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Martin Ginis KA, Sinden AR, Bonaccio S, Labbé D, Guertin C, Gellatly IR, Koch L, Ben Mortenson W, Routhier F, Basham CA, Jetha A, Miller WC. Experiential Aspects of Participation in Employment and Mobility for Adults With Physical Disabilities: Testing Cross-Sectional Models of Contextual Influences and Well-Being Outcomes. Arch Phys Med Rehabil 2024; 105:303-313. [PMID: 37607656 DOI: 10.1016/j.apmr.2023.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 07/18/2023] [Accepted: 08/03/2023] [Indexed: 08/24/2023]
Abstract
OBJECTIVE To use structural equation modeling to test research- and theory-informed models of potential predictors and outcomes of subjective experiences of employment and mobility participation in a national sample of people with physical disabilities. DESIGN Cross-sectional survey. SETTING Canada. PARTICIPANTS English or French-speaking adults with a physical impairment affecting mobility and restricting activities or participation, and who participated in employment (n=457) or mobility (n=711) life domains. INTERVENTIONS N/A. MAIN OUTCOME MEASURES Participants completed standardized measures of perceived health, and employment-specific and/or mobility-specific measures of perceived abilities, social support, accessibility and policies (predictor variables); the Measure of Experiential Aspects of Participation (MeEAP) in employment and/or mobility; and standardized measures of emotional well-being, social well-being and life satisfaction (outcome variables). RESULTS Analyses using structural equation modeling showed that in both employment and mobility domains, perceived health, abilities, social support, and accessibility were positively related to experiential aspects of participation. Participation experiences were positively related to social well-being, emotional well-being, and life satisfaction. CONCLUSIONS Results support and extend current theorizing on participation experiences among adults with physical disabilities. Intrapersonal and environmental factors may play a role in optimizing participation experiences in employment and mobility which, in turn, may lead to better well-being and life satisfaction. These results emphasize the importance of conceptualizing participation from an experiential perspective and provide a basis for advancing theory and practice to understand and improve the participation experiences and well-being of adults living with physical disabilities.
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Affiliation(s)
- Kathleen A Martin Ginis
- Department of Medicine, Division of Physical Medicine & Rehabilitation, University of British Columbia, Vancouver, Canada; Centre for Chronic Disease Prevention and Management, Kelowna, Canada; School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada; International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada.
| | - Adrienne R Sinden
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada
| | - Silvia Bonaccio
- Telfer School of Management, University of Ottawa, Ottawa, Canada; Institute for Work & Health, Toronto, Canada
| | - Delphine Labbé
- Disability and Human Development Department, College of Applied Health Sciences, University of Illinois, Chicago, IL
| | - Camille Guertin
- School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada
| | - Ian R Gellatly
- Department of Strategy, Entrepreneurship, and Management, Alberta School of Business, University of Alberta, Edmonton, Canada
| | - Laura Koch
- Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - W Ben Mortenson
- International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada; Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, Canada
| | - François Routhier
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec, Canada
| | - C Andrew Basham
- School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Arif Jetha
- Institute for Work & Health, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - William C Miller
- International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, Canada; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada
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LaMontagne AD, Too L, Witt K, Evans‐Whipp T, Owen PJ, Toumbourou JW. Does adolescent depression modify the association between psychosocial job stressors and mental health in emergent adulthood? Am J Ind Med 2024; 67:44-54. [PMID: 37924234 PMCID: PMC10952472 DOI: 10.1002/ajim.23547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 10/17/2023] [Accepted: 10/19/2023] [Indexed: 11/06/2023]
Abstract
BACKGROUND Job stressors can be particularly harmful to the mental health of disadvantaged groups through differential exposure, differential sensitivity to the effects of exposure, or both. In this paper, we assess the extent to which emergent adult workers with an adolescent history of high depression symptoms may be differentially sensitive to the effect of job stressors on mental health. METHODS We conducted a secondary analysis of three waves of the Australian arm of the International Youth Development Study (n = 1262). We used multivariable linear regression to assess whether self-reported measures of high depression symptoms at one or two time points in adolescence (ages 11-16 years) modified the cross-sectional association between four self-reported job stressors (job demands, job control, job strain, and incivility at work) and psychological distress (Kessler-10 scores) in emergent adulthood (ages 23-27 years). RESULTS For all four job stressors, there was a consistent pattern of approximately a doubling in the magnitude of association for participants with a history of high depression symptoms at two points in adolescence compared with those with no history of depression. However, results of effect modification analysisfor only job demands and job strain excluded chance as a potential explanation. CONCLUSIONS Findings showed partial support for the hypothesis that a history of high depression symptoms in adolescence predicts stronger associations between job stressor exposures and psychological distress among those employed in emergent adulthood. The limitations of this secondary analysis suggest a need for purpose-designed studies to answer this important research question more definitively.
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Affiliation(s)
- Anthony D. LaMontagne
- Institute for Health TransformationDeakin UniversityGeelongVictoriaAustralia
- Melbourne School of Global & Population HealthUniversity of MelbourneMelbourneVictoriaAustralia
| | - Lay‐San Too
- Melbourne School of Global & Population HealthUniversity of MelbourneMelbourneVictoriaAustralia
| | - Katrina Witt
- Centre for Youth Mental HealthThe University of MelbourneMelbourneVictoriaAustralia
- OrygenParkvilleVictoriaAustralia
| | - Tracy Evans‐Whipp
- Australian Institute of Family StudiesSouthbankVictoriaAustralia
- Department of PaediatricsThe University of MelbourneMelbourneVictoriaAustralia
| | - Patrick J. Owen
- Institute for Health TransformationDeakin UniversityGeelongVictoriaAustralia
| | - John W. Toumbourou
- Centre for Social and Early Emotional Development (SEED)Deakin UniversityGeelongVictoriaAustralia
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Fida R, Watson D, Ghezzi V, Barbaranelli C, Ronchetti M, Di Tecco C. Is Gender an Antecedent to Workplace Stressors? A Systematic Review and an Empirical Study Using a Person-Centred Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085541. [PMID: 37107823 PMCID: PMC10139098 DOI: 10.3390/ijerph20085541] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 04/03/2023] [Accepted: 04/04/2023] [Indexed: 05/11/2023]
Abstract
OBJECTIVE Work is a key domain of life in which gender inequality can manifest, yet gender is rarely the explicit focus of research seeking to understand exposure to stressors. We investigated this research gap in two studies. METHODS Study 1 was a systematic review of the relationship between gender and key stressors (e.g., high demands, poor support, lack of clarity and control). From a total of 13,376,130 papers met our inclusion criteria. Study 2 was a cross-sectional study that included 11,289 employees nested within 71 public organisations (50.6% men). Through a latent profile analysis, we investigated the profiles of stressors separately from men and women. RESULTS The systematic review revealed that, for all stressors, a significant proportion of studies found no significant gender differences, and the review found mixed evidence of greater exposure for both men and women. The results of Study 2 revealed that both genders could be optimally represented by three psychosocial risk profiles reflecting medium, low and high stressors. The results also showed that while the shape of profiles was similar for both genders, men had a higher probability than women of being in the virtuous (i.e., low stressors) profile, and the opposite pattern emerged for the average profile (i.e., medium levels of stressors). Men and women displayed the same likelihood of being classified in the at-risk profile (i.e., high levels of stressors). CONCLUSION Gender differences in exposure to stressors are inconsistent. Although the literature on gender role theory and the gendering of work suggests different exposures to stressors in men and women, we find little empirical support for this.
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Affiliation(s)
- Roberta Fida
- Norwich Business School, University of East Anglia, Norwich NR4 7TJ, UK
| | - David Watson
- Norwich Business School, University of East Anglia, Norwich NR4 7TJ, UK
| | - Valerio Ghezzi
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Claudio Barbaranelli
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
- Correspondence:
| | - Matteo Ronchetti
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), Monte Porzio Catone, 00078 Rome, Italy
| | - Cristina Di Tecco
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), Monte Porzio Catone, 00078 Rome, Italy
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Backhaus I, Hoven H, Bambra C, Oksanen T, Rigó M, di Tecco C, Iavicoli S, Dragano N. Changes in work-related stressors before and during the COVID-19 pandemic: differences by gender and parental status. Int Arch Occup Environ Health 2023; 96:421-431. [PMID: 36367561 PMCID: PMC9651091 DOI: 10.1007/s00420-022-01933-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 10/25/2022] [Indexed: 11/13/2022]
Abstract
PURPOSE The COVID-19 pandemic changed people's working conditions worldwide and research suggests increases in work stressors. However, it is not known to what extent these changes differ by gender or parental status. In the present study, we investigate trends in work stressors and whether these differ by gender and parental status. METHODS We used cross-sectional time series data of the European Working Conditions Survey of 2015 and Living, Working and COVID-19 survey of spring 2020 to examine trends in work stressors by gender and parental status. Work stressors were working in leisure time, lack of psychological detachment and work-life conflict. We applied three-way multilevel regressions reporting prevalence ratios and reported predicted probabilities and average marginal effects to show trends and differences in changes in work stressors. RESULTS Our multilevel regression results showed elevated prevalence ratios during the pandemic for working leisure time (PR: 1.43, 95% CI 1.34-1.53), psychological detachment (PR: 1.70, 95% CI 1.45-1.99) and work-life conflict (PR: 1.29, 95% CI 1.17-1.43) compared to before the pandemic. Except for working in leisure time, the increase was more significant among women and mothers. The proportion of work-life conflict in 2020 was 20.7% (95% CI 18.7-22.9) for men and 25.8% (95% CI 24.0-27.6) for women, equalling a difference of 5.1% (p < 0.001). CONCLUSIONS There is evidence that work stressors increased disproportionately for women and mothers. This needs to be monitored and addressed to prevent widening gender inequalities in the quality of work.
