Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis

Background Work‐related stress is a psychosocial risk factor linked to a higher risk of cardiovascular disease. However, the association between work‐related stress and cardiovascular health (CVH) is not well established. We estimated the association between work‐related stress and CVH in a multieth...

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Main Authors: Oluseye Ogunmoroti, Olatokunbo Osibogun, Norrina B. Allen, Victor Okunrintemi, Yvonne Commodore‐Mensah, Amit J. Shah, Erin D. Michos
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.035824
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author Oluseye Ogunmoroti
Olatokunbo Osibogun
Norrina B. Allen
Victor Okunrintemi
Yvonne Commodore‐Mensah
Amit J. Shah
Erin D. Michos
author_facet Oluseye Ogunmoroti
Olatokunbo Osibogun
Norrina B. Allen
Victor Okunrintemi
Yvonne Commodore‐Mensah
Amit J. Shah
Erin D. Michos
author_sort Oluseye Ogunmoroti
collection DOAJ
description Background Work‐related stress is a psychosocial risk factor linked to a higher risk of cardiovascular disease. However, the association between work‐related stress and cardiovascular health (CVH) is not well established. We estimated the association between work‐related stress and CVH in a multiethnic sample of adults free of cardiovascular disease at baseline. Methods and Results We performed a cross‐sectional analysis of 3579 community‐based men and women, aged 45 to 84 years, of the Multi‐Ethnic Study of Atherosclerosis from data collected between 2000 and 2002. Work‐related stress (yes/no) was assessed by a self‐administered questionnaire. CVH was measured by the American Heart Association's Life's Simple 7 metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose). Each metric contributed 0, 1, or 2 points if in the poor, intermediate, or ideal range, respectively. The aggregated CVH score was 0 to 14 points and categorized as inadequate (0–8 points), average (9–10 points), and optimal (11–14 points). Polytomous logistic regression was used to estimate the association between work‐related stress and CVH, adjusting for sociodemographic factors. The mean±SD age was 57±8 years, and 48% were women. Work‐related stress was reported by 20% of participants. In fully adjusted models, participants with work‐related stress had lower odds of having average (adjusted odds ratio [OR], 0.75 [95% CI, 0.62–0.92]) and optimal (adjusted OR, 0.73 [95% CI, 0.58–0.92]) CVH scores compared with participants without work‐related stress. Conclusions Work‐related stress was associated with unfavorable CVH. These findings underscore the importance of workplace psychological well‐being and suggest the need for studies on interventions that may reduce work‐related stress and promote CVH.
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spelling doaj-art-d304c7a1992e43d3b2c6d35ecc5f06a72024-11-19T12:31:39ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-11-01132210.1161/JAHA.124.035824Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of AtherosclerosisOluseye Ogunmoroti0Olatokunbo Osibogun1Norrina B. Allen2Victor Okunrintemi3Yvonne Commodore‐Mensah4Amit J. Shah5Erin D. Michos6Department of Epidemiology, Rollins School of Public Health Emory University Atlanta GADepartment of Epidemiology, Robert Stempel College of Public Health and Social Work Florida International University Miami FLInstitute for Public Health and Medicine ‐ Center for Epidemiology and Population Health Northwestern University Feinberg School of Medicine Chicago ILDivision of Cardiovascular Disease Houston Methodist Hospital Houston TXDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MDDepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GAThe Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MDBackground Work‐related stress is a psychosocial risk factor linked to a higher risk of cardiovascular disease. However, the association between work‐related stress and cardiovascular health (CVH) is not well established. We estimated the association between work‐related stress and CVH in a multiethnic sample of adults free of cardiovascular disease at baseline. Methods and Results We performed a cross‐sectional analysis of 3579 community‐based men and women, aged 45 to 84 years, of the Multi‐Ethnic Study of Atherosclerosis from data collected between 2000 and 2002. Work‐related stress (yes/no) was assessed by a self‐administered questionnaire. CVH was measured by the American Heart Association's Life's Simple 7 metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose). Each metric contributed 0, 1, or 2 points if in the poor, intermediate, or ideal range, respectively. The aggregated CVH score was 0 to 14 points and categorized as inadequate (0–8 points), average (9–10 points), and optimal (11–14 points). Polytomous logistic regression was used to estimate the association between work‐related stress and CVH, adjusting for sociodemographic factors. The mean±SD age was 57±8 years, and 48% were women. Work‐related stress was reported by 20% of participants. In fully adjusted models, participants with work‐related stress had lower odds of having average (adjusted odds ratio [OR], 0.75 [95% CI, 0.62–0.92]) and optimal (adjusted OR, 0.73 [95% CI, 0.58–0.92]) CVH scores compared with participants without work‐related stress. Conclusions Work‐related stress was associated with unfavorable CVH. These findings underscore the importance of workplace psychological well‐being and suggest the need for studies on interventions that may reduce work‐related stress and promote CVH.https://www.ahajournals.org/doi/10.1161/JAHA.124.035824cardiovascular healthLife's Essential 8Life's simple 7risk factorswork‐related stress
spellingShingle Oluseye Ogunmoroti
Olatokunbo Osibogun
Norrina B. Allen
Victor Okunrintemi
Yvonne Commodore‐Mensah
Amit J. Shah
Erin D. Michos
Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
cardiovascular health
Life's Essential 8
Life's simple 7
risk factors
work‐related stress
title Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
title_full Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
title_fullStr Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
title_full_unstemmed Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
title_short Work‐Related Stress Is Associated With Unfavorable Cardiovascular Health: The Multi‐Ethnic Study of Atherosclerosis
title_sort work related stress is associated with unfavorable cardiovascular health the multi ethnic study of atherosclerosis
topic cardiovascular health
Life's Essential 8
Life's simple 7
risk factors
work‐related stress
url https://www.ahajournals.org/doi/10.1161/JAHA.124.035824
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