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Impact of gender and having children in the household on ambulatory blood pressure in work and nonwork settings: A partial replication and new findings

  • Empirical Articles
  • Published:
Annals of Behavioral Medicine

Abstract

Ambulatory blood pressure (ABP) has been shown to differ for men and women across work and nonwork settings. For men, ABP is higher at work than at home on workdays or on nonworkdays. For women, ABP levels in different settings depend on whether they have children in the household. Women without children at home exhibit the “male” pattern of higher ABP at work than at home. Women with children at home show either similar ABP levels in the two locations or higher ABP at home. These different patterns have been assumed to represent different stress levels in the two locations, but this assumption has rarely been tested. Also, few studies have examined ABP levels on a nonworkday in women or the effect of having children in the household for men. The present study monitored ABP in men and women during two workdays and one nonworkday. Comparisons were made between ABP levels in three settings (workday at work, workday at home, nonworkday) using mixed random effects regression models. Psychosocial variables (e.g. mood, stress) that might mediate the different ABP patterns were also assessed. ABP differences were analyzed by gender and whether children were living in the household using mixed random effects regression models. Results indicated that diastolic blood pressure was higher at work versus home for men with children and higher at work and on nonworkdays than at home for women without children. ABP did not differ across settings for women with children or men without children. These results were not mediated by mood or stress levels in the three settings.

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References

  1. Pickering TG, James GD, Schnall PL, et al: Occupational stress and blood pressure: Studies in working men and women. In Frankenhaueser M, Lundberg U, et al (eds),Women, Work, and Health: Stress and Opportunities. New York: Plenum Press, 1991, 171–186.

    Google Scholar 

  2. Schnall PL, Pieper C, Schwartz JE, et al: The relationship between “job strain,” workplace diastolic blood pressure, and left ventricular mass index: Results of a case-control study.Journal of the American Medical Association. 1990,263:1929–1935.

    Article  PubMed  CAS  Google Scholar 

  3. Schwartz JE, Warren K, Pickering TG: Mood, location, and physical position as predictors of ambulatory blood pressure and heart rate: Application of a multi-level random effects model.Annals of Behavioral Medicine. 1994,16:210–220.

    Google Scholar 

  4. Gellman M, Spitzer S, Ironson G, et al: Posture, place and mood effects on ambulatory blood pressure.Psychophysiology. 1990,27:544–551.

    Article  PubMed  CAS  Google Scholar 

  5. Pickering TG, Schwartz JE, James GD: Ambulatory blood pressure monitoring for evaluating the relationships between lifestyle, hypertension, and cardiovascular risk.Clinical and Experimental Pharmacology and Physiology. 1995,22:226–231.

    Article  PubMed  CAS  Google Scholar 

  6. Goldstein IB, Jamner LD, Shapiro D: Ambulatory blood pressure and heart rate in healthy male paramedics during a workday and a nonworkday.Health Psychology. 1992,11:48–54.

    Article  PubMed  CAS  Google Scholar 

  7. Pieper C, Warren K, Pickering TG: A comparison of ambulatory blood pressure and heart rate at home and work on work and non-work days.Journal of Hypertension. 1993,11:177–183.

    Article  PubMed  CAS  Google Scholar 

  8. Frankenhaueser M: The psychophysiology of workload, stress, and health: Comparison between the sexes.Annals of Behavioral Medicine. 1991,13:197–204.

    Google Scholar 

  9. James GD, Moucha OP, Pickering TG: The normal hourly variation of blood pressure in women: Average patterns and the effect of work stress.Journal of Human Hypertension. 1991,5:505–509.

    PubMed  CAS  Google Scholar 

  10. James GD, Cates EM, Pickering TG, Laragh JH: Parity and perceived job stress elevate blood pressure in young normotensive working women.American Journal of Hypertension. 1989,2:637–639.

    PubMed  CAS  Google Scholar 

  11. James GD, Schlussel YR, Pickering TG: The association between daily blood pressure and catecholamine variability in normotensive working women.Psychosomatic Medicine. 1993,55:55–60.

    PubMed  CAS  Google Scholar 

  12. Hollingshead A:Two-Factor Index of Social Position. New Haven, CT: Yale University Press, 1957.

    Google Scholar 

  13. Shiffman S, Fischer LA, Paty JA, et al: Drinking and smoking: A field study of their association.Annals of Behavioral Medicine. 1994,16:203–209.