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Affiliation(s)
- Insa Backhaus
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
| | - Hanno Hoven
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
| | - Clare Bambra
- Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne, UK
| | - Tuula Oksanen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
| | - Mariann Rigó
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
| | - Cristina di Tecco
- Italian Workers’ Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Rome, Italy
| | - Sergio Iavicoli
- Directorate for Communication and International Affairs, Ministry of Health, Rome, Italy
| | - Nico Dragano
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
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Cano-Gutiérrez JC, Olguín-Tiznado JE, Camargo-Wilson C, López Barreras JA, García-Rivera BR, García-Alcaráz JL. Psychosocial risk factors identification in Mexican workers and RGIII validation. Work 2023; 76:189-203. [PMID: 36847055 DOI: 10.3233/wor-220316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
BACKGROUND Since 2018, NOM-035-STPS-2018 has been applied in Mexico, focused on measuring psychosocial risk factors (PRFs) in workers and the Reference Guide III (RGIII) has been presented, however, research focused on its validation has been scarce, in very specific sectors and with small samples. OBJECTIVE Determine the levels of PRFs of five work centers and reliability and validity aspects of RGIII. METHOD The RGIII was applied to 1458 workers (806 women and 652 men) from five workplace in the industrial sector of Ensenada (Mexico), and the level of risk of the PRFs was analyzed, as well as their reliability and validity through Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). RESULTS The PRFs with medium, high and very high-risk levels are Workload, Lack of control over work and Workday. The RGIII presents adequate reliability with Cronbach's α, Alpha ordinal RHO and Omega of 0.93, 0.95 and 0.95, respectively. The EFA shows all five subscales maintain factor loadings greater than 0.43, although Leadership and relationships at work has better saturation values, and Work environment ended with only three items. The CFA indicates Leadership and work relationships with a Root Mean Square Error of Approximation (RMSEA) goodness of fit index of 0.072. CONCLUSION The RGIII allows the identification and evaluation of the level of risk of PRFs. It complies with sufficient internal consistency. It does not have a clear factorial structure, because it does not meet the minimum values of goodness-of-fit indexes that would allow confirming the structure proposed in RGIII.
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Affiliation(s)
- Julio César Cano-Gutiérrez
- Faculty of Engineering, Architecture and Design, Universidad Autónoma de Baja California, Ensenada, Mexico
| | | | - Claudia Camargo-Wilson
- Faculty of Engineering, Architecture and Design, Universidad Autónoma de Baja California, Ensenada, Mexico
| | | | - Blanca Rosa García-Rivera
- Faculty of Administrative and Social Sciences, Universidad Autónoma de Baja California, Ensenada, Mexico
| | - Jorge Luis García-Alcaráz
- Departament of Industrial Engineering and Manufacturing, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Mexico
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Suicide trends among Australian construction workers during years 2001-2019. Sci Rep 2022; 12:20201. [PMID: 36424429 PMCID: PMC9686251 DOI: 10.1038/s41598-022-24575-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 11/17/2022] [Indexed: 11/25/2022] Open
Abstract
In many Western countries, including Australia, construction workers have been identified as being at elevated risk of suicide compared to other workers. A variety of suicide prevention initiatives have been implemented and expanded to reduce suicide in this occupational group; however, the net effect of these is unknown. Using 19 years of national suicide data, this study examined the suicide mortality of Australian male construction workers relative to all other working males, and compared suicide rates over time between the two groups. Age-standardized suicide rates were calculated for construction workers and those employed in other occupations. 2001-2019 trends in age-standardized rates of suicide mortality were analyzed by joinpoint regression analysis. The annual average percentage change (AAPC) measure was calculated for both groups to quantify change over time within each group, complemented by a pair-wise AAPC comparison of changes in trends between the two groups over the 2001-2019 period. Australian male construction workers' overall age-standardized suicide rate was 26.6 per 100,000 persons compared to 13.2 per 100,000 for male workers employed in other occupations (pooled over the entire 2001-2019 period). Over time, the suicide mortality rate declined in both construction workers and those working in other occupations; however, the decline in suicide mortality was greater in construction workers (AAPC: -3.0; 95%CI -4.0, -2.0) compared to other workers (AAPC: 1.5; 95%CI -2.1, -1.0). The AAPC pair-wise comparison showed a significant difference between the rate of decline among construction versus other workers over the 19-year study period (AAPC: -1.4; 95%CI 0.4, 2.5), confirming a rapid decline among construction versus other male workers. This study provides evidence of a decline in suicide rates among Australian construction workers over the last two decades. This decline may be attributable to the combined effects of population-wide, male-specific, and sector-specific suicide prevention efforts over this same period, suggesting that the continuation or expansion of such efforts may lead to further declines.
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Domains of Psychosocial Risk Factors Affecting Young Construction Workers: A Systematic Review. BUILDINGS 2022. [DOI: 10.3390/buildings12030335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Despite being a key provider of employment, construction work significantly contributes to poor mental health among young construction workers worldwide. Although there are studies on the psychosocial risk factors (PRFs) that make young construction workers susceptible to poor mental health, the literature is fragmented. This has obscured a deeper understanding of PRFs and the direction for future research, thus making it challenging to develop appropriate interventions. To address this challenge, we systematically reviewed the literature on young construction workers’ PRFs using meta-aggregation, guided by the PICo, PEO, and PRISMA frameworks. We sought to synthesize the domains of PRFs that affect young construction workers’ mental health, and to determine the relationships between the PRF domains, psychological distress, and poor mental health. A total of 235 studies were retrieved and 31 studies published between 1993 and 2020 met the inclusion criteria. We identified 30 PRFs and categorized them into ten domains, which were further classified into personal, socio-economic, and organizational/industrial factors. The findings of this review contribute to achieving an in-depth understanding of young construction workers’ PRF domains and their patterns of interaction. The findings are also useful to researchers and policymakers for identifying PRFs that are in critical need of attention.
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LaMontagne AD, King T, Taouk Y. Submission to the Australian Senate Select Committee on Job Security on the Impact of Insecure or Precarious Employment on the Economy, Wages, Social Cohesion, and Workplace Rights and Conditions. New Solut 2022; 31:469-474. [PMID: 34266331 DOI: 10.1177/10482911211032946] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The Australian Senate announced a Select Committee in December of 2020 "to inquire into and report on the impact of insecure or precarious employment on the economy, wages, social cohesion and workplace rights and conditions." This New Solutions "Document" is a submission to the Australian Senate from independent Australian researchers focusing on the role of perceived job (in)security in this context, acknowledging that it only briefly addresses the role of unemployment, precarious employment, and other aspects of the broader phenomenon of insecure work. Submissions closed in March of 2021, and the Australian Senate is due to report its findings on 30 November 2021.
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Affiliation(s)
- Anthony D LaMontagne
- School of Health and Social Development, Deakin University, Burwood, Victoria, Australia
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Tania King
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Yamna Taouk
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia
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Heinonen N, Lallukka T, Lahti J, Pietiläinen O, Nordquist H, Mänty M, Katainen A, Kouvonen A. Working Conditions and Long-Term Sickness Absence Due to Mental Disorders: A Prospective Record Linkage Cohort Study Among 19- to 39-Year-Old Female Municipal Employees. J Occup Environ Med 2022; 64:105-114. [PMID: 34723911 PMCID: PMC8812422 DOI: 10.1097/jom.0000000000002421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
OBJECTIVE We examined associations between working conditions and long-term sickness absence due to mental disorders (LTSA-MD) among younger female public sector employees from different employment sectors. METHODS Survey data collected in 2017 (n = 3048) among 19- to 39-year-old female employees of the City of Helsinki, Finland, were used to examine job demands, job control, physical workload, computer work, and covariates. Register data on LTSA-MD were used over 1-year follow-up. Negative binomial regression models were applied. RESULTS Adverse psychosocial and physical working conditions were associated with higher LTSA-MD during the follow-up. Health and social care workers had the highest number of days of LTSA-MD. CONCLUSION Working conditions are important factors when aiming to prevent LTSA-MD among younger employees, in the health and social care sector in particular.
