Landsbergis Paul A, Diez-Roux Ana V, Fujishiro Kaori, Baron Sherry, Kaufman Joel D, Meyer John D, Koutsouras George, Shimbo Daichi, Shrager Sandi, Stukovsky Karen Hinckley, Szklo Moyses
Department of Environmental and Occupational Health Sciences (Dr Landsbergis, Mr Koutsouras), State University of New York Downstate School of Public Health, Brooklyn; School of Public Health (Dr Diez-Roux), Drexel University, Philadelphia, Pennsylvania; Division of Surveillance, Hazard Evaluations, and Field Studies (Dr Fujishiro), National Institute for Occupational Safety and Health, Cincinnati, Ohio; Barry Commoner Center for Health and the Environment (Dr Baron), Queens College, New York; Department of Environmental and Occupational Health Sciences (Dr Kaufman), University of Washington, Seattle; Department of Preventive Medicine (Dr Meyer), Mount Sinai School of Medicine; Department of Medicine (Dr Shimbo), Columbia University, New York; Department of Biostatistics (Ms Shrager), University of Washington, Seattle; and Department of Epidemiology (Dr Szklo), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Occup Environ Med. 2015 Nov;57(11):1178-84. doi: 10.1097/JOM.0000000000000533.
To assess associations of occupational categories and job characteristics with prevalent hypertension.
We analyzed 2517 Multi-Ethnic Study of Atherosclerosis participants, working 20+ hours per week, in 2002 to 2004.
Higher job decision latitude was associated with a lower prevalence of hypertension, prevalence ratio = 0.78 (95% confidence interval 0.66 to 0.91) for the top versus bottom quartile of job decision latitude. Associations, however, differed by occupation: decision latitude was associated with a higher prevalence of hypertension in health care support occupations (interaction P = 0.02). Occupation modified associations of sex with hypertension: a higher prevalence of hypertension in women (vs men) was observed in health care support and in blue-collar occupations (interaction P = 0.03).
Lower job decision latitude is associated with hypertension prevalence in many occupations. Further research is needed to determine reasons for differential impact of decision latitude and sex on hypertension across occupations.
评估职业类别和工作特征与高血压患病率之间的关联。
我们分析了2002年至2004年参加多族裔动脉粥样硬化研究的2517名参与者，这些参与者每周工作20小时以上。
工作决策自由度较高与高血压患病率较低相关，工作决策自由度最高四分位数与最低四分位数相比，患病率比=0.78（95%置信区间0.66至0.91）。然而，不同职业的关联有所不同：在医疗保健支持职业中，决策自由度与高血压患病率较高相关（交互作用P=0.02）。职业改变了性别与高血压的关联：在医疗保健支持职业和蓝领职业中，女性（与男性相比）高血压患病率较高（交互作用P=0.03）。
在许多职业中，较低的工作决策自由度与高血压患病率相关。需要进一步研究以确定决策自由度和性别对不同职业高血压影响差异的原因。
