Psychosocial and organizational work factors and incidence of arterial hypertension among female healthcare workers: results of the Organisation des Soins et Santé des Soignants cohort
Identifieur interne : 000171 ( France/Analysis ); précédent : 000170; suivant : 000172Psychosocial and organizational work factors and incidence of arterial hypertension among female healthcare workers: results of the Organisation des Soins et Santé des Soignants cohort
Auteurs : Sébastien Lamy [France] ; Régis De Gaudemaris [France] ; Benoit Lepage [France] ; Annie Sobaszek [France] ; Sandrine Caroly [France] ; Michelle Kelly-Irving [France] ; Thierry Lang [France]Source :
- Journal of Hypertension [ 0263-6352 ] ; 2014.
English descriptors
- mix :
Abstract
Background: Many studies have supported the role of organizational work factors (OWFs) on the risk of cardiovascular diseases (CVDs) and CVD risk factors, including arterial hypertension. However, a little information is available concerning the role of collective stressors deriving from work organization on nurse's risk of hypertension. This study aimed to test the independent longitudinal relationships linking the 2-year incidence of arterial hypertension to collective stressors at the work unit level, among baseline normotensive female hospital registered nurses and nursing assistants, after adjusting for known individual predictors of CVDs and for occupational stress.Method: Arterial hypertension was defined as the intake of antihypertensive drug or as blood pressure (BP) measures higher than 140 mmHg (SBP) or 90 mmHg (DBP) at both the clinical visit and 1 month later. We analyzed the effect of OWFs at the work unit level, constraints related to the physical work environment and the individual perception of the work environment in 2006 on the risk of arterial hypertension in 2008 among 1882 initially normotensive female healthcare workers followed in the French Organisation des soins et santé des soignants (ORSOSA) cohort.Results: We showed that OWFs at the work unit level may influence the 2-year risk of arterial hypertension independently of work factors at the worker level, baseline BP, age and BMI. In this study, OWFs affected 2-year risk of arterial hypertension only through direct effects.Conclusion: Our results pointed out the possibility of a primary prevention of arterial hypertension through interventions based at the work unit level among healthcare workers.
Url:
DOI: 10.1097/HJH.0000000000000155
Affiliations:
- France
- Auvergne-Rhône-Alpes, Rhône-Alpes
- Grenoble
- Université Grenoble-Alpes, Université Joseph Fourier, Université de Grenoble
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Hal:hal-01301234Le document en format XML
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Paul Sabatier</orgName> <orgName type="acronym">UT3</orgName> <desc> <address> <addrLine>118 route de Narbonne - 31062 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-tlse3.fr/</ref> </desc> <listRelation> <relation active="#struct-443875" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-443875" type="indirect"><org type="regroupinstitution" xml:id="struct-443875" status="VALID"> <orgName>Université Fédérale Toulouse Midi-Pyrénées</orgName> <desc> <address> <addrLine>41 Allée Jules Guesde, 31000 Toulouse</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="De Gaudemaris, Regis" sort="De Gaudemaris, Regis" uniqKey="De Gaudemaris R" first="Régis" last="De Gaudemaris">Régis De Gaudemaris</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-707" status="VALID"> <idno type="IdRef">14728936X</idno> <idno type="ISNI">0000 0004 4687 1979</idno> <idno type="RNSR">199511969L</idno> <orgName>Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525</orgName> <orgName type="acronym">TIMC</orgName> <date type="start">2011-01-01</date> <desc> <address> <addrLine>Domaine de la Merci, 38706 La Tronche, France</addrLine> <country key="FR"></country> </address> <ref type="url">https://www-timc.imag.fr</ref> </desc> <listRelation> <relation active="#struct-51016" type="direct"></relation> <relation active="#struct-89889" type="direct"></relation> <relation active="#struct-300112" type="direct"></relation> <relation name="UMR5525" active="#struct-441569" type="direct"></relation> <relation active="#struct-445543" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-51016" type="direct"><org type="institution" xml:id="struct-51016" status="OLD"> <idno type="IdRef">026404796</idno> <orgName>Université Joseph Fourier - Grenoble 1</orgName> <orgName type="acronym">UJF</orgName> <date type="end">2015-12-31</date> <desc> <address> <addrLine>BP 53 - 38041 Grenoble Cedex 9</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ujf-grenoble.