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Affiliation(s)
- Noora Heinonen
- Faculty of Social Sciences, University of Helsinki, Finland (Heinonen, Dr Nordquist, Dr Katainen, and Dr Kouvonen); Department of Public Health, Faculty of Medicine, University of Helsinki, Finland (Dr Olli, Dr Nordquist, and Dr Mänty); South-Eastern Finland University of Applied Sciences, Kotka, Finland (Dr Nordquist); Department of Public Health, Faculty of Medicine, University of Helsinki, Finland; and Unit of strategy and research, City of Vantaa, Vantaa, Finland (Dr Mänty); Centre for Public Health, Queen's University Belfast, UK (Dr Kouvonen)
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Siqueira JSD, Fernandes RDCP. Physical and psychosocial demand at work: inequities related to race/skin color. CIENCIA & SAUDE COLETIVA 2021; 26:4737-4748. [PMID: 34730659 DOI: 10.1590/1413-812320212610.19982020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 08/13/2020] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study investigated the association between self-reported race/skin color and two outcomes - psychosocial demand and physical demand at work - in 1,032 workers in an urban cleaning services company and two footwear manufacturers, located in the State of Bahia, Brazil. Psychosocial demand was measured through the Job Content Questionnaire and physical demand was measured through questions about postures and cargo handling. A Cox regression analysis provided prevalence ratios (PR) adjusted by age, gender, and educational level. Among blacks, there is a higher proportion of garbage collectors and a lower proportion of supervisory positions. Black workers are more subject to high psychological demand and low job control and, consequently, to high strain (PR=1.65). Also, they are more exposed to work with arms above shoulder level (PR=1.93), and material handling (PR=1.62), compared to white workers. Brown workers are more exposed to low job control (PR=1.36), work with arms above shoulder level (PR=1.48), and material handling (PR=1.25), also compared with whites. Social support is lower among blacks and brown. The study demonstrated inequities in psychosocial and physical exposures at work that are in line with the structural conception of racism. This evidence can contribute to the adoption of practices that increase equity in the world of work.
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Affiliation(s)
- Janaína Santos de Siqueira
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Universidade Federal da Bahia (UFBA). Largo do Terreiro de Jesus s/n, Centro Histórico. 40026-010 Salvador BA Brasil.
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Taouk Y, Spittal MJ, Disney G, LaMontagne AD. Changes in Job Control and Perceptions of General Health: A Longitudinal Analysis of Australian Workers, 2005 to 2017. J Occup Environ Med 2021; 63:813-820. [PMID: 33990529 DOI: 10.1097/jom.0000000000002259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE This longitudinal study of Australian workers explores a possible causal relationship between job control and general health. METHODS Our sample included 105,017 observations (18,574 persons) over 13 annual waves from working age participants with information on job control, general health, and other sociodemographic and health factors. Three complementary longitudinal modeling approaches were used to explore the causal relationship. RESULTS There was a strong stepwise, mostly exposure to outcome, relationship between increasing job control and general health. Cumulative exposure to low job control resulted in increasingly worse general health. Taken together, these findings provide good evidence of a causal relationship between low job control and general health. CONCLUSION This analysis with improved causal inference over previous research showed that change in job control is strongly associated with change in general health.
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Affiliation(s)
- Yamna Taouk
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne (Dr Taouk, Dr Spittal, Dr Disney, Mr LaMontagne); School of Health & Social Development, Determinants of Health Research Domain, Institute for Health Transformation, Deakin University, Geelong (Mr LaMontagne), Victoria, Australia
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Franzoi IG, D’Ovidio F, Costa G, d’Errico A, Granieri A. Self-Rated Health and Psychological Distress among Emerging Adults in Italy: A Comparison between Data on University Students, Young Workers and Working Students Collected through the 2005 and 2013 National Health Surveys. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126403. [PMID: 34199210 PMCID: PMC8296246 DOI: 10.3390/ijerph18126403] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 06/08/2021] [Accepted: 06/11/2021] [Indexed: 01/02/2023]
Abstract
Background. The present study aimed at comparing self-reported physical health and mental health among university students, workers, and working students aged between 19 years and 29 years. Method. Using data from National Health Surveys held in 2005 and 2013, a cross-sectional study was conducted on 18,612 Italian emerging adults grouped into three groups: university students, workers, and working students. The odds ratios of self-reported anxiety or depression, poor general health, and poor mental health and physical health (as assessed through SF-12) were estimated through logistic regression models adjusted for potential confounders. Results. Compared with workers, students showed an increased risk of anxiety or depression and a lower risk of poor general health. Students and working students showed an increased risk of reporting weak mental health compared with that in workers, while students displayed a lower risk of poor physical health. Significant differences were not found between the 2005 and 2013 surveys. Conclusions. These results are of considerable importance for psychologists as well as educational and occupation-based institutions for planning prevention programs and clinical interventions.
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Affiliation(s)
| | - Fabrizio D’Ovidio
- Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, Italy;
| | - Giuseppe Costa
- Department of Clinical and Biological Science, University of Turin, 10043 Orbassano, Italy;
| | - Angelo d’Errico
- Department of Epidemiology, Azienda Sanitaria Locale TO3, 10095 Grugliasco, Italy;
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Burr H. Monitoring trends in psychosocial and physical working conditions: Challenges and suggestions for the 21st century. Scand J Work Environ Health 2021; 47:329-333. [PMID: 34076251 PMCID: PMC8259709 DOI: 10.5271/sjweh.3973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Hermann Burr
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA), Nöldnerstraße 40-42, 10317 Berlin, Germany.
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Corin L, Pousette A, Berglund T, Dellve L, Hensing G, Björk L. Occupational trajectories of working conditions in Sweden: Development trends in the workforce, 1997-2015. Scand J Work Environ Health 2021; 47:335-348. [PMID: 33778895 PMCID: PMC8259708 DOI: 10.5271/sjweh.3955] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objective: This study aimed to explore the development of working conditions within and between occupations in the Swedish labor market from 1997 to 2015 and whether any polarization in working conditions concurrently occurred between occupations. Methods: Cross-sectional data from ten waves of the Swedish Work Environment Surveys (1997–2015) were used and an aggregated occupational-level dataset was created using the Swedish Standard Classification of Occupations. To capture the patterns of change in working conditions over time (ie, growth), growth curve modeling was used to identify the starting points for 89 occupations (intercepts) as well as both the shape (functional form) and rate of growth (slope) over time. Results: The Swedish labor market was stable overall, with some small, mainly positive, changes in job demands and resources. Different occupations developed in divergent directions, but there was no evidence of polarization. Conclusions: The findings indicate that macro-level stability can hide highly heterogeneous patterns of change among different occupational groups. This type of analysis, taking context into account, could be valuable for decision makers intending to improve the work environment.
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Affiliation(s)
- Linda Corin
- Institute of Stress Medicine, Region Västra Götaland, 413 19 Gothenburg, Sweden.
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Witt K, Milner A, Evans-Whipp T, Toumbourou JW, Patton G, LaMontagne AD. Educational and Employment Outcomes among Young Australians with a History of Depressive Symptoms: A Prospective Cohort Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073376. [PMID: 33805164 PMCID: PMC8036767 DOI: 10.3390/ijerph18073376] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 03/08/2021] [Accepted: 03/19/2021] [Indexed: 12/18/2022]
Abstract
The aim of this study was to investigate whether depressive symptoms reported during adolescence are associated with subsequent educational and employment outcomes, including whether experiences of depressive symptoms in adolescence are associated with higher exposures to adverse psychosocial job stressors among those who were employed in emerging adulthood. We used data from the Victorian arm of the International Youth Development Study (IYDS). Multiple logistic regression analyses were used to model the association of depressive symptoms reported in 2002 (wave one) and/or 2003 (wave two) and self-reported completion of compulsory secondary schooling, employment status, and exposure to a number of psychosocial job stressors roughly a decade later (i.e., at wave three in 2014). In fully adjusted models, reporting high depressive symptoms at waves one or two (odds ratio (OR) 0.71, 95% confidence interval (CI) 0.55 to 0.92), as well as at both waves (OR 0.55, 95% CI 0.41 to 0.75) were associated with a reduced likelihood of completing secondary schooling by wave three. High depressive symptoms reported at multiple waves were also associated with a reduced likelihood of employment (OR 0.49, 95% CI 0.36 to 0.66). Amongst those employed at wave three (n = 2091; 72.5%), adolescent depressive symptoms were associated only with workplace incivility. Psychosocial job stressor exposures should be considered in the design and selection of jobs for young workers with a history of depressive symptoms in order to increase employment participation and sustainability for young people experiencing symptoms of depression.
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Affiliation(s)
- Katrina Witt
- Turning Point, Eastern Health Clinical School, Monash University, Richmond 3121, Australia;
| | - Allison Milner
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville 3052, Australia;
| | - Tracy Evans-Whipp
- Centre for Adolescent Health, Murdoch Children’s Research Institute, Parkville 3052, Australia; (T.E.-W.); (G.P.)
- Department of Paediatrics, Royal Children’s Hospital and The University of Melbourne, Parkville 3052, Australia
| | | | - George Patton
- Centre for Adolescent Health, Murdoch Children’s Research Institute, Parkville 3052, Australia; (T.E.-W.); (G.P.)
