Key result
Self-reported financial strain or job strain was associated with lower blood pressure levels compared to reporting neither stressor, though reporting both stressors showed no significant association.
Why the study?
Although domains of psychosocial stress have been related to blood pressure, how these relationships are defined remains ambiguous.
Does psychosocial stress (financial or job strain) affect resting blood pressure levels in young adults?
Cross-Sectional (n=545)
Does psychosocial stress (financial or job strain) affect resting blood pressure levels in young adults?
In a young cohort, self-reported financial or job strain was paradoxically associated with lower resting blood pressure levels compared to having neither stressor.
Paradoxical lower BP with isolated stressors in young adults; hypothesis-generating and leaves open causal links pending prospective data.
Introduction: Various domains of psychosocial stress have been significantly related to blood pressure. However, ambiguity is present in how these relationships are defined in the literature. Objective: To add to the existing literature and examine the relationship between psychosocial stress (financial strain and job strain) and other cofactors on blood pressure. Methods: This secondary analysis is designed to analyze the relationship between levels of job and financial stress and blood pressure outcomes among participants in the National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study 2004-2008. The descriptive, cross-sectional design uses data from a subset of study participants, 350 White and 195 Black (n = 545), 338 female (62%), and all aged 18-56 years. Psychosocial stress was measured using the Singh Stress Scale. Resting systolic (SBP) and diastolic (DBP) blood pressure values obtained on a stress reactivity protocol day in the primary study, as well as calculated mean arterial pressure (MAP) were used for this analysis. Multivariate linear regression analyses were used to explore the relationship between psychosocial stress and blood pressure. Results: In this young cohort, self-report of either financial strain or job strain was associated with lower blood pressure levels than those of participants who reported neither stressor. Differential sex and race effects appear to contribute to these results. Blood pressure levels were not significantly associated with self-report of both stressors. Conclusion: Understanding the effects of various forms of stress on blood pressure may inform more precise HTN risk-factor screening and interventions to improve BP management.
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Nwanaji-Enwerem et al. (2022) conducted a cross-sectional in Psychosocial stress (n=545). Financial strain or job strain vs. Neither stressor was evaluated on Resting systolic (SBP), diastolic (DBP), and mean arterial pressure (MAP). Self-reported financial strain or job strain was associated with lower blood pressure levels compared to reporting neither stressor, though reporting both stressors showed no significant association.
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