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-89889" type="direct"><org type="institution" xml:id="struct-89889" status="VALID"> <idno type="IdRef">026388804</idno> <orgName>Institut polytechnique de Grenoble - 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38058 Grenoble cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-grenoble-alpes.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Joseph Fourier</orgName><orgName type="institution" wicri:auto="newGroup">Université de Grenoble</orgName><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Grenoble-Alpes</orgName></affiliation></author><author><name sortKey="Lepage, Benoit" sort="Lepage, Benoit" uniqKey="Lepage B" first="Benoit" last="Lepage">Benoit Lepage</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-112051" status="VALID"> <idno type="IdRef">223822531</idno> <idno type="ISNI">0000 0004 0386 9019</idno> <idno type="RNSR">201119369K</idno> <orgName>Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps</orgName> <orgName type="acronym">LEASP</orgName> <date type="start">2011-01-01</date> <desc> <address> <addrLine>Faculté de médecine 37 allées Jules Guesde 31000 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u1027.inserm.fr/</ref> </desc> <listRelation> <relation name="UMR1027" active="#struct-303623" type="direct"></relation> <relation active="#struct-217752" type="direct"></relation> <relation active="#struct-443875" type="indirect"></relation> </listRelation> <tutelles><tutelle name="UMR1027" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle><tutelle active="#struct-217752" type="direct"><org type="institution" xml:id="struct-217752" status="VALID"> <idno type="IdRef">026404672</idno> <idno type="ISNI">0000000121617331</idno> <orgName>Université Toulouse III - 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Domaine Universitaire - 38400 Saint-Martin-d'Hères</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.sciencespo-grenoble.fr/</ref> </desc> </org></tutelle><tutelle name="UMR5194" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno> <idno type="ISNI">0000000122597504</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-445543" type="direct"><org type="institution" xml:id="struct-445543" status="VALID"> <idno type="IdRef">188399275</idno> <orgName>Université Grenoble Alpes</orgName> <orgName type="acronym">UGA</orgName> <date type="start">2016-01-01</date> <desc> <address> <addrLine>CS 40700 - 38058 Grenoble cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-grenoble-alpes.fr</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Joseph Fourier</orgName><orgName type="institution" wicri:auto="newGroup">Université de Grenoble</orgName><placeName><settlement type="city">Grenoble</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Grenoble-Alpes</orgName></affiliation></author><author><name sortKey="Kelly Irving, Michelle" sort="Kelly Irving, Michelle" uniqKey="Kelly Irving M" first="Michelle" last="Kelly-Irving">Michelle Kelly-Irving</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-112051" status="VALID"> <idno type="IdRef">223822531</idno> <idno type="ISNI">0000 0004 0386 9019</idno> <idno type="RNSR">201119369K</idno> <orgName>Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps</orgName> <orgName type="acronym">LEASP</orgName> <date type="start">2011-01-01</date> <desc> <address> <addrLine>Faculté de médecine 37 allées Jules Guesde 31000 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u1027.inserm.fr/</ref> </desc> <listRelation> <relation name="UMR1027" active="#struct-303623" type="direct"></relation> <relation active="#struct-217752" type="direct"></relation> <relation active="#struct-443875" type="indirect"></relation> </listRelation> <tutelles><tutelle name="UMR1027" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle><tutelle active="#struct-217752" type="direct"><org type="institution" xml:id="struct-217752" status="VALID"> <idno type="IdRef">026404672</idno> <idno type="ISNI">0000000121617331</idno> <orgName>Université Toulouse III - Paul Sabatier</orgName> <orgName type="acronym">UT3</orgName> <desc> <address> <addrLine>118 route de Narbonne - 31062 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-tlse3.fr/</ref> </desc> <listRelation> <relation active="#struct-443875" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-443875" type="indirect"><org type="regroupinstitution" xml:id="struct-443875" status="VALID"> <orgName>Université Fédérale Toulouse Midi-Pyrénées</orgName> <desc> <address> <addrLine>41 Allée Jules Guesde, 31000 Toulouse</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Lang, Thierry" sort="Lang, Thierry" uniqKey="Lang T" first="Thierry" last="Lang">Thierry Lang</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-112051" status="VALID"> <idno type="IdRef">223822531</idno> <idno type="ISNI">0000 0004 0386 9019</idno> <idno type="RNSR">201119369K</idno> <orgName>Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps</orgName> <orgName