- Department of Paediatrics, Royal Children’s Hospital and The University of Melbourne, Parkville 3052, Australia
| | - Anthony D. LaMontagne
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville 3052, Australia;
- Institute for Health Transformation and School of Health and Social Development, Deakin University, Geelong 3220, Australia
- Correspondence:
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Giordano FB, Stoffregen SA, Klos LS, Lee J. Risks that are “worthy” to take: temporary workers’ risk-benefit and willingness perceptions. EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY 2021. [DOI: 10.1080/1359432x.2021.1886086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Frank B. Giordano
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Stacy A. Stoffregen
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Leah S. Klos
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Jin Lee
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
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Roche AM, Chapman J, Duraisingam V, Phillips B, Finnane J, Pidd K. Flying below the Radar: Psychoactive Drug Use among Young Male Construction Workers in Sydney, Australia. Subst Use Misuse 2021; 56:758-767. [PMID: 33754938 DOI: 10.1080/10826084.2021.1892139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Background: Globally, there is growing concern regarding workers' illicit drug use and its implications for health and workplace safety. Young workers in male-dominated industries, such as construction, may be more susceptible to illicit drug use, risky drinking and its associated harms.Purpose/objectives: To investigate drug use and perceptions of risk among male construction workers, drawing comparisons between workers under 25 years with older age groups.Methods: Workers in Sydney, Australia (N = 511) completed a survey measuring past year illicit drug and alcohol use, psychological distress and perceptions of drug-related risks to health and safety. Prevalence in the total sample was compared with national estimates, and differences between younger and older survey respondents were examined using logistic regression models.Results: Survey respondents' cocaine, meth/amphetamine and cannabis use was significantly higher than estimates of male employees nationally (OR = 6.60, 3.58, 1.61, respectively). Young workers ≤24 were more likely to frequently use illicit drugs, drink heavily, and report psychological distress than those aged 35+. Workers ≤24 were least likely to perceive that drug use posed high risks to health or safety when compared with 25-34 and 35+ age groups.Conclusions/importance: The findings highlight the high prevalence of illicit drug use amongst young construction workers, representing threats to workplace safety even if used outside work hours. Greater emphasis on potential adverse effects of alcohol and drug use and closer examination of contributory workplace factors are required. These findings have practical implications to inform occupational health and safety programs and interventions in high-risk workplaces.
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Affiliation(s)
- Ann M Roche
- National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia
| | - Janine Chapman
- National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia
| | - Vinita Duraisingam
- National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia
| | - Brooke Phillips
- National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia.,Building Trades Group Drug and Alcohol Program, Rozelle, New South Wales, Australia
| | - Jim Finnane
- Building Trades Group Drug and Alcohol Program, Rozelle, New South Wales, Australia
| | - Ken Pidd
- National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia
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Psychosocial job characteristics and mental health: Do associations differ by migrant status in an Australian working population sample? PLoS One 2020; 15:e0242906. [PMID: 33253270 PMCID: PMC7703972 DOI: 10.1371/journal.pone.0242906] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Accepted: 11/12/2020] [Indexed: 12/26/2022] Open
Abstract
Migrant workers may experience higher burdens of occupational injury and illness compared to native-born workers, which may be due to the differential exposure to occupational hazards, differential vulnerability to exposure-associated health impacts, or both. This study aims to assess if the relationships between psychosocial job characteristics and mental health vary by migrant status in Australia (differential vulnerability). A total of 8969 persons from wave 14 (2014–2015) of the Household Income and Labour Dynamics in Australia Survey were included in the analysis. Psychosocial job characteristics included skill discretion, decision authority and job insecurity. Mental health was assessed via a Mental Health Inventory-5 score (MHI-5), with a higher score indicating better mental health. Migrant status was defined by (i) country of birth (COB), (ii) the combination of COB and English/Non-English dominant language of COB and (iii) the combination of COB and years since arrival in Australia. Data were analysed using linear regression, adjusting for gender, age and educational attainment. Migrant status was analysed as an effect modifier of the relationships between psychosocial job characteristics and mental health. Skill discretion and decision authority were positively associated with the MHI-5 score while job insecurity was negatively associated with the MHI-5 score. We found no statistical evidence of migrant status acting as an effect modifier of the psychosocial job characteristic―MHI-5 relationships. With respect to psychosocial job characteristic―mental health relationships, these results suggest that differential exposure to job stressors is a more important mechanism than differential vulnerability for generating occupational health inequities between migrants and native-born workers in Australia.
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Taouk Y, Spittal MJ, Milner AJ, LaMontagne AD. All-cause mortality and the time-varying effects of psychosocial work stressors: A retrospective cohort study using the HILDA survey. Soc Sci Med 2020; 266:113452. [PMID: 33126098 DOI: 10.1016/j.socscimed.2020.113452] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 08/19/2020] [Accepted: 10/12/2020] [Indexed: 01/26/2023]
Abstract
The effects of poor-quality work (high job demands, low job control, job insecurity, and effort-reward imbalance) are harmful to health but it isn't clear whether exposure to these psychosocial work stressors over time translates into increased risk of mortality. OBJECTIVE We investigated the effect of time-varying psychosocial work stressors on mortality using data from a longitudinal cohort of working Australians by examining association between job control, job demands, job insecurity, unfair pay overtime and all-cause mortality. We examined whether gender modified these relationships. METHODS Over 20,000 participants from the Household Income and Labour Dynamics in Australia survey with self-reported repeated exposure measures were followed for 15 years. Survival analysis models with baseline hazard specified by the Weibull distribution were used to examine the association between psychosocial work stressors over time and mortality. RESULTS Low job control (HR=1.39; 95% CI: 1.06-1.83) and job insecurity (1.36; 1.06-1.74) were associated with increased risk of mortality. High job demands (1.01; 0.75-1.34) and effort-reward unfairness (1.20; 0.90-1.59) were not associated with mortality. The effect of job insecurity was attenuated (1.20; 0.93-1.54) after controlling for sociodemographic and health risk factors. Male participants exposed to low job control and job insecurity had an 81% and 39% increase risk of mortality, respectively. CONCLUSIONS Long-term exposure to low job control and low job security is associated with increased risk of all-cause mortality. Effects were largely restricted to males and persisted after adjustments for sociodemographic and health characteristics. The lack of effects observed for females may have been due to the small number of deaths in females. Awareness of implications of the adverse effects of psychosocial work stressors on health and mortality in workplaces, and interventions to improve job control and job security could contribute to better health and wellbeing, reducing the effect of psychosocial work stressors on mortality.
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Affiliation(s)
- Yamna Taouk
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia.
| | - Matthew J Spittal
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia
| | - Allison J Milner
- Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia
| | - Anthony D LaMontagne
- Centre for Population Health Research, Deakin University, Burwood, Victoria, 3125, Australia
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Liu X, Bowe SJ, Milner A, Li L, Too LS, Lamontagne AD. Differential Exposure to Job Stressors: A Comparative Analysis Between Migrant and Australia-Born Workers. Ann Work Expo Health 2020; 63:975-989. [PMID: 31621876 DOI: 10.1093/annweh/wxz073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 08/01/2019] [Accepted: 09/04/2019] [Indexed: 02/06/2023] Open
Abstract
AIMS Previous studies have suggested that migrants have higher exposures to psychosocial job stressors than native-born workers. We explored migrant status-related differences in skill discretion/job complexity and decision authority, and whether the differences varied by gender, age, and educational attainment. METHODS Data were from Wave 14 of the Household Income and Labour Dynamics in Australia (HILDA) Survey. A total number of 9031 persons were included in the analysis. Outcomes included skill discretion/job complexity and decision authority. Exposure included migrant status defined by (i) country of birth (COB), (ii) the combination of COB and English/Non-English dominant language of COB, and (iii) the combination of COB and years since arrival in Australia. Data were analysed using linear regression, adjusting for gender, age, and educational attainment. These covariates were also analysed as effect modifiers of the relationship between migrant status and job stressor exposure. RESULTS In the unadjusted analysis, only migrant workers from Non-English-speaking countries (Non-ESC-born) had significantly lower skill discretion and job complexity than Australia-born workers (-0.29, 95% CI: -0.56; -0.01); however, results from fully adjusted models showed that all migrant groups, except migrant workers from Main-English-speaking countries, had significantly lower skill discretion and job complexity than Australia-born workers (overseas-born workers, -0.59, 95% CI: -0.79; -0.38; Non-ESC-born, -1.01, 95% CI: -1.27; -0.75; migrant workers who had arrived ≤5 years ago, -1.33, 95% CI: -1.94; -0.72; arrived 6-10 years ago, -0.92, 95% CI: -1.46; -0.39; and arrived ≥11 years ago, -0.45, 95% CI: -0.67; -0.22). On the contrary, the unadjusted model showed that migrant workers had higher decision authority than Australia-born workers, whereas in the fully adjusted model, no difference in decision authority was found between migrant workers and Australia-born workers. Effect modification results showed that as educational attainment increased, differences in skill discretion and job complexity between Australia-born workers and Non-ESC-born migrants progressively increased; whereas Non-ESC-born migrants with postgraduate degree showed significantly lower decision authority than Australia-born workers. CONCLUSIONS This study suggests that skill discretion and job complexity but not decision authority is associated with migrant status. Migrants with high educational attainment from Non-English-speaking countries appear to be most affected by lower skill discretion/job complexity and decision authority; however, differences in skill discretion and job complexity attenuate over time for Non-ESC-born migrants, consistent with an acculturation effect. Low skill discretion and job complexity, to the extent that it overlaps with underemployment, may adversely affect migrant workers' well-being. Targeted language skill support could facilitate migrant integration into the Australian labour market.
