Psychosocial job factors and biological cardiovascular risk factors in Mexican workers

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 w...

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Bibliographic Details
Published in:American journal of industrial medicine 2015-03, Vol.58 (3), p.331-351
Main Authors: Garcia-Rojas, Isabel Judith, Choi, BongKyoo, Krause, Niklas
Format: Article
Language:English
Subjects:
adiposity indicators
Adult
blood cholesterol
blood glucose
Blood Pressure
Body Mass Index
Cardiovascular Diseases - etiology
Cardiovascular Diseases - psychology
Cross-Sectional Studies
Employment - psychology
Employment - statistics & numerical data
Factor Analysis, Statistical
Female
Humans
job content questionnaire
Job Satisfaction
leisure-time physical activity
Male
Marital Status
Mexico - epidemiology
Middle Aged
occupational health
Occupational Health - statistics & numerical data
Physical Examination
psychosocial job stressors
Regression Analysis
Risk Assessment
Risk Factors
smoking
Social Support
Socioeconomic Factors
Stress, Psychological - epidemiology
Surveys and Questionnaires
Workload - psychology
Workload - statistics & numerical data
Workplace - psychology
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Summary: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. © 2015 Wiley Periodicals, Inc.
ISSN:0271-3586
1097-0274
DOI:10.1002/ajim.22410