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. 1997 Aug;87(8):1297–1302. doi: 10.2105/ajph.87.8.1297

Job strain and blood pressure in African Americans: the Pitt County Study.

A B Curtis 1, S A James 1, T E Raghunathan 1, K H Alcser 1
PMCID: PMC1381089  PMID: 9279264

Abstract

OBJECTIVES: This report examined whether job strain (or its components, decision latitude and job demands) was associated with elevated blood pressure levels in a community-based sample of 726 African-American adults. METHODS: Blood-pressure, anthropometric, behavioral, demographic, and psychosocial data were collected for the current cross-sectional analyses during home interviews conducted for the second wave (1993) of the Pitt County Study (North Carolina), a prospective cohort study of hypertension among African Americans. RESULTS: Job strain was not associated with blood pressure among men or women in this study. However, men in the 80th percentile of decision latitude had more than a 50% decrease in the prevalence of hypertension compared with men in the 20th percentile (odds ratio = .46, 95% confidence interval = .22, .96). CONCLUSIONS: These results indicate that decision latitude may be important for hypertension risk among African-American men. More research is needed on African Americans to determine why job strain and its two component variables differ in their associations with blood pressure for men and women.

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Selected References

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  1. Albright C. L., Winkleby M. A., Ragland D. R., Fisher J., Syme S. L. Job strain and prevalence of hypertension in a biracial population of urban bus drivers. Am J Public Health. 1992 Jul;82(7):984–989. doi: 10.2105/ajph.82.7.984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Burt V. L., Whelton P., Roccella E. J., Brown C., Cutler J. A., Higgins M., Horan M. J., Labarthe D. Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension. 1995 Mar;25(3):305–313. doi: 10.1161/01.hyp.25.3.305. [DOI] [PubMed] [Google Scholar]
  3. Falk A., Hanson B. S., Isacsson S. O., Ostergren P. O. Job strain and mortality in elderly men: social network, support, and influence as buffers. Am J Public Health. 1992 Aug;82(8):1136–1139. doi: 10.2105/ajph.82.8.1136. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. James S. A., LaCroix A. Z., Kleinbaum D. G., Strogatz D. S. John Henryism and blood pressure differences among black men. II. The role of occupational stressors. J Behav Med. 1984 Sep;7(3):259–275. doi: 10.1007/BF00845359. [DOI] [PubMed] [Google Scholar]
  5. James S. A. Psychosocial precursors of hypertension: a review of the epidemiologic evidence. Circulation. 1987 Jul;76(1 Pt 2):I60–I66. [PubMed] [Google Scholar]
  6. Johnson J. V., Hall E. M., Theorell T. Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. Scand J Work Environ Health. 1989 Aug;15(4):271–279. doi: 10.5271/sjweh.1852. [DOI] [PubMed] [Google Scholar]
  7. Karasek R. A., Theorell T., Schwartz J. E., Schnall P. L., Pieper C. F., Michela J. L. Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES). Am J Public Health. 1988 Aug;78(8):910–918. doi: 10.2105/ajph.78.8.910. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Karasek R., Baker D., Marxer F., Ahlbom A., Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health. 1981 Jul;71(7):694–705. doi: 10.2105/ajph.71.7.694. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Landsbergis P. A., Schnall P. L., Deitz D., Friedman R., Pickering T. The patterning of psychological attributes and distress by "job strain" and social support in a sample of working men. J Behav Med. 1992 Aug;15(4):379–405. doi: 10.1007/BF00844730. [DOI] [PubMed] [Google Scholar]
  10. Landsbergis P. A., Schnall P. L., Warren K., Pickering T. G., Schwartz J. E. Association between ambulatory blood pressure and alternative formulations of job strain. Scand J Work Environ Health. 1994 Oct;20(5):349–363. doi: 10.5271/sjweh.1386. [DOI] [PubMed] [Google Scholar]
