Experiences of work ability in young workers: an exploratory interview study

Predicting the work ability of security guards at a university in Nakhon Si Thammarat province, Thailand

Objectives. The number of security guards in universities has increased significantly. This study aimed to predict work ability of university security guards. Methods. A cross-sectional study of 97 university security guards in Thailand was performed. Data were collected through interviews using a questionnaire covering social demographics, behavioral health and work ability. The data were analyzed using χ2 tests and logistic regression models. Results. The average work ability index (WAI) score was 38.1 ± 3.8, with 65.0% of participants scoring 'good'. Social support significantly influenced the WAI (p = 0.004). Those with insufficient support were 4.3 times more likely to show poor work ability. Mental health also impacted the WAI (p = 0.006); those with poor mental health were 4.7 times at risk. Additionally, work experience affected the WAI (p = 0.039). Those with ≥5 years of experience showed reduced work ability compared to their less-experienced counterparts (adjusted odds ratio 0.4; 95% confidence interval [0.20, 0.96]). Conclusions. Supervisors should provide social support and offer rewards and commendations to enhance employees' abilities, health behaviors and management of underlying diseases. Additionally, organizations should prioritize health and safety in the workplace to ensure their employees are healthier and perform their tasks more effectively.

Work-life balance predicted work ability two years later: a cohort study of employees in the Swedish energy and water sector

Background

Work-life balance (WLB) is the extent to which individual’s multiple life roles and demands carry over between each role. WLB can be divided into work interference with personal life (WIPL) and personal life interference with work (PLIW). This study aimed to investigate longitudinal associations between WIPL, PLIW and work ability outcomes.

Methods

In this cohort study, 224 employees in the energy and water sector in Sweden were followed-up over 2 years. Three questions derived from the Work Ability Index were used for measuring work ability outcome: current work ability compared with lifetime best; work ability regarding physical; and mental demands. Logistic regression models were used to analyse longitudinal associations between work ability and WIPL and WIPL respectively, controlling for workplace (company), position at work, experience of leadership quality, demographics, and work ability.

Results

Work ability compared to lifetime best were associated with WIPL in the adjusted logistic regression models (odds ratio (OR) 1.77, 95% confidence interval (CI) 1.15–2.73), and PLIW (OR 3.34, 95% CI 1.66–6.74). Work ability regarding physical demands was associated with WIPL (OR 1.60, 95% CI 1.07–2.40). Work ability regarding mental demands was associated with WIPL (OR 1.59, 95% CI 1.03–2.44) and PLIW (OR 2.88, 95% CI 1.31–6.32).

Conclusion

In this two-year longitudinal study, lower WIPL predicted good/excellent overall work ability compared with lifetime best, higher work ability regarding physical and mental demands, and lower PLIW predicted good/excellent overall work ability compared with lifetime best and higher work ability regarding and mental demands.

Measuring psychosocial factors and predicting work ability among cemetery workers

BACKGROUND

The work of cemetery workers presents high physical demands and significant psychosocial stressors, but there are no studies about the influence of these risk factors on their work ability.

OBJECTIVES

The present study aims to analyse how socio-demographic and psychosocial factors are related to work ability among cemetery workers.

METHODS

A cross-sectional survey was applied at seven cemeteries of Lisbon, between November and December of 2015. The response rate was 88.9% (n = 168). The survey involved socio-demographic data, the Work Ability Index, and COPSOQII. Multiple linear regression analysis, using the backward elimination stepwise method, was done to identify the significant predictors of work ability.

RESULTS

Results indicated a high prevalence of unsatisfactory WAI scores (39.5%), which, together with a mean age of 51 years showed these participants may have a high probability of being declared unfit for their current jobs. The main predictors of work ability were: general health, burnout, temporary work impairment, job satisfaction, age, and quality of leadership.

CONCLUSIONS

The study highlights the relationship between age, health perception, work impairment, psychosocial variables, and work ability. This knowledge is crucial for the organization of occupational health programmes fitting the needs of cemetery workers and aiming at retaining these workers until the legal retirement age.

Mediating Factors for the Relationship between Stress and Work Ability over Time in Young Adults

Stress can affect work ability. The aim of this study was to identify how this pathway is mediated over time in young adults. Participants of the Work Ability in Young Adults cohort were selected. A theoretical framework was built, which lead to a statistical model. Selected dimensions of mediators were recovery, work demands affecting private life, feelings of control over private life, and physical activity in leisure time. A quadruple serial mediation model was built with four mediators. The total effect of stress on work ability was -0.3955, 95% CI [-0.4764, -0.3146]. The total indirect effect amounted to 81% with an effect of -0.3182, 95% CI [-0.3750, -0.2642]. The relationship between stress and Work Ability Score five years later in young adults was mediated by stress five years later, work demands affecting private life, feelings of control over private life and feeling well-rested upon waking. These results indicate that work demands affecting private life and feelings of control over private life are important mediators of the relationship between stress and work ability in young adults. A well-balanced relationship between work and private life can counteract the influence of stress on work ability in this age group.