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Affiliation(s)
- Xiaomin Liu
- Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia.,Psychiatric Unit, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Steven J Bowe
- Deakin Biostatistics Unit, Faculty of Health, Deakin University, Geelong, Victoria, Australia
| | - Allison Milner
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Lin Li
- Nigel Gray Fellowship Group, Cancer Council Victoria, Melbourne, Victoria, Australia
| | - Lay San Too
- Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia
| | - Anthony D Lamontagne
- Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia
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Taouk Y, LaMontagne AD, Spittal MJ, Milner A. Psychosocial work stressors and risk of mortality in Australia: analysis of data from the Household, Income and Labour Dynamics in Australia survey. Occup Environ Med 2020; 77:256-264. [DOI: 10.1136/oemed-2019-106001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 10/31/2019] [Accepted: 12/06/2019] [Indexed: 11/04/2022]
Abstract
ObjectiveTo examine the association between exposures to psychosocial work stressors and mortality in a nationally representative Australian working population sample.Methods18 000 participants from the Household, Income and Labour Dynamics in Australia survey with self-reported job demands, job control, job security and fair pay psychosocial work stressors exposures at baseline were followed for up to 15 waves. Cox proportional hazards regression models were used to examine the association between psychosocial work stressors and mortality. Models were serially adjusted for each subgroup of demographic, socioeconomic, health and behavioural risk factors.ResultsLow job control was associated with a 39% increase in the risk of all-cause mortality (HR 1.39; 95% CI 1.04 to 1.85), controlling for demographic, socioeconomic, health and behavioural factors. A decreased risk of mortality was observed for workers with exposure to high job demands (HR 0.76; 95% CI 0.60 to 0.96, adjusted for gender and calendar), but the risk was attenuated after serially adjusting for socioeconomic status, health (HR=0.84; 95% CI 0.65 to 1.08) and behavioural (HR=0.79; 95% CI 0.60 to 1.04) factors. There did not appear to be an association between exposure to job insecurity (HR 1.03; 95% CI 0.79 to 1.33) and mortality, or unfair pay and mortality (HR 1.04; 95% CI 0.80 to 1.34).ConclusionsLow job control may be associated with an increased risk of all-cause mortality. Policy and practice interventions that reduce the adverse impact of low job control in stressful work environments could be considered to improve health and decrease risk of mortality.
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Bhandari T, Ojha J, Karki R. Job stress and its associated factors among working women in Pokhara Metropolitan, Nepal. JOURNAL OF THE SCIENTIFIC SOCIETY 2020. [DOI: 10.4103/jss.jss_50_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Burr H, Berthelsen H, Moncada S, Nübling M, Dupret E, Demiral Y, Oudyk J, Kristensen TS, Llorens C, Navarro A, Lincke HJ, Bocéréan C, Sahan C, Smith P, Pohrt A. The Third Version of the Copenhagen Psychosocial Questionnaire. Saf Health Work 2019; 10:482-503. [PMID: 31890332 PMCID: PMC6933167 DOI: 10.1016/j.shaw.2019.10.002] [Citation(s) in RCA: 146] [Impact Index Per Article: 29.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 09/20/2019] [Accepted: 10/23/2019] [Indexed: 10/25/2022] Open
Abstract
INTRODUCTION A new third version of the Copenhagen Psychosocial Questionnaire (COPSOQ III) has been developed in response to trends in working life, theoretical concepts, and international experience. A key component of the COPSOQ III is a defined set of mandatory core items to be included in national short, middle, and long versions of the questionnaire. The aim of the present article is to present and test the reliability of the new international middle version of the COPSOQ III. METHODS The questionnaire was tested among 23,361 employees during 2016-2017 in Canada, Spain, France, Germany, Sweden, and Turkey. A total of 26 dimensions (measured through scales or single items) of the middle version and two from the long version were tested. Psychometric properties of the dimensions were assessed regarding reliability (Cronbach α), ceiling and floor effects (fractions with extreme answers), and distinctiveness (correlations with other dimensions). RESULTS Most international middle dimensions had satisfactory reliability in most countries, though some ceiling and floor effects were present. Dimensions with missing values were rare. Most dimensions had low to medium intercorrelations. CONCLUSIONS The COPSOQ III offers reliable and distinct measures of a wide range of psychosocial dimensions of modern working life in different countries; although a few measures could be improved. Future testing should focus on validation of the COPSOQ items and dimensions using both qualitative and quantitative approaches. Such investigations would enhance the basis for recommendations using the COPSOQ III.
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Affiliation(s)
- Hermann Burr
- Division 3 Work and Health, Federal Institute of Occupational Safety and Health (BAuA), Berlin, Germany
| | - Hanne Berthelsen
- Center for Work Life and Evaluation Studies (CTA) and the Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Salvador Moncada
- Union Institute of Work, Environment and Health (ISTAS), Barcelona, Spain
| | - Matthias Nübling
- Freiburg Research Centre for Occupational Sciences (FFAW), Freiburg, Germany
| | | | - Yucel Demiral
- Department of Public Health, Dokuz Eylul University, Izmir, Turkey
| | - John Oudyk
- Occupational Health Clinics for Ontario Workers (OHCOW), Hamilton, Canada
| | | | - Clara Llorens
- Union Institute of Work, Environment and Health (ISTAS), Barcelona, Spain
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona, Barcelona, Spain
| | - Albert Navarro
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona, Barcelona, Spain
- Biostatistics Unit, Faculty of Medicine, Autonomous University of Barcelona, Barcelona, Spain
| | - Hans-Joachim Lincke
- Freiburg Research Centre for Occupational Sciences (FFAW), Freiburg, Germany
| | | | - Ceyda Sahan
- Department of Public Health, Dokuz Eylul University, Izmir, Turkey
| | - Peter Smith
- Institute for Work and Health (IWH), Toronto, ON, Canada
- Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Anne Pohrt
- Institut für Medizinische Psychologie, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Job Insecurity: A Comparative Analysis between Migrant and Native Workers in Australia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16214159. [PMID: 31661926 PMCID: PMC6861924 DOI: 10.3390/ijerph16214159] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 10/15/2019] [Accepted: 10/17/2019] [Indexed: 02/07/2023]
Abstract
Job insecurity is a modifiable risk factor for poor health outcomes, and exposure to job insecurity varies by population groups. This study assessed if job insecurity exposure varied by migrant status and if the differences varied by gender, age, educational attainment, and occupational skill level. Data were from wave 14 of the Household Income and Labour Dynamics in Australia Survey. The outcome was job insecurity. Exposure was migrant status defined by (1) the country of birth (COB), (2) the dominant language of the COB, and (3) the number of years since arrival in Australia. Data were analysed using linear regression, adjusting for gender, age, educational attainment, and occupational skill level. These covariates were also analysed as effect modifiers for the migrant status–job insecurity relationships. Migrant workers, especially those from non-English speaking countries (non-ESC-born), experienced higher job insecurity than Australia-born workers; however, these disparities disappeared after 11+ years post-arrival. The migrant status–job insecurity relationships were modified by educational attainment. Unexpectedly, the disparities in job insecurity between non-ESC-born migrants and Australia-born workers increased with increasing educational attainment, and for those most highly educated, the disparities persisted beyond 11 years post-arrival. Our findings suggested that continuing language skill support and discrimination prevention could facilitate migrant integration into the Australian labour market.
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Roche A, Kostadinov V, Cameron J, Pidd K, McEntee A, Duraisingam V. The development and characteristics of Employee Assistance Programs around the globe. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2018. [DOI: 10.1080/15555240.2018.1539642] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Ann Roche
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Victoria Kostadinov
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Jacqui Cameron
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Ken Pidd
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Alice McEntee
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Vinita Duraisingam
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
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Daly A, Carey RN, Darcey E, Chih H, LaMontagne AD, Milner A, Reid A. Workplace psychosocial stressors experienced by migrant workers in Australia: A cross-sectional study. PLoS One 2018; 13:e0203998. [PMID: 30235255 PMCID: PMC6147467 DOI: 10.1371/journal.pone.0203998] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 08/31/2018] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE To explore work-related psychosocial stressors among people of Chinese, Vietnamese and Arabic-speaking backgrounds currently working in Australia. METHODS In 2015, a telephone survey of 585 Vietnamese, Chinese and Arabic-speaking workers asked about workplace bullying, ethnic discrimination, job complexity, degree of control, security and fairness of payment along with demographic and employment information. Estimates of job-related psychosocial stressors were derived and regression analyses used to identify significant associations. RESULTS At least one workplace stressor was reported by 83% of the workers in the study. Education was significantly associated with experiencing any psychosocial stressor and also with the total number of stressors. Workers aged 45 years and older were more likely to be bullied or experience racial discrimination compared with younger workers of any ethnicity. There was a greater likelihood of reporting low control over a job when the interview was conducted in a language other than English and the workers were either Chinese or Arabic. Workers on a fixed-term contract, independent of ethnicity were more likely to report a job with low security. Overall psychosocial job quality decreased with education and was associated with occupation type which interacted with ethnicity and gender. CONCLUSIONS The results suggest that job-related psychosocial stressors are widespread but not uniform across ethnic groups. Further research into what drives differences in work experience for migrant groups would provide information to guide both employers and migrants in ways to reduce workplace psychosocial stressors.
