An inquiry into the relationship between job strain and blood pressure in male white-collar workers. 1993

K Tarumi, and A Hagihara, and K Morimoto
Section of Postgraduates Guidance, University of Occupational and Environmental Health.

We conducted a cross-sectional study to investigate the relationship between psychological load and blood pressure using white-collar male employees of a company located in an urban area in June, 1991. Excluding those with diseases which might induce hypertension or those under 20 yr and over 60 yr of age, 570 male subjects were eligible for analysis. Logistic regression analysis was applied to 461 subjects excluding 109 who showed unstable blood pressure level; the dependent variable was blood pressure class which contained 386 normotensives and 75 hypertensives. The explanatory variables were age, obesity, alcohol intake, cigarette smoking, habitual physical exercise, all well-known factors affecting blood pressure level, working time, commuting time, paid annual leave, and type of living (with family or alone) as objective workload, and Karasek's job strain as psychological workload. Odds ratio of job strain was statistically significant after adjusting for the foregoing factors, but in the case of high job strain, the prevalence of hypertension was low. Theorell has pointed out that contrary to the usual recognition those having a family history of hypertension tended to have a non-complaining life attitude and this indication seems to be the reason for the results of this analysis. Blood pressure is one of the most important problems in the field of industrial health and because of our highly industrialized society, it is necessary to consider psychological workload. Longitudinal observations which take into account psychological workloads must be planned, and personal traits represented by a family history of hypertension should be always taken into consideration.

UI MeSH Term Description Entries
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D008019 Life Style Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed) Lifestyle Factors,Life Style Induced Illness,Lifestyle,Factor, Lifestyle,Life Styles,Lifestyle Factor,Lifestyles
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011590 Psychology, Industrial The branch of applied psychology concerned with the application of psychologic principles and methods to industrial problems including selection and training of workers, working conditions, etc. Industrial Psychology,Industrial Psychologies,Psychologies, Industrial
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D013315 Stress, Psychological Stress wherein emotional factors predominate. Cumulative Stress, Psychological,Emotional Stress,Individual Stressors,Life Stress,Psychological Cumulative Stress,Psychological Stress Experience,Psychological Stress Overload,Psychologically Stressful Conditions,Stress Experience, Psychological,Stress Measurement, Psychological,Stress Overload, Psychological,Stress Processes, Psychological,Stress, Emotional,Stressful Conditions, Psychological,Psychological Stress,Stress, Psychologic,Stressor, Psychological,Condition, Psychological Stressful,Condition, Psychologically Stressful,Conditions, Psychologically Stressful,Cumulative Stresses, Psychological,Experience, Psychological Stress,Individual Stressor,Life Stresses,Measurement, Psychological Stress,Overload, Psychological Stress,Psychologic Stress,Psychological Cumulative Stresses,Psychological Stress Experiences,Psychological Stress Measurement,Psychological Stress Measurements,Psychological Stress Overloads,Psychological Stress Processe,Psychological Stress Processes,Psychological Stresses,Psychological Stressful Condition,Psychological Stressful Conditions,Psychological Stressor,Psychological Stressors,Psychologically Stressful Condition,Stress Experiences, Psychological,Stress Processe, Psychological,Stress, Life,Stress, Psychological Cumulative,Stressful Condition, Psychological,Stressful Condition, Psychologically,Stressor, Individual

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