Job strain and ambulatory blood pressure: A meta-analysis and systematic review

P.A. Landsbergis, M. Dobson, G. Koutsouras and P. Schnall

American Journal of Public Health, 2013, vol. 103, issue 3, e61-e71

Abstract: 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.

Keywords: blood pressure; blood pressure monitoring; employment; female; human; hypertension; male; mental stress; meta analysis; pathophysiology; psychological aspect; review; statistics; workload, Blood Pressure; Blood Pressure Monitoring, Ambulatory; Employment; Female; Humans; Hypertension; Male; Stress, Psychological; Workload (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (9)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301153_0

DOI: 10.2105/AJPH.2012.301153

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