consistent effect was also observed in studies of higher methodological quality, ie, studies using a prospective design and ambulatory BP measures.

CONCLUSIONS

A more consistent adverse effect of psychosocial work factors was observed among men than women and in studies of higher methodological quality. These findings contribute to the current effort of primary prevention of cardiovascular disease by documenting the psychosocial etiology of elevated BP, a major cardiovascular risk factor.

Authors+Show Affiliations

Population health research unit, St-Sacrement hospital, 1050, Chemin Ste-Foy, Quebec City, Quebec, Canada G1S 4L8. mahee.g.ouimet@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

24108310

Citation

Gilbert-Ouimet, Mahée, et al. "Adverse Effects of Psychosocial Work Factors On Blood Pressure: Systematic Review of Studies On Demand-control-support and Effort-reward Imbalance Models." Scandinavian Journal of Work, Environment & Health, vol. 40, no. 2, 2014, pp. 109-32.
Gilbert-Ouimet M, Trudel X, Brisson C, et al. Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand-control-support and effort-reward imbalance models. Scand J Work Environ Health. 2014;40(2):109-32.
Gilbert-Ouimet, M., Trudel, X., Brisson, C., Milot, A., & Vézina, M. (2014). Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand-control-support and effort-reward imbalance models. Scandinavian Journal of Work, Environment & Health, 40(2), 109-32. https://doi.org/10.5271/sjweh.3390
Gilbert-Ouimet M, et al. Adverse Effects of Psychosocial Work Factors On Blood Pressure: Systematic Review of Studies On Demand-control-support and Effort-reward Imbalance Models. Scand J Work Environ Health. 2014;40(2):109-32. PubMed PMID: 24108310.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand-control-support and effort-reward imbalance models. AU - Gilbert-Ouimet,Mahée, AU - Trudel,Xavier, AU - Brisson,Chantal, AU - Milot,Alain, AU - Vézina,Michel, Y1 - 2013/10/09/ PY - 2013/10/11/entrez PY - 2013/10/11/pubmed PY - 2014/12/15/medline SP - 109 EP - 32 JF - Scandinavian journal of work, environment & health JO - Scand J Work Environ Health VL - 40 IS - 2 N2 - OBJECTIVES: A growing body of research has investigated the adverse effects of psychosocial work factors on blood pressure (BP) elevation. There is now a clear need for an up-to-date, critical synthesis of reliable findings on this topic. This systematic review aimed to evaluate the adverse effects of psychosocial work factors of both the demand-control-support (DCS) and effort-reward imbalance (ERI) models on BP among men and women, according to the methodological quality of the studies. METHODS: To be eligible, studies had to: (i) evaluate at least one psychosocial work factor, (ii) evaluate BP or hypertension, (iii) comprise ≥100 workers, (iv) be written in English or French, and (v) be published in a peer-reviewed journal. RESULT: A total of 74 studies were included. Of these, 64 examined the DCS model, and 12 looked at the ERI model, with 2 studies considering both models. Approximately half the studies observed a significant adverse effect of psychosocial work factors on BP. A more consistent effect was observed, however, among men than women. For job strain, a more consistent effect was also observed in studies of higher methodological quality, ie, studies using a prospective design and ambulatory BP measures. CONCLUSIONS: A more consistent adverse effect of psychosocial work factors was observed among men than women and in studies of higher methodological quality. These findings contribute to the current effort of primary prevention of cardiovascular disease by documenting the psychosocial etiology of elevated BP, a major cardiovascular risk factor. SN - 1795-990X UR - https://www.unboundmedicine.com/medline/citation/24108310/Adverse_effects_of_psychosocial_work_factors_on_blood_pressure:_systematic_review_of_studies_on_demand_control_support_and_effort_reward_imbalance_models_ L2 - https://www.sjweh.fi/show_abstract.php?abstract_id=3390 DB - PRIME DP - Unbound Medicine ER -