Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/31448
Title: Association between demand-control model components and blood pressure in the ELSA-Brasil study: exploring heterogeneity using quantile regression analyses
Authors: Juvanhol, Leidjaira Lopes
Melo, Enirtes Caetano Prates
Chor, Dóra
Fonseca, Maria de Jesus Mendes
Rotenberg, Lúcia
Bastos, Leonardo Soares
Mill, José Geraldo
Griep, Rosane Härter
Affilliation: Universidade Federal de Viçosa. Departamento de Nutrição e Saúde. Viçosa, MG, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educaçao em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Espírito Santo. Departamento de Ciências Fisiológicas. Vitória, ES, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educaçao em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
Abstract: Objectives This study aimed to investigate which components of the demand-control model (DCM) are associated with blood pressure (BP) and ascertain whether these associations vary over the BP distribution. Methods We evaluated the baseline date of 11 647 current workers enrolled in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) (2008-2010), a multicenter cohort study of 35-74-year-old civil servants. Job demands, skill discretion and decision authority were measured using the Brazilian version of the Demand-Control-Support Questionnaire. The associations between DCM components and systolic and diastolic BP (SBP and DBP, respectively) were examined by gamma regression, indicated for modelling skewed continuous variables, and quantile regression. Tests were conducted for interaction with gender and use of antihypertensives. Results In the adjusted gamma models, no association was observed between DCM components and BP in the total study population. Among non-users of antihypertensives, high decision authority was marginally associated with an increase of 0.59 mmHg (95% CI 0.00-1.18) in SBP. In the quantile models, this association was found to be significant from quantiles 35-60. Further significant but inconsistent positive associations were observed between decision authority and DBP among users of antihypertensives (quantiles 5 and 10) and between skill discretion and SBP in the total study population (quantile 5). The results did not differ by gender. Conclusions Decision authority associates positively with SBP, but only in the central portion of the SBP distribution and among non-users of antihypertensives. No consistent associations were observed for skill discretion or job demands.
Keywords: Hypertension
Job control
Job demand
Job strain
Job stress
Karasek
Psychological stress
keywords: Hipertensão
Controle de trabalho
Demanda de emprego
Tensão no trabalho
Estresse no trabalho
Estresse psicológico
Issue Date: 2018
Publisher: Nordic Association of Occupational Safety and Health
Citation: JUVANHOL, Leidjaíra Lopes; et al. Association between demand–control model components and blood pressure in the ELSA-Brasil study: exploring heterogeneity using quantile regression analyses. Scand J.Work Environ Health. v.44, n.6, p.601-612, 2018.
Description: O autor pode arquivar a versão/PDF do editor, estando sujeito às restrições abaixo Restrições - 12 meses de embargo
DOI: 10.5271/sjweh.3755
ISSN: 0355-3140
Copyright: restricted access
Appears in Collections:IOC - Artigos de Periódicos

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