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Affiliation(s)
- Alison Daly
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Renee N. Carey
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Ellie Darcey
- Centre for Genetic Origins of Health and Disease, Royal Perth Hospital Medical Research Foundation, Perth, Australia
| | - HuiJun Chih
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Anthony D. LaMontagne
- Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia
- Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Allison Milner
- Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Alison Reid
- School of Public Health, Curtin University, Perth, Western Australia, Australia
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Impact of lifetime compared to adolescent-onset mental illness on psychosocial employment quality in adulthood: analysis of a nationally representative French cohort. Int Arch Occup Environ Health 2018; 91:887-900. [PMID: 29961115 DOI: 10.1007/s00420-018-1331-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2018] [Accepted: 06/26/2018] [Indexed: 11/27/2022]
Abstract
PURPOSE We investigated prospective associations between mental illness and psychosocial employment quality using a nationally representative sample of the French working population by gender, primary diagnosis, and age of onset. METHODS 6234 employed French adults (aged 20-74 years) were followed from 2006 to 2010. All respondents provided data on 26 indicators of psychosocial employment quality drawn from the Job-Strain Model, other job stressors, and indicators of working time stressors (i.e., shift work, night work, and long working hours). RESULTS We performed 272 statistical tests, of which 37 were significant following adjustment for age, poor socio-economic position during childhood, unemployment status at wave one, and anxiety or depression at wave two. Females with a lifetime diagnosis of any mental illness reported higher psychological and emotional demands at work, whilst males reported low decision latitude, tensions with the public, and work-life imbalance. In both genders a lifetime diagnosis of any mental illness was associated with role and ethical conflict. A lifetime diagnosis of major depression appeared to have stronger associations for females, whilst substance use disorder was associated with poorer psychosocial employment quality in males. Adolescent-onset mental illness might be associated with poorer psychosocial employment quality among men more so than among women. CONCLUSIONS Results suggest that people with a history of mental illness who obtain employment tend to be employed in jobs characterized by poor psychosocial quality. Employment quality should be considered in vocational rehabilitation policies and practices aimed at optimizing employment participation in this population.
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Niedhammer I, Milner A, LaMontagne AD, Chastang JF. Study of the validity of a job-exposure matrix for the job strain model factors: an update and a study of changes over time. Int Arch Occup Environ Health 2018. [PMID: 29520473 DOI: 10.1007/s00420-018-1299-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The objectives of the study were to construct a job-exposure matrix (JEM) for psychosocial work factors of the job strain model, to evaluate its validity, and to compare the results over time. METHODS The study was based on national representative data of the French working population with samples of 46,962 employees (2010 SUMER survey) and 24,486 employees (2003 SUMER survey). Psychosocial work factors included the job strain model factors (Job Content Questionnaire): psychological demands, decision latitude, social support, job strain and iso-strain. Job title was defined by three variables: occupation and economic activity coded using standard classifications, and company size. A JEM was constructed using a segmentation method (Classification and Regression Tree-CART) and cross-validation. RESULTS The best quality JEM was found using occupation and company size for social support. For decision latitude and psychological demands, there was not much difference using occupation and company size with or without economic activity. The validity of the JEM estimates was higher for decision latitude, job strain and iso-strain, and lower for social support and psychological demands. Differential changes over time were observed for psychosocial work factors according to occupation, economic activity and company size. CONCLUSIONS This study demonstrated that company size in addition to occupation may improve the validity of JEMs for psychosocial work factors. These matrices may be time-dependent and may need to be updated over time. More research is needed to assess the validity of JEMs given that these matrices may be able to provide exposure assessments to study a range of health outcomes.
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Affiliation(s)
- Isabelle Niedhammer
- INSERM, U1085, Research Institute for Environmental and Occupational Health (IRSET), Epidemiology in Occupational Health and Ergonomics (ESTER) Team, 28 rue Roger Amsler, Cedex 74521, 49045, Angers Cedex 1, France. .,University of Angers, Epidemiology in Occupational Health and Ergonomics (ESTER) Team, Angers, France.
| | - Allison Milner
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, 3010, Australia
| | - Anthony D LaMontagne
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, 3010, Australia.,Work, Health and Wellbeing Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong, VIC, 3125, Australia
| | - Jean-François Chastang
- INSERM, U1085, Research Institute for Environmental and Occupational Health (IRSET), Epidemiology in Occupational Health and Ergonomics (ESTER) Team, 28 rue Roger Amsler, Cedex 74521, 49045, Angers Cedex 1, France.,University of Angers, Epidemiology in Occupational Health and Ergonomics (ESTER) Team, Angers, France
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Pidd K, Duraisingam V, Roche A, Trifonoff A. Young construction workers: substance use, mental health, and workplace psychosocial factors. ADVANCES IN DUAL DIAGNOSIS 2017. [DOI: 10.1108/add-08-2017-0013] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Young Australian workers are at elevated risk of mental health and alcohol and other drug related problems. The purpose of this paper is to examine the relationship between alcohol and drug (AOD) use, psychological wellbeing, and the workplace psychosocial environment among young apprentices in the construction industry.
Design/methodology/approach
A cross-sectional survey of a cohort of 169 construction industry apprentices in their first year of training was undertaken. The survey included measures of psychological distress (K10), quantity/frequency measures of alcohol and illicit drug use, and workplace psychosocial factors.
Findings
Construction industry apprentices are at elevated risk of AOD related harm and poor mental health. Levels of psychological distress and substance use were substantially higher than age/gender equivalent Australian population norms. Job stress, workplace bullying, and general social support accounted for 38.2 per cent of the variance in psychological distress. General social support moderated the effects of job stress and bullying on psychological distress. Substance use was not associated with psychological distress. However, workplace social support accounted for 2.1 per cent of the variance in AUDIT-C scores, and 2.0 per cent of the variance in cannabis use. Workplace bullying explained 2.4 per cent of the variance in meth/amphetamine use.
Practical implications
Construction trades apprentices are a high-risk group for harmful substance use and poor mental health. Study results indicate that psychosocial wellbeing interventions are warranted as a harm reduction strategy.
Originality/value
This is the first study of its kind to describe a cohort of Australian construction trade apprentices in terms of their substance use and psychological wellbeing. The study shows workplace psychosocial factors may predict young workers psychological wellbeing.
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Kouvonen A, Mänty M, Lallukka T, Pietiläinen O, Lahelma E, Rahkonen O. Changes in psychosocial and physical working conditions and psychotropic medication in ageing public sector employees: a record-linkage follow-up study. BMJ Open 2017; 7:e015573. [PMID: 28706097 PMCID: PMC5734573 DOI: 10.1136/bmjopen-2016-015573] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES To investigate whether changes in psychosocial and physical working conditions are associated with subsequent psychotropic medication in ageing employees. METHODS Data were from the Helsinki Health Study, a cohort study of Finnish municipal employees, aged 40-60 years at phase 1 (2000-2002). Changes in psychosocial and physical working conditions were measured between phase 1 and phase 2 (2007). Survey data were longitudinally linked to data on prescribed, reimbursed psychotropic medication purchases (Anatomical Therapeutic Chemical) obtained from the registers of the Social Insurance Institution of Finland between the phase 2 survey and December 2013 (N=3587; 80% women). Outcomes were any psychotropic medication; antidepressants (N06A); anxiolytics (N05B); and sedatives and hypnotics (N05C). Cox regression analyses were performed. RESULTS During the follow-up, 28% of the participants were prescribed psychotropic medication. Repeated exposures to low job control, high job demands and high physical work load were associated with an increased risk of subsequent antidepressant and anxiolytic medication. Increased and repeated exposure to high physical work load, increased job control and repeated high job demands were associated with subsequent sedative and hypnotic medication. Age and sex-adjusted HR varied from 1.18 to 1.66. Improvement in job control was associated with a lower risk of anxiolytic, but with a higher risk of sedatives and hypnotic medication. Decreased physical work load was associated with a lower risk of antidepressant and anxiolytic medications. CONCLUSION Improvement in working conditions could lower the risk of mental ill-health indicated by psychotropic medication.
