Open AccessJob Strain and Ambulatory Blood Pressure: A Meta-Analysis and Systematic Review
Author(s) -
Paul Landsbergis,
Marnie Dobson,
George W. Koutsouras,
Peter L. Schnall
Publication year - 2013
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2012.301153
Subject(s) - job strain , medicine , blood pressure , meta analysis , ambulatory , ambulatory blood pressure , strain (injury) , environmental health , cross sectional study , occupational stress , psychological intervention , clinical psychology , pathology , nursing , psychosocial , psychiatry
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.