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Medientyp:
E-Artikel
Titel:
Job Strain and Ambulatory Blood Pressure: A Meta-Analysis and Systematic Review
Beteiligte:
Landsbergis, Paul A.;
Dobson, Marnie;
Koutsouras, George;
Schnall, Peter
Erschienen:
American Public Health Association, 2013
Erschienen in:American Journal of Public Health
Sprache:
Englisch
DOI:
10.2105/ajph.2012.301153
ISSN:
0090-0036;
1541-0048
Entstehung:
Anmerkungen:
Beschreibung:
<jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p>