Tags

Type your tag names separated by a space and hit enter

Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers.
Am J Epidemiol. 2017 Aug 15; 186(4):456-462.AJ

Abstract

We examined the association between effort-reward imbalance (ERI) exposure at work and unsuccessfully treated hypertension among white-collar workers from a large cohort in Quebec City, Canada. The study used a repeated cross-sectional design involving 3 waves of data collection (2000-2009). The study sample was composed of 474 workers treated for hypertension, accounting for 739 observations. At each observation, ERI was measured using validated scales, and ambulatory blood pressure (BP) was measured every 15 minutes during the working day. Unsuccessfully treated hypertension was defined as daytime ambulatory BP of at least 135/85 mm Hg and was further divided into masked and sustained hypertension. Adjusted prevalence ratios and 95% confidence intervals were estimated. Participants in the highest tertile of ERI exposure had a higher prevalence of unsuccessfully treated hypertension (prevalence ratio = 1.45, 95% confidence interval: 1.16, 1.81) after adjustment for gender, age, education, family history of cardiovascular diseases, body mass index, diabetes, smoking, sedentary behaviors, and alcohol intake. The present study supports the effect of adverse psychosocial work factors from the ERI model on BP control in treated workers. Reducing these frequent exposures at work might lead to substantial benefits on BP control at the population level.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28486615

Citation

Trudel, Xavier, et al. "Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers." American Journal of Epidemiology, vol. 186, no. 4, 2017, pp. 456-462.
Trudel X, Milot A, Gilbert-Ouimet M, et al. Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers. Am J Epidemiol. 2017;186(4):456-462.
Trudel, X., Milot, A., Gilbert-Ouimet, M., Duchaine, C., Guénette, L., Dalens, V., & Brisson, C. (2017). Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers. American Journal of Epidemiology, 186(4), 456-462. https://doi.org/10.1093/aje/kwx116
Trudel X, et al. Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers. Am J Epidemiol. 2017 Aug 15;186(4):456-462. PubMed PMID: 28486615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effort-Reward Imbalance at Work and the Prevalence of Unsuccessfully Treated Hypertension Among White-Collar Workers. AU - Trudel,Xavier, AU - Milot,Alain, AU - Gilbert-Ouimet,Mahée, AU - Duchaine,Caroline, AU - Guénette,Line, AU - Dalens,Violaine, AU - Brisson,Chantal, PY - 2016/06/03/received PY - 2016/10/03/accepted PY - 2017/5/10/pubmed PY - 2017/9/2/medline PY - 2017/5/10/entrez KW - blood pressure KW - effort-reward imbalance at work KW - hypertension treatment KW - masked uncontrolled hypertension KW - white-collar workers KW - work stress SP - 456 EP - 462 JF - American journal of epidemiology JO - Am. J. Epidemiol. VL - 186 IS - 4 N2 - We examined the association between effort-reward imbalance (ERI) exposure at work and unsuccessfully treated hypertension among white-collar workers from a large cohort in Quebec City, Canada. The study used a repeated cross-sectional design involving 3 waves of data collection (2000-2009). The study sample was composed of 474 workers treated for hypertension, accounting for 739 observations. At each observation, ERI was measured using validated scales, and ambulatory blood pressure (BP) was measured every 15 minutes during the working day. Unsuccessfully treated hypertension was defined as daytime ambulatory BP of at least 135/85 mm Hg and was further divided into masked and sustained hypertension. Adjusted prevalence ratios and 95% confidence intervals were estimated. Participants in the highest tertile of ERI exposure had a higher prevalence of unsuccessfully treated hypertension (prevalence ratio = 1.45, 95% confidence interval: 1.16, 1.81) after adjustment for gender, age, education, family history of cardiovascular diseases, body mass index, diabetes, smoking, sedentary behaviors, and alcohol intake. The present study supports the effect of adverse psychosocial work factors from the ERI model on BP control in treated workers. Reducing these frequent exposures at work might lead to substantial benefits on BP control at the population level. SN - 1476-6256 UR - https://www.unboundmedicine.com/medline/citation/28486615/Effort_Reward_Imbalance_at_Work_and_the_Prevalence_of_Unsuccessfully_Treated_Hypertension_Among_White_Collar_Workers_ L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/kwx116 DB - PRIME DP - Unbound Medicine ER -