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Affiliation(s)
- Anne Kouvonen
- Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
- SWPS University of Social Sciences and Humanities in Wroclaw, Wroclaw, Poland
- Administrative Data Research Centre (Northern Ireland), Centre for Public Health, Queen’s University Belfast, Belfast, UK
| | - Minna Mänty
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Tea Lallukka
- Department of Public Health, University of Helsinki, Helsinki, Finland
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Olli Pietiläinen
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Eero Lahelma
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Ossi Rahkonen
- Department of Public Health, University of Helsinki, Helsinki, Finland
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Psychosocial job stressors and thoughts about suicide among males: a cross-sectional study from the first wave of the Ten to Men cohort. Public Health 2017; 147:72-76. [DOI: 10.1016/j.puhe.2017.02.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Revised: 01/31/2017] [Accepted: 02/01/2017] [Indexed: 11/21/2022]
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Low Control and High Demands at Work as Risk Factors for Suicide: An Australian National Population-Level Case-Control Study. Psychosom Med 2017; 79:358-364. [PMID: 27580270 DOI: 10.1097/psy.0000000000000389] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Previous research suggests that psychosocial job stressors may be plausible risk factors for suicide. This study assessed the relationship between psychosocial job stressors and suicide mortality across the Australian population. METHODS We developed a job exposure matrix to objectively measure job stressors across the working population. Suicide data came from a nationwide coronial register. Living controls were selected from a nationally representative cohort study. Incidence density sampling was used to ensure that controls were sampled at the time of death of each case. The period of observation for both cases and controls was 2001 to 2012. We used multilevel logistic regression to assess the odds of suicide in relation to 2 psychosocial job stressors (job control and job demands), after matching for age, sex, and year of death/survey and adjusting for socioeconomic status. RESULTS Across 9,010 cases and 14,007 matched controls, our results suggest that low job control (odds ratio [OR], 1.35; 95% confidence interval [CI], 1.26-1.44; p < .001) and high job demands (OR, 1.36; 95% CI, 1.26-1.46; p < .001) were associated with increased odds of male suicide after adjusting for socioeconomic status. High demands were associated with lower odds of female suicide (OR, 0.81; 95% CI, 0.72-0.92; p = .002). CONCLUSIONS It seems that adverse experiences at work are a risk factor for male suicide while not being associated with an elevated risk among females. Future studies on job stressors and suicide are needed, both to further understand the biobehavioral mechanisms explaining the link between job stress and suicide, and to inform targeted prevention initiatives.
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Milner A, LaMontagne AD. Underemployment and mental health: comparing fixed-effects and random-effects regression approaches in an Australian working population cohort. Occup Environ Med 2016; 74:344-350. [DOI: 10.1136/oemed-2016-103706] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 10/24/2016] [Accepted: 11/02/2016] [Indexed: 01/22/2023]
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LaMontagne AD, Milner A, Krnjacki L, Schlichthorst M, Kavanagh A, Page K, Pirkis J. Psychosocial job quality, mental health, and subjective wellbeing: a cross-sectional analysis of the baseline wave of the Australian Longitudinal Study on Male Health. BMC Public Health 2016; 16:1049. [PMID: 28185559 PMCID: PMC5103244 DOI: 10.1186/s12889-016-3701-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Employment status and working conditions are strong determinants of male health, and are therefore an important focus in the Australian Longitudinal Study on Male Health (Ten to Men). In this paper, we describe key work variables included in Ten to Men, and present analyses relating psychosocial job quality to mental health and subjective wellbeing at baseline. METHODS A national sample of males aged 10 to 55 years residing in private dwellings was drawn using a stratified multi-stage cluster random sample design. Data were collected between October 2013 and July 2014 for a cohort of 15,988 males, representing a response fraction of 35 %. This analysis was restricted to 18-55 year old working age participants (n = 13,456). Work-related measures included employment status, and, for those who were employed, a number of working conditions including an ordinal scale of psychosocial job quality (presence of low job control, high demand and complexity, high job insecurity, and low fairness of pay), and working time-related stressors such as long working hours and night shift work. Associations between psychosocial job quality and two outcome measures, mental ill-health and subjective wellbeing, were assessed using multiple linear regression. RESULTS The majority of participants aged 18-55 years were employed at baseline (85.6 %), with 8.4 % unemployed and looking for work, and 6.1 % not in the labour force. Among employed participants, there was a high prevalence of long working hours (49.9 % reported working more than 40 h/week) and night shift work (23.4 %). Psychosocial job quality (exposure to 0/1/2/3+ job stressors) prevalence was 36 %/ 37 %/ 20 %/ and 7 % of the working respondents. There was a dose-response relationship between psychosocial job quality and each of the two outcome measures of mental health and subjective wellbeing after adjusting for potential confounders, with higher magnitude associations between psychosocial job quality and subjective wellbeing. CONCLUSIONS These results extend the study of psychosocial job quality to demonstrate associations with a global measure of subjective wellbeing. Ten to Men represents a valuable new resource for the longitudinal and life course study of work and health in the Australian male population.
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Affiliation(s)
- Anthony D LaMontagne
- Centre for Population Health Research, School of Health and Social Development, Deakin University, Burwood, VIC, 3125, Australia. .,Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.
| | - Allison Milner
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Lauren Krnjacki
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Marisa Schlichthorst
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Anne Kavanagh
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Kathryn Page
- Centre for Population Health Research, School of Health and Social Development, Deakin University, Burwood, VIC, 3125, Australia
| | - Jane Pirkis
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
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Wong IS, Smith PM, Ibrahim S, Mustard CA, Gignac MAM. Mediating pathways and gender differences between shift work and subjective cognitive function. Occup Environ Med 2016; 73:753-760. [PMID: 27421746 DOI: 10.1136/oemed-2016-103774] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 07/21/2016] [Indexed: 01/07/2023]
Abstract
OBJECTIVES Increased injury risk among shift workers is often attributed to cognitive function deficits that come about as a result of sleep disruptions. However, little is known about the intermediate influences of other factors (eg, work stress, health) which may affect this relationship. In addition, gender differences in these the complex relationships have not been fully explored. The purpose of this study is to (1) identify the extent to which work and non-work factors mediate the relationship between shift work, sleep and subsequent subjective cognitive function; and (2) determine if the mediating pathways differ for men and women. METHODS Data from the 2010 National Population Health Survey was used to create a cross-sectional sample of 4255 employed Canadians. Using path modelling, we examined the direct and indirect relationships between shift work, sleep duration, sleep quality and subjective cognitive function. Multigroup analyses tested for significantly different pathways between men and women. Potential confounding effects of age and self-reported health and potential mediating effects of work stress were simultaneously examined. RESULTS Work stress and sleep quality significantly mediated the effects of shift work on cognition. Age and health confounded the relationship between sleep quality and subjective cognition. No differences were found between men and women. CONCLUSIONS Occupational health and safety programmes are needed to address stress and health factors, in addition to sleep hygiene, to effectively address cognitive function among shift workers.
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Affiliation(s)
- Imelda S Wong
- National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA
| | - Peter M Smith
- Institute for Work and Health, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | | | - Cameron A Mustard
- Institute for Work and Health, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Monique A M Gignac
- Institute for Work and Health, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
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Hakkarainen P, Moilanen L, Hänninen V, Heikkinen J, Räsänen K. Work ability among Finnish workers with type 1 diabetes. Occup Med (Lond) 2016; 66:446-53. [PMID: 27085189 DOI: 10.1093/occmed/kqw053] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Work ability represents the balance between individual resources, health status and job demands. As far as we are aware, these issues have not been examined in working people with type 1 diabetes (T1D). AIMS To examine how work-related and diabetes-related factors are associated with work ability among male and female workers. METHODS Questionnaires were mailed to a random sample of 2500 people with T1D from the Medication Reimbursement Register of The Social Insurance Institution of Finland. The associations of the predictors of poor work ability were examined in a logistic regression analysis. RESULTS The final sample comprised 767 working people aged 18-64 with T1D; overall response rate 49%. One in every three working men and women with T1D had poor work ability. High job demands and low job control were associated with poor work ability in both genders. Physical work and low worktime control were significantly associated with poor work ability in men but not in women with T1D. A self-reported high value of glycosylated haemoglobin was the only diabetes-related variable associated with poor work ability in both men and women. CONCLUSIONS Work-related factors and poor glycaemic control were associated with poor work ability in individuals with T1D. Thus, job control and worktime control should be taken into account in supporting the work ability of workers with T1D.