type="acronym">LEASP</orgName> <date type="start">2011-01-01</date> <desc> <address> <addrLine>Faculté de médecine 37 allées Jules Guesde 31000 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u1027.inserm.fr/</ref> </desc> <listRelation> <relation name="UMR1027" active="#struct-303623" type="direct"></relation> <relation active="#struct-217752" type="direct"></relation> <relation active="#struct-443875" type="indirect"></relation> </listRelation> <tutelles><tutelle name="UMR1027" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle><tutelle active="#struct-217752" type="direct"><org type="institution" xml:id="struct-217752" status="VALID"> <idno type="IdRef">026404672</idno> <idno type="ISNI">0000000121617331</idno> <orgName>Université Toulouse III - Paul Sabatier</orgName> <orgName type="acronym">UT3</orgName> <desc> <address> <addrLine>118 route de Narbonne - 31062 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-tlse3.fr/</ref> </desc> <listRelation> <relation active="#struct-443875" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-443875" type="indirect"><org type="regroupinstitution" xml:id="struct-443875" status="VALID"> <orgName>Université Fédérale Toulouse Midi-Pyrénées</orgName> <desc> <address> <addrLine>41 Allée Jules Guesde, 31000 Toulouse</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></analytic><idno type="DOI">10.1097/HJH.0000000000000155</idno><series><title level="j">Journal of Hypertension</title><idno type="ISSN">0263-6352</idno><imprint><date type="datePub">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term> hospital</term><term> hypertension</term><term> longitudinal study</term><term> organizational work factors</term><term> physical constraints</term><term> work environment</term><term>effort-reward imbalance</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>Background: Many studies have supported the role of organizational work factors (OWFs) on the risk of cardiovascular diseases (CVDs) and CVD risk factors, including arterial hypertension. However, a little information is available concerning the role of collective stressors deriving from work organization on nurse's risk of hypertension. This study aimed to test the independent longitudinal relationships linking the 2-year incidence of arterial hypertension to collective stressors at the work unit level, among baseline normotensive female hospital registered nurses and nursing assistants, after adjusting for known individual predictors of CVDs and for occupational stress.Method: Arterial hypertension was defined as the intake of antihypertensive drug or as blood pressure (BP) measures higher than 140 mmHg (SBP) or 90 mmHg (DBP) at both the clinical visit and 1 month later. We analyzed the effect of OWFs at the work unit level, constraints related to the physical work environment and the individual perception of the work environment in 2006 on the risk of arterial hypertension in 2008 among 1882 initially normotensive female healthcare workers followed in the French Organisation des soins et santé des soignants (ORSOSA) cohort.Results: We showed that OWFs at the work unit level may influence the 2-year risk of arterial hypertension independently of work factors at the worker level, baseline BP, age and BMI. In this study, OWFs affected 2-year risk of arterial hypertension only through direct effects.Conclusion: Our results pointed out the possibility of a primary prevention of arterial hypertension through interventions based at the work unit level among healthcare workers.</p> </div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Grenoble</li></settlement><orgName><li>Université Grenoble-Alpes</li><li>Université Joseph Fourier</li><li>Université de Grenoble</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Lamy, Sebastien" sort="Lamy, Sebastien" uniqKey="Lamy S" first="Sébastien" last="Lamy">Sébastien Lamy</name></noRegion><name sortKey="Caroly, Sandrine" sort="Caroly, Sandrine" uniqKey="Caroly S" first="Sandrine" last="Caroly">Sandrine Caroly</name><name sortKey="De Gaudemaris, Regis" sort="De Gaudemaris, Regis" uniqKey="De Gaudemaris R" first="Régis" last="De Gaudemaris">Régis De Gaudemaris</name><name sortKey="Kelly Irving, Michelle" sort="Kelly Irving, Michelle" uniqKey="Kelly Irving M" first="Michelle" last="Kelly-Irving">Michelle Kelly-Irving</name><name sortKey="Lang, Thierry" sort="Lang, Thierry" uniqKey="Lang T" first="Thierry" last="Lang">Thierry Lang</name><name sortKey="Lepage, Benoit" sort="Lepage, Benoit" uniqKey="Lepage B" first="Benoit" last="Lepage">Benoit Lepage</name><name sortKey="Sobaszek, Annie" sort="Sobaszek, Annie" uniqKey="Sobaszek A" first="Annie" last="Sobaszek">Annie Sobaszek</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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