Job Stress and Subclinical Cardiovascular Disease: Cross-Sectional Results of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
J Occup Environ Med 2020;
62:1052-1058. [PMID:
33269898 DOI:
10.1097/jom.0000000000002052]
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Abstract
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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