Risk Factors for Job Stress Among Older Korean Security Workers With Hypertension: A Multilevel Analysis

BACKGROUND: In South Korea, apartment security jobs are commonly held by older men. The high prevalence of chronic conditions in this population, combined with the job's long hours and shift work, may increase risks of job stress and cardiovascular disease. This study aimed to identify individual and work environment factors that influence job stress among middle-aged and older security workers with hypertension. METHODS: A cross-sectional study used self-reported questionnaires to collect data from 146 security workers with hypertension at 45 apartment complexes in South Korea. The data were analyzed through descriptive analysis and multilevel modeling. FINDINGS: < .05) associated with increased job stress, as were a lack of dedicated break areas and a higher number of households per worker. CONCLUSIONS: This study identified significant individual and workplace factors influencing job stress among older Korean security workers with hypertension. Education level, sleep satisfaction, and social support were key personal factors. The number of assigned households per security worker and the availability of break areas were critical workplace factors. These findings highlight the need for targeted interventions that address both personal and workplace conditions to manage job stress effectively. APPLICATION TO PRACTICE: Age-sensitive policies are essential to reducing job stress. Providing rest areas, adjusting workloads, and fostering a supportive work culture can alleviate environmental stressors. Tailoring roles based on education and physical ability and providing health education on sleep hygiene and effective break use may reduce fatigue and stress.