Health literacy promotion among young adults: a web-based intervention in German vocational schools

Against the background of an ageing population, the target group of young adults holds strong societal relevance as the future workforce. At the same time, young adults find themselves in a critical phase of life regarding the manifestation of a healthy lifestyle. In this context, young adults' health literacy gains importance. Web-based interventions implemented in educational settings offer the potential for promoting health literacy, although longitudinal studies remain scarce. Within a pre-post cluster randomized controlled trial with 6-month follow-up, this study investigated whether an 8-week web-based intervention in vocational schools (with or without an additional initial face-to-face measure) improves individual competencies within a structural model of health literacy ('self-perception', 'proactive approach to health', 'dealing with health information', 'self-control', 'self-regulation' and 'communication and cooperation'). The control condition was regular school lessons following the curriculum only. A multi-level regression analysis was performed using the control group as reference. None of the interventions showed a significant improvement in any of the dimensions. Significant differences between the intervention and control were obtained for some dimensions, albeit showing reductions. Future research must examine how to build impactful health literacy promotion in educational settings. Investigations into linking digital and face-to-face measures should continue.

Engagement with a Web-Based Health Promotion Intervention among Vocational School Students: A Secondary User and Usage Analysis

Engagement with web-based interventions is both generally low and typically declining. Visits and revisits remain a challenge. Based on log data of a web-based cluster randomized controlled trial conducted in vocational schools, the present secondary analysis aimed to identify influencing factors on initially logging in to a health promotion platform among young adults and to examine the engagement over the course of an eight-week intervention. Data of 336 students (62.2% female, age span 18–25) from two intervention arms (web-based intervention and web-based intervention with an additional initial face-to-face contact) was included. Binary logistic regression and log-data visualization were performed. An additional initial face-to-face contact (odds ratio (OR) = 2.971, p = 0.005), female sex (OR = 2.237, p = 0.046) and the health-related skill “dealing with health information” (OR = 2.179, p = 0.030) significantly increased the likelihood of initially logging in. Other variables showed no influence. 16.6% of all potential users logged in at least once, of which 57.4% revisited the platform. Most logins were tracked at the beginning of the intervention and repeated engagement was low. To increase the engagement with web-based interventions, health-related skills should be fostered. In addition, a strategy could be to interlink comparable interventions in vocational schools more regularly with everyday teaching through multi-component interventions.

Work Ability as Determinant of Termination of Employment: To Resign or Be Dismissed?

OBJECTIVE

The aim of this study was to investigate whether work ability plays a role in termination of employment (resignation or dismissal) in the short-to-medium run.

METHODS

Four-year cohort study with 1060 Brazilian hospital workers. The outcome was final employment status (active, resignation, or dismissal). Multinomial models were fit.

RESULTS

At the end of follow-up, 14.3% of the workers had resigned and 34.0% were dismissed. Impaired work ability was a risk factor for dismissal (relative risk ratio  = 1.39), but not for resignation. Also, job strain, age and sex, family income, nutritional status, and workshift were associated with employment termination.

CONCLUSIONS

Impaired work ability was a risk factor for dismissal but not for resignation in the short-to-medium run. Individual and occupational characteristics also contributed to employment termination. Improvement of work ability and working conditions are recommended to prevent quitting the job.

Working in dissonance: experiences of work instability in workers with common mental disorders

BACKGROUND

Common mental disorders have a negative impact on work functioning, but less is known about the process when the functioning starts to destabilize. This study explores experiences of work instability in workers with common mental disorders.

METHODS

A grounded theory study using a theoretical sampling frame, individual in-depth interviews and a constant comparative analysis conducted by a multidisciplinary research team. The sample involved 27 workers with common mental disorders, currently working full or part time, or being on sick leave not more than 6 months. They were women and men of different ages, representing different occupations and illness severity.

RESULTS

A general process of work instability was conceptualized by the core category Working in dissonance: captured in a bubble inside the work stream. The workers described that their ordinary fluency at work was disturbed. They distanced themselves from other people at and outside work, which helped them to regain their flow but simultaneously made them feel isolated. Four categories described sub-processes of the dissonance: Working out of rhythm, Working in discomfort, Working disconnected and Working in a no man's land.

CONCLUSIONS

The experience of work instability in CMDs was conceptualized as "working in dissonance", suggesting a multifaceted dissonance at work, characterized by a sense of being caught up, as if in a bubble. Focusing on how the worker can re-enter their flow at work when experiencing dissonance is a new approach to explore in occupational and clinical settings.

Opportunities for recovery at work and excellent work ability - a cross-sectional population study among young workers

Background

Better opportunities for recovery at work are thought to be associated with work ability in a young workforce but evidence is scarce to lacking. The aim of this study was to examine cross-sectional associations between opportunities for recovery at work and excellent work ability among young workers and specifically for young workers with high work demands.

Methods

A study group of 1295 women and 1056 men aged 18–29 years was selected from three biennial years of a population cohort. The subsample reporting high work demands consisted of 439 women and 349 men. The study group had completed a work environment questionnaire in a survey conducted by Statistics Sweden. Associations between opportunities for recovery at work and excellent work ability were assessed by multiple logistic regression models stratified for gender.

Results

Having varied work was associated with excellent work ability in all young men (p < 0.0006; prevalence ratio [PR] 1.3) and also specifically in men with high work demands (p = 0.019; PR 1.3). For the latter group the possibility of deciding when to perform a work task was also associated with excellent work ability (p = 0.049; PR 1.3). Among young women with high work demands, the possibility of deciding one’s working hours was associated with excellent work ability (p = 0.046; PR 1.2).

Conclusions

For young men, having varied work can contribute to excellent work ability. In addition, for men with high work demands, the possibility of deciding when to perform a work task may be favourable for excellent work ability. For young women with high work demands, the possibility of deciding one’s working hours can contribute to excellent work ability. Employers could use these opportunities for recovery in promoting work ability among young workers.