Job Strain, Workplace Discrimination, and Hypertension Among Older Workers: The Health and Retirement Study

Overview

Journal Race Soc Probl

Date 2011 Nov 19

PMID 22096475

Citations 19

Authors

Briana Mezuk

Kiarri N Kershaw

Darrell Hudson

Kyuang Ah Lim

Scott Ratliff

Affiliations

Soon will be listed here.

Abstract

Job strain has been associated with hypertension among younger workers; however, whether this relationship persists among older workers, particularly older racial/ethnic minorities, is unresolved. This study evaluated whether job strain and workplace discrimination are associated with hypertension and poor blood pressure control among older workers and whether these relationships vary by gender and race/ethnicity. Data were drawn from the Health and Retirement Study, and analysis was restricted to employed participants with complete information on job strain and blood pressure (N = 3,794). In adjusted models, high job strain was associated with lower likelihood of hypertension (odds ratio (OR): 0.75, 95% confidence interval (CI): 0.63, 0.89) relative to low job strain. Stratified analyses indicated this association was only significant among white (OR: 0.71, 95% CI: 0.58, 0.86) and male (OR: 0.61, 95% CI: 0.47, 0.79) workers. High job strain was not significantly associated with hypertension among African American (OR: 1.14, 95% CI: 0.63, 2.07) or Hispanic (OR: 0.56, 95% CI: 0.29, 1.09) workers. Workplace discrimination was not associated with hypertension among any group. Neither job strain nor discrimination was associated with poor blood pressure control. These findings suggest that persistence in work characterized by high job strain in later life may signal resilience to the influence of work-related stressors on health. Future research efforts should examine the factors that contribute to gender and racial differences in these relationships.

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References

Flippen C, Tienda M . Pathways to retirement: patterns of labor force participation and labor market exit among the pre-retirement population by race, Hispanic origin, and sex. J Gerontol B Psychol Sci Soc Sci. 2000; 55(1):S14-27. DOI: 10.1093/geronb/55.1.s14. View

Winkleby M, Ragland D, Syme S . Self-reported stressors and hypertension: evidence of an inverse association. Am J Epidemiol. 1988; 127(1):124-34. DOI: 10.1093/oxfordjournals.aje.a114772. View

Arrighi H, Hertz-Picciotto I . The evolving concept of the healthy worker survivor effect. Epidemiology. 1994; 5(2):189-96. DOI: 10.1097/00001648-199403000-00009. View

Chobanian A, Bakris G, Black H, Cushman W, Green L, Izzo Jr J . Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42(6):1206-52. DOI: 10.1161/01.HYP.0000107251.49515.c2. View

Kressin N, Orner M, Manze M, Glickman M, Berlowitz D . Understanding contributors to racial disparities in blood pressure control. Circ Cardiovasc Qual Outcomes. 2010; 3(2):173-80. PMC: 2841788. DOI: 10.1161/CIRCOUTCOMES.109.860841. View

Theorell T, Karasek R . Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol. 1996; 1(1):9-26. DOI: 10.1037//1076-8998.1.1.9. View

Ohlin B, Berglund G, Rosvall M, Nilsson P . Job strain in men, but not in women, predicts a significant rise in blood pressure after 6.5 years of follow-up. J Hypertens. 2007; 25(3):525-31. DOI: 10.1097/HJH.0b013e32801220fa. View

Hendley A, Mushinski M . The Social Security system: benefit differences among racial/ethnic groups. Stat Bull Metrop Insur Co. 2000; 81(2):9-16. View

Szinovacz M, DeViney S . The retiree identity: gender and race differences. J Gerontol B Psychol Sci Soc Sci. 2002; 54(4):S207-18. DOI: 10.1093/geronb/54b.4.s207. View

10.

Shultz K, Wang M, Crimmins E, Fisher G . Age Differences in the Demand-Control Model of Work Stress: An Examination of Data From 15 European Countries. J Appl Gerontol. 2010; 29(1):21-47. PMC: 2952960. DOI: 10.1177/0733464809334286. View

11.

Wright T, Sweeney D . Coping strategies and diastolic blood pressure. Psychol Rep. 1989; 65(2):443-9. DOI: 10.2466/pr0.1989.65.2.443. View

12.

Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B . The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998; 3(4):322-55. DOI: 10.1037//1076-8998.3.4.322. View

13.

Curtis A, James S, Raghunathan T, Alcser K . Job strain and blood pressure in African Americans: the Pitt County Study. Am J Public Health. 1997; 87(8):1297-302. PMC: 1381089. DOI: 10.2105/ajph.87.8.1297. View

14.

Greiner B, Krause N, Ragland D, Fisher J . Occupational stressors and hypertension: a multi-method study using observer-based job analysis and self-reports in urban transit operators. Soc Sci Med. 2004; 59(5):1081-94. DOI: 10.1016/j.socscimed.2003.12.006. View

15.

Siegrist J . Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996; 1(1):27-41. DOI: 10.1037//1076-8998.1.1.27. View

16.

Stansfeld S, Candy B . Psychosocial work environment and mental health--a meta-analytic review. Scand J Work Environ Health. 2006; 32(6):443-62. DOI: 10.5271/sjweh.1050. View

17.

Yang M, Yang M, Kawachi I . Work experience and drinking behavior: alienation, occupational status, workplace drinking subculture and problem drinking. Public Health. 2001; 115(4):265-71. DOI: 10.1038/sj/ph/1900761. View

18.

Hajjar I, Kotchen T . Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003; 290(2):199-206. DOI: 10.1001/jama.290.2.199. View

19.

de Zwart B, Frings-Dresen M, van Duivenbooden J . Senior workers in the Dutch construction industry: a search for age-related work and health issues. Exp Aging Res. 1999; 25(4):385-91. DOI: 10.1080/036107399243841. View

20.

Williams D, Neighbors H . Racism, discrimination and hypertension: evidence and needed research. Ethn Dis. 2002; 11(4):800-16. View