  11. Lennon M. C. Work conditions as explanations for the relation between socioeconomic status, gender, and psychological disorders. Epidemiol Rev. 1995;17(1):120–127. doi: 10.1093/oxfordjournals.epirev.a036167. [DOI] [PubMed] [Google Scholar]
  12. Light K. C., Turner J. R., Hinderliter A. L. Job strain and ambulatory work blood pressure in healthy young men and women. Hypertension. 1992 Aug;20(2):214–218. doi: 10.1161/01.hyp.20.2.214. [DOI] [PubMed] [Google Scholar]
  13. Pieper C., LaCroix A. Z., Karasek R. A. The relation of psychosocial dimensions of work with coronary heart disease risk factors: a meta-analysis of five United States data bases. Am J Epidemiol. 1989 Mar;129(3):483–494. doi: 10.1093/oxfordjournals.aje.a115159. [DOI] [PubMed] [Google Scholar]
  14. Reed D. M., LaCroix A. Z., Karasek R. A., Miller D., MacLean C. A. Occupational strain and the incidence of coronary heart disease. Am J Epidemiol. 1989 Mar;129(3):495–502. doi: 10.1093/oxfordjournals.aje.a115160. [DOI] [PubMed] [Google Scholar]
  15. Schnall P. L., Devereux R. B., Pickering T. G., Schwartz J. E. The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index: a correction. JAMA. 1992 Mar 4;267(9):1209–1209. [PubMed] [Google Scholar]
  16. Schnall P. L., Landsbergis P. A., Baker D. Job strain and cardiovascular disease. Annu Rev Public Health. 1994;15:381–411. doi: 10.1146/annurev.pu.15.050194.002121. [DOI] [PubMed] [Google Scholar]
  17. Schnall P. L., Pieper C., Schwartz J. E., Karasek R. A., Schlussel Y., Devereux R. B., Ganau A., Alderman M., Warren K., Pickering T. G. The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index. Results of a case-control study. JAMA. 1990 Apr 11;263(14):1929–1935. [PubMed] [Google Scholar]
  18. Schnall P. L., Schwartz J. E., Landsbergis P. A., Warren K., Pickering T. G. Relation between job strain, alcohol, and ambulatory blood pressure. Hypertension. 1992 May;19(5):488–494. doi: 10.1161/01.hyp.19.5.488. [DOI] [PubMed] [Google Scholar]
  19. Strogatz D. S., James S. A., Haines P. S., Elmer P. J., Gerber A. M., Browning S. R., Ammerman A. S., Keenan N. L. Alcohol consumption and blood pressure in black adults: the Pitt County Study. Am J Epidemiol. 1991 Mar 1;133(5):442–450. doi: 10.1093/oxfordjournals.aje.a115911. [DOI] [PubMed] [Google Scholar]
  20. Theorell T., Ahlberg-Hulten G., Jodko M., Sigala F., de la Torre B. Influence of job strain and emotion on blood pressure in female hospital personnel during workhours. Scand J Work Environ Health. 1993 Oct;19(5):313–318. doi: 10.5271/sjweh.1469. [DOI] [PubMed] [Google Scholar]
  21. Theorell T., Knox S., Svensson J., Waller D. Blood pressure variations during a working day at age 28: effects of different types of work and blood pressure level at age 18. J Human Stress. 1985 Spring;11(1):36–41. doi: 10.1080/0097840X.1985.9936736. [DOI] [PubMed] [Google Scholar]
  22. Theorell T., Perski A., Akerstedt T., Sigala F., Ahlberg-Hultén G., Svensson J., Eneroth P. Changes in job strain in relation to changes in physiological state. A longitudinal study. Scand J Work Environ Health. 1988 Jun;14(3):189–196. doi: 10.5271/sjweh.1932. [DOI] [PubMed] [Google Scholar]
  23. Theorell T., de Faire U., Johnson J., Hall E., Perski A., Stewart W. Job strain and ambulatory blood pressure profiles. Scand J Work Environ Health. 1991 Dec;17(6):380–385. doi: 10.5271/sjweh.1690. [DOI] [PubMed] [Google Scholar]
  24. Van Egeren L. F. The relationship between job strain and blood pressure at work, at home, and during sleep. Psychosom Med. 1992 May-Jun;54(3):337–343. doi: 10.1097/00006842-199205000-00009. [DOI] [PubMed] [Google Scholar]
  25. Winkleby M. A., Ragland D. R., Fisher J. M., Syme S. L. Excess risk of sickness and disease in bus drivers: a review and synthesis of epidemiological studies. Int J Epidemiol. 1988 Jun;17(2):255–262. doi: 10.1093/ije/17.2.255. [DOI] [PubMed] [Google Scholar]

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