    Google Scholar 

  14. Stone AA, Schwartz JE, Neale JM, et al: A comparison of coping assessed by Ecological Momentary Assessment and retrospective recall.Journal of Personality and Social Psychology. 1998,74:1670–1680.

    Article  PubMed  CAS  Google Scholar 

  15. Harshfield GA, Hwang C, Blank SG, Pickering TG: Research techniques for ambulatory blood pressure monitoring. In Schneiderman N, Weiss SM, Kaufmann PG (eds),Handbook of Research Methods in Cardiovascular Behavioral Medicine. New York: Plenum, 1989, 293–309.

    Google Scholar 

  16. Diener E, Emmons RA: The independence of positive and negative affect.Journal of Personality and Social Psychology. 1984,47:1105–1117.

    Article  PubMed  CAS  Google Scholar 

  17. Rusell J: A circumplex model of affect.Journal of Personality and Social Psychology. 1980,37:345–356.

    Article  Google Scholar 

  18. Watson D, Tellegen A: Toward a consensual structure of mood.Psychological Bulletin. 1985,98:219–235.

    Article  PubMed  CAS  Google Scholar 

  19. Penner LA, Shiffman S, Paty JA, Fritzsche BA: Individual differences in intraperson variability in mood.Journal of Personality and Social Psychology. 1994,66:712–721.

    Article  PubMed  CAS  Google Scholar 

  20. Marco CA, Neale JM, Schwartz JE, Shiffman S, Stone AA: Coping with daily events and short-term mood changes: An unexpected failure to observe effects of coping.Journal of Consulting and Clinical Psychology. 2000,67:755–764.

    Article  Google Scholar 

  21. Cohen S, Kamarck TW, Mermelstein R: A global measure of perceived stress.Journal of Health and Social Behavior. 1983.24:385–396.

    Article  PubMed  CAS  Google Scholar 

  22. Schwartz JE, Stone AA: Strategies for analyzing ecological momentary assessment data.Health Psychology. 1998,17:6–16.

    Article  PubMed  CAS  Google Scholar 

  23. SAS Institute:SAS/STAT Software: Changes and Enhancements (SAS Technical Report P-229, Release 6.07). Cary, NC: SAS Institute, 1992.

    Google Scholar 

  24. Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology. 1986,51:1173–1182.

    Article  PubMed  CAS  Google Scholar 

  25. Brondolo W, Taravella J, Imarogbe K: Mood and ambulatory blood pressure: Within-subject analyses. Annual Meeting of the Society of Behavioral Medicine. New Orleans, LA: 1998.

  26. Southard DR, Coates TJ, Kolodner K, et al: Relationship between mood and blood pressure in the natural environment: An adolescent population.Health Psychology. 1986,5:469–480.

    Article  PubMed  CAS  Google Scholar 

  27. Matthews KA: Myths and realities of the menopause.Psychosomatic Medicine. 1992,54:1–9.

    PubMed  CAS  Google Scholar 

  28. Christensen KA, Stephens MAP, Townsend AL: Mastery in women's multiple roles and well-being: Adult daughters providing care to impaired parents.Health Psychology. 1998,17:163–171.

    Article  PubMed  CAS  Google Scholar 

  29. Marks SR, MacDermid SM: Multiple roles and the self: A theory of role balance.Journal of Marriage and the Family. 1996,58:417–432.

    Article  Google Scholar 

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Preparation of this manuscript was supported in part by grant #MH49490 from the National Institute of Mental Health.

The authors would like to acknowledge the valuable contributions of members of the research team including Laura Cruise, Melanie DeSiano, Sharon Dresbach, Barbara Gilkes, Amy Gorin, Mary Hickcox, Robin Leake, Jean Paty, Walter Perz, Laura Porter, and Erica Shertzer.

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Marco, C.A., Schwartz, J.E., Neale, J.M. et al. Impact of gender and having children in the household on ambulatory blood pressure in work and nonwork settings: A partial replication and new findings. ann. behav. med. 22, 110–115 (2000). https://doi.org/10.1007/BF02895773

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