Abstract 15310: Job Strain and Cardiovascular Health Score. Cross-Sectional Analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Baseline
Introduction: To date, there are no studies about the association between job strain and the American Heart Association (AHA)’s cardiovascular health (CVH) score.
Hypothesis: There is an association between job strain domains (psychological job demands, skill discretion, decision authority and social support) and the cardiovascular health (CVH) score in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline.
Methods: ELSA-Brasil is a cohort study of 15,105 active or retired civil servants (aged 35-74 years) in six Brazilian cities. We analyzed data from 11,351 active workers, without overt CVD and with complete information. Job strain was accessed using the 17-item Brazilian version of the Swedish Job Demand-Control-Support Questionnaire. Job strain domains scores were categorized in tertiles. All clinical (fasting plasma glucose, total cholesterol and blood pressure) and lifestyle (diet, physical activity, smoking and body mass index) components of CVH score were assessed according to AHA criteria. We used quasipoisson regression models, adjusted for age, sex, race, educational level, income and ELSA-Brasil investigation site. The dependent variables in regression models were (a) global CVH scores; (b) lifestyle CVH scores; and (c) clinical CVH scores. Results from quasipoisson models are expressed as adjusted relative score differences (aRSD). Positive aRSD values indicate higher scores.
Results: Individuals with low skill discretion scores had lower global (p=0.021) and lifestyle (p<0.001) CVH scores (table). Participants with low decision authority and low social support scores also had lower lifestyle CVH scores (p=0.029 and p<0.001, respectively).
Conclusions: We found significant associations between job stress and CVH scores in this large sample, mainly due to differences in the lifestyle CVH scores.
Author Disclosures: P.T. Rocco: None. I.M. Bensenor: None. R.H. Griep: None. A.C. Goulart: None. S.M. Barreto: None. A.B. Moreno: None. A.P. Alencar: None. P.A. Lotufo: None. I.S. Santos: None.
- © 2016 by American Heart Association, Inc.