Associations between Job Strain and Arterial Stiffness: A Large Survey among Enterprise Employees from Thailand

As an intermediate endpoint to cardiovascular disease, arterial stiffness has received much attention recently. So far, the research on work stress and arterial stiffness is still sparse and inconsistent, and no investigations on work stress and cardiovascular health among the Thai working populatio...

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Bibliographic Details
Published in:International journal of environmental research and public health 2018-04, Vol.15 (4), p.659
Main Authors: Kaewboonchoo, Orawan, Sembajwe, Grace, Li, Jian
Format: Article
Language:English
Subjects:
Adult
Atherosclerosis
Blood pressure
Cardiovascular disease
Cardiovascular diseases
Confidence intervals
Cross-Sectional Studies
Disease control
Employees
Epidemiology
Female
Gender differences
Health risks
Heart
Humans
Hypertension
Male
Middle Aged
Mortality
Occupational stress
Occupational Stress - epidemiology
Occupational Stress - physiopathology
Public health
Questionnaires
Risk Factors
Statistical analysis
Stiffness
Stress
Stroke
Studies
Thailand - epidemiology
Vascular Stiffness - physiology
Wave analysis
Womens health
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Summary:As an intermediate endpoint to cardiovascular disease, arterial stiffness has received much attention recently. So far, the research on work stress and arterial stiffness is still sparse and inconsistent, and no investigations on work stress and cardiovascular health among the Thai working population have been reported. Therefore, we conducted an epidemiological study among 2141 Thai enterprise employees (858 men and 1283 women) who were free from any diagnosed cardiovascular disease. Work stress was measured using Karasek's Job Demand-Control model for job strain (a combination of high demand and low control). Arterial stiffness was evaluated by a non-invasive approach using pulse-wave analysis based on a finger photoplethysmogram. Multivariable linear regression was applied to examine associations between job strain and arterial stiffness. In men, job strain was significantly associated with arterial stiffness (β  =  0.078, 95% confidence interval  =  0.026 to 0.130), after accounting for sociodemographic, behavioral, dietary and biomedical factors. However, the association in women was not significant. As the first study in Thailand on work stress and cardiovascular risk, we found that job strain might be an important risk factor for cardiovascular disease among Thai working men. Further studies with longitudinal design are warranted.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph15040659