title: Psychosocial job factors and biological cardiovascular risk factors in Mexican workers.
abstract: BACKGROUND
  Psychosocial job factors (PJF) have been implicated in the development of cardiovascular disease. The paucity of data from developing economies including Mexico hampers the development of worksite intervention efforts in those regions.
  
  
  METHODS
  This cross-sectional study of 2,330 Mexican workers assessed PJF (job strain [JS], social support [SS], and job insecurity [JI]) and biological cardiovascular disease risk factors [CVDRF] by questionnaire and on-site physical examinations. Alternative formulations of the JS scales were developed based on factor analysis and literature review. Associations between both traditional and alternative job factor scales with CVDRF were examined in multiple regression models, adjusting for physical workload, and socio-demographic factors.
  
  
  RESULTS
  Alternative formulations of the job demand and control scales resulted in substantial changes in effect sizes or statistical significance when compared with the original scales. JS and JI showed hypothesized associations with most CVDRF, but they were inversely associated with diastolic blood pressure and some adiposity measures. SS was mainly protective against CVDRF.
  
  
  CONCLUSIONS
  Among Mexican workers, alternative PJF scales predicted health outcomes better than traditional scales, and psychosocial stressors were associated with most CVDRF.
authors: Environmental Health Sciences Department, Fielding School of Public Health, University of California, Los Angeles, California.
authors: Isabel Judith
authors: IJ
authors: Garcia-Rojas
authors: BongKyoo
authors: B
authors: Choi
authors: Niklas
authors: N
authors: Krause
mesh_terms: D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000523:psychology; D003430:Cross-Sectional Studies; D004651:Employment / Q000523:psychology* / Q000706:statistics & numerical data; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D017533:Marital Status; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D016272:Occupational Health / Q000706:statistics & numerical data*; D010808:Physical Examination; D012044:Regression Analysis; D018570:Risk Assessment; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology / Q000706:statistics & numerical data; D017132:Workplace / Q000523:psychology
keywords: adiposity indicators; blood cholesterol; blood glucose; blood pressure; job content questionnaire; leisure-time physical activity; occupational health; psychosocial job stressors; smoking