title: Job strain and ambulatory blood pressure: a meta-analysis and systematic review.
abstract: We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job strain, and 3 longitudinal studies.  Single exposure to job strain in cross-sectional studies was associated with higher work systolic and diastolic ABP. Associations were stronger in men than women and in studies of broad-based populations than those with limited occupational variance. Biases toward the null were common, suggesting that our summary results underestimated the true association.  Job strain is a risk factor for blood pressure elevation. Workplace surveillance programs are needed to assess the prevalence of job strain and high ABP and to facilitate workplace cardiovascular risk reduction interventions.
authors: School of Public Health, State University of New York-Downstate, Brooklyn, NY 11203, USA. paul.landsbergis@downstate.edu
authors: Paul A
authors: PA
authors: Landsbergis
authors: Marnie
authors: M
authors: Dobson
authors: George
authors: G
authors: Koutsouras
authors: Peter
authors: P
authors: Schnall
mesh_terms: D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D008297:Male; D013315:Stress, Psychological / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D016526:Workload / Q000523:psychology / Q000706:statistics & numerical data