Self-reported hypertension and job strain in nursing personnel: Assessing two different formulations of the demand-control model

Luciana Fernandes Portela, Rosane Härter Griep, Paul Landsbergis, Lúcia Rotenberg

Abstract


Object: This study analyzed the association between job strain and self-reported hypertension.

Methods: A cross sectional study concerning nursing professionals involved with patient care was performed at three hospitals in Rio de Janeiro, Brazil, in 2005-2006. The sample comprised 1,307 female workers (participation rate: 81.9%). Job strain was assessed according to two different formulations of the demand-control model: the traditional quadrant term and the quotient term. Adjusted prevalence ratio was calculated using generalized liner models with binomial distribution and Poisson link (robust estimator).

Results: The association between self-reported hypertension and job strain was statistically significant only when job strain was evaluated using the ratio between demand and control. Workers in the highest quartile of job strain (quotient term) were 1.54 times more likely to report hypertension than the reference group.

Conclusions: These results are particularly interesting considering that self-reported hypertension can be used as an alternative to situations where using blood pressure monitors is not feasible, particularly in studies with big samples.

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DOI: https://doi.org/10.5430/cns.v3n2p46

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Clinical Nursing Studies
ISSN 2324-7940(Print)   ISSN 2324-7959(Online)

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