Psychosocial job factors and biological cardiovascular risk factors in Mexican workers

Isabel Judith Garcia-Rojas, Bongkyoo Choi, Niklas Krause

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

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. Conclusion: Among Mexican workers, alternative PJF scales predicted health outcomes better than traditional scales, and psychosocial stressors were associated with most CVDRF. Am. J. Ind. Med. 58:331-351, 2015.

Original languageEnglish
Pages (from-to)331-351
Number of pages21
JournalAmerican Journal of Industrial Medicine
Volume58
Issue number3
DOIs
StatePublished - 1 Mar 2015
Externally publishedYes

Keywords

  • Adiposity indicators
  • Blood cholesterol
  • Blood glucose
  • Blood pressure
  • Job content questionnaire
  • Leisure-time physical activity
  • Occupational health
  • Psychosocial job stressors
  • Smoking

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