Job Strain and Ambulatory Blood Pressure: A Meta-Analysis and Systematic Review.

• Autores: Paul Landsbergis, Marnie Dobson, George Koutsouras, Peter Schnall
• Localización: American journal of public health, ISSN 0090-0036, Vol. 103, Nº. 3, 2013, págs. 61-71
• Idioma: inglés
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• Dialnet Métricas: 2 Citas
• Resumen

  • We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies. Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association. Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions. [ABSTRACT FROM AUTHOR]