Repeated exposure to effort–reward imbalance, increased blood pressure, and hypertension incidence among white-collar workers

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

“…Therefore, among women, age might modify the effect of psychosocial work factors on BP, leading to a stronger effect in older than younger women. Supporting this hypothesis, Gilbert-Ouimet et al (191) observed an adverse effect of ERI on hypertension among women aged ≥45 years old, while no such effect was observed among younger women. It is thus possible that studies observing no significant adverse effect (in particular studies on hypertension) would have observed such effect after stratifying on age.…”

“…For the ERI model, there was only one prospective study (191), which emphasizes the need for more studies using this design.…”

“…Only one prospective study evaluated the effect of ERI on BP (191). This study used ambulatory BP measures.…”

“…It is thus possible that studies observing no significant adverse effect (in particular studies on hypertension) would have observed such effect after stratifying on age. However, since only two studies stratified their results on women's age (both having observed an adverse effect) (130,191), it would be important to further evaluate this potential modifying effect.…”

“…These additional studies would allow a comparison of the consistency of the effect of ERI according to gender. (149,(184)(185)(186)190) 0 / 0 0 / 0 1 (191) / 1 (191) 5 / 6…”