Job Stress and Subclinical Cardiovascular Disease: Cross-Sectional Results of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

J Occup Environ Med

Center for Clinical and Epidemiological Research, University Hospital, University of São Paulo (USP), São Paulo, SP (Dr Lorentz, Dr Santos, Dr Bittencourt, Dr Lotufo, Dr Benseñor); Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, RJ (Dr Griep); Public Health Department, Santa Casa de São Paulo Medical School, São Paulo (Dr Bivanco-Lima), Brazil.

Published: December 2020

Objective: We aimed to evaluate the relationship between job stress and subclinical cardiovascular disease at ELSA-Brasil.

Methods: We considered job stress domains (demand, skill discretion, decision authority, and social support) as independent variables and coronary artery calcium (CAC more than 0) and carotid intima-media thickness (CIMT more than P75% as a continuous variable) as dependent ones. Odds ratio (OR) and 95% confidence interval (95% CI) were presented crude, with further adjustments for sociodemographic, cardiovascular risk factors, and lifestyle variables. Linear regression models were built for CIMT using the same covariates.

Results: Although significant associations were observed in the crude models, after multivariate adjustment CAC and CIMT were not significantly associated with demand, skill discretion, decision authority, and social support.

Conclusions: Our results did not support an association between job stress and subclinical cardiovascular disease measured by CAC or CIMT.

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Source
http://dx.doi.org/10.1097/JOM.0000000000002052DOI Listing

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