Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/31448
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dc.contributor.authorJuvanhol, Leidjaira Lopes
dc.contributor.authorMelo, Enirtes Caetano Prates
dc.contributor.authorChor, Dóra
dc.contributor.authorFonseca, Maria de Jesus Mendes
dc.contributor.authorRotenberg, Lúcia
dc.contributor.authorBastos, Leonardo Soares
dc.contributor.authorMill, José Geraldo
dc.contributor.authorGriep, Rosane Härter
dc.date.accessioned2019-02-06T12:51:34Z
dc.date.available2019-02-06T12:51:34Z
dc.date.issued2018
dc.identifier.citationJUVANHOL, 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.
dc.identifier.issn0355-3140
dc.identifier.urihttps://www.arca.fiocruz.br/handle/icict/31448
dc.descriptionO autor pode arquivar a versão/PDF do editor, estando sujeito às restrições abaixo Restrições - 12 meses de embargo
dc.language.isoeng
dc.publisherNordic Association of Occupational Safety and Health
dc.rightsrestricted access
dc.subject.otherHipertensão
dc.subject.otherControle de trabalho
dc.subject.otherDemanda de emprego
dc.subject.otherTensão no trabalho
dc.subject.otherEstresse no trabalho
dc.subject.otherEstresse psicológico
dc.titleAssociation between demand-control model components and blood pressure in the ELSA-Brasil study: exploring heterogeneity using quantile regression analyses
dc.typeArticle
dc.identifier.doi10.5271/sjweh.3755
dc.description.abstractenObjectives 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.
dc.creator.affilliationUniversidade Federal de Viçosa. Departamento de Nutrição e Saúde. Viçosa, MG, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Sérgio Arouca. Rio de Janeiro, RJ, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educaçao em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.
dc.creator.affilliationUniversidade Federal do Espírito Santo. Departamento de Ciências Fisiológicas. Vitória, ES, Brasil.
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educaçao em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.
dc.subject.enHypertension
dc.subject.enJob control
dc.subject.enJob demand
dc.subject.enJob strain
dc.subject.enJob stress
dc.subject.enKarasek
dc.subject.enPsychological stress
dc.identifier.eissn1795-990X
Appears in Collections:IOC - Artigos de Periódicos

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