Comparing the Risk Associated with Psychosocial Work Conditions and Health Behaviours on Incident Hypertension over a Nine-Year Period in Ontario, Canada

By Smith, Peter M.; Mustard, Cameron A. et al. | Canadian Journal of Public Health, January/February 2013 | Go to article overview

Comparing the Risk Associated with Psychosocial Work Conditions and Health Behaviours on Incident Hypertension over a Nine-Year Period in Ontario, Canada


Smith, Peter M., Mustard, Cameron A., Lu, Hong, Glazier, Richard H., Canadian Journal of Public Health


ABSTRACT

OBJECTIVES: Hypertension is an increasingly important health concern in Canada. This paper examines the risks associated with psychosocial working conditions compared to health behaviours on the risk of hypertension over a 9-year period in Ontario, Canada.

METHODS: We used data from Ontario respondents to the 2000-01 Canadian Community Health Survey linked to the Ontario Health Information Plan database covering physician services and the Canadian Institute for Health Information database for hospital admissions. We focused on labour market participants aged 35 to 60, who had not been previously diagnosed with hypertension, were not self-employed, and were working more than 10 hours per week, more than 20 weeks in the previous 12 months (N = 6,611). Subjects were followed for a nine-year period to ascertain incidence of hypertension.

RESULTS: Low job control was associated with an increased risk of hypertension among men, but not among women. The population attributable fraction associated with low job control among males was 11.8% in our fully adjusted model. There was no consistent pattern of increased risk of hypertension across different levels of health behaviours.

CONCLUSION: Primary prevention efforts to reduce the incidence of hypertension predominantly target modifiable health behaviours. Evidence from this longitudinal cohort suggests that modifiable characteristics of the work environment should also be considered in the design of cardiovascular disease prevention programs, in particular for male labour market participants.

KEY WORDS: Hypertension; psychosocial factors; work; gender

La traduction du résumé se trouve à la fin de l'article. Can J Public Health 2013;104(1):e82-e86.

RÉSUMÉ

OBJECTIFS : L'hypertension artérielle est un problème de santé qui gagne en importance au Canada. Nous avons comparé sur une période de neuf ans les risques d'hypertension associés aux conditions de travail psychosociales et ceux associés aux habitudes de santé en Ontario, au Canada.

MÉTHODE : Nous avons utilisé les données fournies par les répondants ontariens de l'Enquête sur la santé dans les collectivités canadiennes de 2000-2001 et nous les avons reliées à la base de données de l'Assurancesanté de l'Ontario, qui couvre les services médicaux, et à la base de données de l'Institut canadien d'information sur la santé pour ce qui est des hospitalisations. Nous nous sommes limités aux actifs de 35 à 60 ans n'ayant jamais reçu de diagnostic d'hypertension, n'étant pas travailleurs autonomes et ayant travaillé plus de 10 heures par semaine pendant plus de 20 semaines au cours des 12 mois précédents (N = 6 611). Les sujets ont été suivis sur une période de neuf ans pour vérifier leur incidence d'hypertension.

RÉSULTATS : Le faible contrôle sur le travail était associé à un risque accru d'hypertension chez les hommes, mais pas chez les femmes. Chez les hommes, la fraction attribuable dans la population associée au faible contrôle sur le travail était de 11,8 % dans notre modèle entièrement ajusté. Nous n'avons pas observé de hausse systématique du risque d'hypertension entre les différents niveaux d'habitudes de santé.

CONCLUSION : Les efforts de prévention primaire qui visent à réduire l'incidence de l'hypertension ciblent surtout les habitudes de santé modifiables. Selon les preuves de cette étude de cohorte longitudinale, les caractéristiques modifiables du milieu de travail devraient aussi être prises en considération lorsqu'on conçoit des programmes de prévention des maladies cardiovasculaires, en particulier pour les actifs de sexe masculin.

MOTS CLÉS : hypertension artérielle; facteurs psychosociaux; travail; sexe

The prevention and management of hypertension is a longstanding public health concern in developed countries. In Ontario, Canada's largest province, rates of hypertension increased from 153.1 to 244.8 per 1000 Ontarians between 1995 and 2005; a relative increase of 60%. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Comparing the Risk Associated with Psychosocial Work Conditions and Health Behaviours on Incident Hypertension over a Nine-Year Period in Ontario, Canada
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.