Patterns in Hypertension by Job-related Support Across Race/Ethnicity



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Background: Psychosocial stressors at work, such as high demands, have been related to high blood pressure. However, there is limited research on whether workplace support is related to hypertension among US adults. Therefore, we examined associations of managerial workplace support with hypertension and whether this association varied by race/ethnicity. Methods: We used cross-sectional 2015 National Health Interview Survey data on 13,430 participants aged 18+ years. To assess job support, participants were asked for their agreement with the statement, "I can count on my supervisor or manager for support when I need it." Hypertension was assessed based on whether they have been told by a doctor that they had hypertension. Logistic regression models were used to evaluate the associations between job support and hypertension. Models were adjusted for age, sex, education, overweight/obesity status, insurance coverage status, and type of occupation. Results: In adjusted models, compared with those that strongly agreed/agreed with the job support statement, those that strongly disagreed/disagreed with the statement were significantly more likely to report having hypertension (OR: 1.21, 95% CI: 1.01, 1.45). When stratified by race/ethnicity, Latinos that strongly disagreed/disagreed with the job support statement were significantly more likely to report having hypertension (OR: 1.62, 95% CI: 1.06, 2.47). Conclusion: US adults that report lacking support from their supervisors are significantly more likely to report hypertension, particularly Latino adults. Future workplace health interventions should take into consideration the role of support provided by managers and supervisors in cardiovascular health. ***This project was completed with contributions from Tailisha Gonzalez, Peace Okpala, and Elizabeth Vasquez from the City University of New York, University of North Carolina Greensboro, and University of Albany State University of New York respectively.