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Work environment and hypertension in industrial settings in Benin in 2019: a cross-sectional study
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    RE: Work environment and hypertension in industrial settings in Benin in 2019: a cross-sectional study

    Adjobimey et al. examined the association between occupational psychosocial factors and hypertension (1). Occupational stress, age ≥25 years, increased body mass index, permanent worker status, and seniority in the textile sector >5 years were significant risk factors of hypertension. To prevent hypertension, job strain and recognition at work in the ginning plants sector should be corrected through occupational health promotion. I have some comments.

    It is generally accepted that physical and mental health status are closely related. Li et al. reported that the adjusted hazard ratio (HR) (95% confidence interval [CI]) of workplace discrimination for incident hypertension was 1.54 (1.11-2.13) (2). Clausen et al. reported that the adjusted odds ratio (95% CI) of exposure to discrimination for the onset of depressive disorders was 2.73 (1.38-5.40) (3). Regarding the causal relationship, Jeon et al. reported that the adjusted HRs (95% CIs) of moderate and severe depressive symptoms for incident hypertension were 1.05 (1.01-1.11) and 1.12 (1.03-1.20), respectively (4). By applying time-dependent models, corresponding HRs (95% CI) were 1.12 (1.02-1.24) and 1.29 (1.10-1.50), respectively. They also clarified that high blood pressure was associated with decreased risk for developing depressive symptoms. Taking together, I suspect that depressive status would mediate the effect of workplace stress on subsequent hypertension. Perceived job stress may be a risk factor of d...

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    Conflict of Interest:
    None declared.