In:
Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 70, No. 6 ( 2013), p. 561-568
Abstract:
Background/Aim. Occupational stress is a term used to define ongoing stress
that is related to the workplace. The study was conducted to determine
association of occupational stress index (OSI) and its aspects with arterial
hypertension and lipid disorders using data from a cross-sectional survey of
male professional drivers. Methods. The cross-sectional study was performed
in 439 professional drivers divided into groups (city- and intercity bus
drivers, truck and taxi drivers). The OSI and OSI aspects (high demands,
strictness, underload, extrinsic time pressure, noxious exposure, avoidance
and conflict) were calculated using the standardized questionnaire.
Determination of serum lipids, blood pressure (BP) and cardiovascular risk
factors were done. Results. A significant difference in prevalence of
diagnosed hypertension and dyslipidemia was found along with a difference in
total OSI and OSI aspects among examined subgroups of drivers. A total OSI
was highest in city, high in intercity bus drivers, and the lowest one in
truck and taxi drivers (82.79 ? 3.5, 81.28 ? 3.7, 73.75 ? 3.5, 71.61 ? 4.4,
respectively; p 〈 0.01). Similar pattern showed triglycerides (TG), total
cholesterol (TC) and LDL cholesterol and BP, while HDL-cholesterol showed
reverse order (p 〈 0.01). Logistic regression analyses with multiple OSI
aspects adjusted for age and years of exposure showed associations of total
OSI with arterial hypertension [OR 5.5; 95% CI (2.24-7.95)] and dyslipidemia
[OR 1.43 95% CI (1.09-2.80)]. Underload was the most important OSI aspect
associated with the arterial hypertension [OR 1.18; 95% CI (1.04-2.58)] and
elevated LDL cholesterol [1.26; 95 CI (1.19-2.1)]. A total OSI had a
significant association with elevated LDL cholesterol [2.64; 95% CI (1.19-
7.7)], triglycerides [OR 3.27; 95% CI (1.20-5.1)] and low HDL cholesterol [OR
3.29; 95% CI (1.8-5.8)] (p 〈 0.01). Conclusion. The study provides the
evidence for the significant association of total OSI and underload with
lipid disorders and elevated blood pressure in professional drivers, which
could be a possible link between job stress and coronary heart disease.
Regular periodical examinations and workplace interventions aimed to decrease
total OSI and underload are important aspects in primary prevention and
additional reduction of cardiovascular risk.
Type of Medium:
Online Resource
ISSN:
0042-8450
,
2406-0720
Language:
English
Publisher:
National Library of Serbia
Publication Date:
2013
detail.hit.zdb_id:
2169819-3
SSG:
15,3
