Department of Epidemiology, University of California Los Angeles (UCLA), Los Angeles, California.
-Department of Environmental Health Sciences, University of California Los Angeles (UCLA), Los Angeles, California.
Am J Ind Med. 2018 Jun;61(6):492-503. doi: 10.1002/ajim.22837. Epub 2018 Mar 22.
Previously documented elevated hypertension rates among Las Vegas hotel room cleaners are hypothesized to be associated with job strain.
Job strain was assessed by questionnaire. Ambulatory blood pressure (ABP) was recorded among 419 female cleaners from five hotels during 18 waking hours. Multiple linear regression models assessed associations of job strain with ABP and pulse pressure for 18-h, work hours, and after work hours.
Higher job strain was associated with increased 18-h systolic ABP, after work hours systolic ABP, and ambulatory pulse pressure. Dependents at home but not social support at work attenuated effects. Among hypertensive workers, job strain effects were partially buffered by anti-hypertensive medication.
High job strain is positively associated with blood pressure among female hotel workers suggesting potential for primary prevention at work. Work organizational changes, stress management, and active ABP surveillance and hypertension management should be considered for integrated intervention programs.
先前有文献记录表明，拉斯维加斯酒店客房清洁员的高血压发病率较高，这与工作压力有关。
通过问卷调查评估工作压力。在 18 个清醒小时内，对来自五家酒店的 419 名女性清洁工进行了动态血压（ABP）监测。采用多元线性回归模型评估了工作压力与 ABP 和脉搏压在 18 小时、工作时间和工作后时间的相关性。
较高的工作压力与 18 小时收缩压 ABP、工作后小时收缩压 ABP 和动态脉搏压升高相关。家庭中的受赡养人，但不是工作中的社会支持，会减弱这些影响。在高血压工人中，抗高血压药物部分缓冲了工作压力的影响。
高工作压力与女性酒店工人的血压呈正相关，这表明在工作场所进行一级预防的潜力。应该考虑对工作组织进行改变、进行压力管理以及积极的 ABP 监测和高血压管理，以制定综合干预计划。