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Affiliation(s)
- P Hakkarainen
- School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland,
| | - L Moilanen
- Department of Medicine, Kuopio University Hospital, FI-70210 Kuopio, Finland
| | - V Hänninen
- Department of Social Sciences, University of Eastern Finland, FI-70211 Kuopio, Finland
| | - J Heikkinen
- School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland
| | - K Räsänen
- School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland
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Milner A, Niedhammer I, Chastang JF, Spittal MJ, LaMontagne AD. Validity of a Job-Exposure Matrix for Psychosocial Job Stressors: Results from the Household Income and Labour Dynamics in Australia Survey. PLoS One 2016; 11:e0152980. [PMID: 27049527 PMCID: PMC4822951 DOI: 10.1371/journal.pone.0152980] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Accepted: 03/22/2016] [Indexed: 11/21/2022] Open
Abstract
Introduction A Job Exposure Matrix (JEM) for psychosocial job stressors allows assessment of these exposures at a population level. JEMs are particularly useful in situations when information on psychosocial job stressors were not collected individually and can help eliminate the biases that may be present in individual self-report accounts. This research paper describes the development of a JEM in the Australian context. Methods The Household Income Labour Dynamics in Australia (HILDA) survey was used to construct a JEM for job control, job demands and complexity, job insecurity, and fairness of pay. Population median values of these variables for all employed people (n = 20,428) were used to define individual exposures across the period 2001 to 2012. The JEM was calculated for the Australian and New Zealand Standard Classification of Occupations (ANZSCO) at the four-digit level, which represents 358 occupations. Both continuous and binary exposures to job stressors were calculated at the 4-digit level. We assessed concordance between the JEM-assigned and individually-reported exposures using the Kappa statistic, sensitivity and specificity assessments. We conducted regression analysis using mental health as an outcome measure. Results Kappa statistics indicate good agreement between individually-reported and JEM-assigned dichotomous measures for job demands and control, and moderate agreement for job insecurity and fairness of pay. Job control, job demands and security had the highest sensitivity, while specificity was relatively high for the four exposures. Regression analysis shows that most individually reported and JEM measures were significantly associated with mental health, and individually-reported exposures produced much stronger effects on mental health than the JEM-assigned exposures. Discussion These JEM-based estimates of stressors exposure provide a conservative proxy for individual-level data, and can be applied to a range of health and organisational outcomes.
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Affiliation(s)
- A. Milner
- Work, Health, & Wellbeing Unit, Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Melbourne, Australia
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
- * E-mail:
| | - I. Niedhammer
- INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, Paris, France
- Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, Paris, France
| | - J.-F. Chastang
- INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, Paris, France
- Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health, Department of social epidemiology, Paris, France
| | - M. J. Spittal
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
| | - A. D. LaMontagne
- Work, Health, & Wellbeing Unit, Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Melbourne, Australia
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
- * E-mail:
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Psychosocial job quality in a national sample of working Australians: A comparison of persons working with versus without disability. SSM Popul Health 2016; 2:175-181. [PMID: 29349138 PMCID: PMC5757884 DOI: 10.1016/j.ssmph.2016.03.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 02/29/2016] [Accepted: 03/07/2016] [Indexed: 11/23/2022] Open
Abstract
Objectives There is growing international policy interest in disability employment, yet there has been little investigation of job quality among people working with disability. This study uses Australian national data to compare the psychosocial job quality of people working with versus without disability. Methods We used 10 annual waves of data from a large representative Australian panel survey to estimate the proportion of the population experiencing poorer psychosocial job quality (overall and by individual 'adversities' of low job control, high demands, high insecurity, and low fairness of pay) by disability status and impairment type. We used logistic regression to examine the pooled cross-sectional associations between disability and job quality, adjusting for age, sex, education and job type. Results Those working with any disability showed approximately 25% higher odds of reporting one or more adversity at work (OR: 1.23, 95% CI: 1.15, 1.31), and this finding was consistent across impairment types with the exception of intellectual/developmental disability. Estimates were largely unchanged after adjustments. Similar results were found for reporting two or more adversities compared one or more. Conclusions We observed that working people with a disability in Australia reported systematically poorer psychosocial job quality than those working without disability. These results suggest the need for further research to understand the reasons for these patterns, as well as policy and practice efforts to address this inequity.
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Milner AJ, Niven H, LaMontagne AD. Occupational class differences in suicide: evidence of changes over time and during the global financial crisis in Australia. BMC Psychiatry 2015; 15:223. [PMID: 26391772 PMCID: PMC4578370 DOI: 10.1186/s12888-015-0608-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Accepted: 09/11/2015] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Previous research showed an increase in Australian suicide rates during the Global Financial Crisis (GFC). There has been no research investigating whether suicide rates by occupational class changed during the GFC. The aim of this study was to investigate whether the GFC-associated increase in suicide rates in employed Australians may have masked changes by occupational class. METHODS Negative binomial regression models were used to investigate Rate Ratios (RRs) in suicide by occupational class. Years of the GFC (2007, 2008, 2009) were compared to the baseline years 2001-2006. RESULTS There were widening disparities between a number of the lower class occupations and the highest class occupations during the years 2007, 2008, and 2009 for males, but less evidence of differences for females. CONCLUSIONS Occupational disparities in suicide rates widened over the GFC period. There is a need for programs to be responsive to economic downturns, and to prioritise the occupational groups most affected.
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Affiliation(s)
- Alison J Milner
- Work, Health, & Welbeing Unit, Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Building BC3.213, Burwood, Melbourne, VIC, 3125, Australia.
- McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
| | - Heather Niven
- Work, Health, & Welbeing Unit, Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Building BC3.213, Burwood, Melbourne, VIC, 3125, Australia.
| | - Anthony D LaMontagne
- Work, Health, & Welbeing Unit, Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Building BC3.213, Burwood, Melbourne, VIC, 3125, Australia.
- McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
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Fair relationships and policies to support family day care educators' mental health: a qualitative study. BMC Public Health 2014; 14:1214. [PMID: 25420621 PMCID: PMC4256732 DOI: 10.1186/1471-2458-14-1214] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 11/17/2014] [Indexed: 11/10/2022] Open
Abstract
Background High quality child care is a population health investment that relies on the capacity of providers. The mental health and wellbeing of child care educators is fundamental to care quality and turnover, yet sector views on the relationship between working conditions and mental health and wellbeing are scarce. This paper examines child care educators’ and sector key informants’ perspectives on how working in family day care influences educator’s mental health and wellbeing. Methods Semi-structured telephone interviews were conducted with Australian family day care educators (n = 16) and key informants (n = 18) comprised of representatives from family day care schemes, government and other relevant organisations regarding the relationship between working conditions and educator mental health. Thematic analysis referenced the assumptions and concepts of critical inquiry and used social exchange theory. Results Educators and key informants reported that educators’ mental health was affected by the quality of their relationships with government, family day care schemes, and the parents and children using their services. These social relationships created and contributed to working conditions that were believed to promote or diminish educators’ mental health. High quality relationships featured fair exchanges of educator work for key resources of social support and respect; adequate income; professional services; and information. Crucially, how exchanges influenced educator wellbeing was largely contingent on government policies that reflect the values and inequities present in society. Conclusions Making policies and relationships between educators, government and family day care schemes fairer would contribute strongly to the protection and promotion of educator mental health and wellbeing, and in turn contribute to workforce stability and care quality.
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Kavanagh AM, Krnjacki L, Aitken Z, LaMontagne AD, Beer A, Baker E, Bentley R. Intersections between disability, type of impairment, gender and socio-economic disadvantage in a nationally representative sample of 33,101 working-aged Australians. Disabil Health J 2014; 8:191-9. [PMID: 25278487 DOI: 10.1016/j.dhjo.2014.08.008] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2014] [Revised: 08/04/2014] [Accepted: 08/15/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND People with disabilities are socio-economically disadvantaged and have poorer health than people without disabilities; however, little is known about the way in which disadvantage is patterned by gender and type of impairment. OBJECTIVES 1. To describe whether socio-economic circumstances vary according to type of impairment (sensory and speech, intellectual, physical, psychological and acquired brain injury). 2. To compare levels of socio-economic disadvantage for women and men with the same impairment type. METHODS We used a large population-based disability-focused survey of Australians, analyzing data from 33,101 participants aged 25-64. Indicators of socio-economic disadvantage included education, income, employment, housing vulnerability, and multiple disadvantage. Stratified by impairment type, we estimated: the population weighted prevalence of socio-economic disadvantage; the relative odds of disadvantage compared to people without disabilities; and the relative odds of disadvantage between women and men. RESULTS With few exceptions, people with disabilities fared worse for every indicator compared to people without disability; those with intellectual and psychological impairments and acquired brain injuries were most disadvantaged. While overall women with disabilities were more disadvantaged than men, the magnitude of the relative differences was lower than the same comparisons between women and men without disabilities, and there were few differences between women and men with the same impairment types. CONCLUSIONS Crude comparisons between people with and without disabilities obscure how disadvantage is patterned according to impairment type and gender. The results emphasize the need to unpack how gender and disability intersect to shape socio-economic disadvantage.
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Affiliation(s)
- Anne M Kavanagh
- Gender and Women's Health Unit, Melbourne School of Population and Global Health, University of Melbourne, VIC 3010, Australia.
| | - Lauren Krnjacki
- Gender and Women's Health Unit, Melbourne School of Population and Global Health, University of Melbourne, VIC 3010, Australia
| | - Zoe Aitken
- Gender and Women's Health Unit, Melbourne School of Population and Global Health, University of Melbourne, VIC 3010, Australia
| | - Anthony D LaMontagne
- The McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, VIC 3010, Australia
| | - Andrew Beer
- The Centre for Housing, Urban and Regional Planning, School of Social Sciences, University of Adelaide, SA 5005, Australia
| | - Emma Baker
- The Centre for Housing, Urban and Regional Planning, School of Social Sciences, University of Adelaide, SA 5005, Australia
| | - Rebecca Bentley
- Gender and Women's Health Unit, Melbourne School of Population and Global Health, University of Melbourne, VIC 3010, Australia
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Changes in psychosocial work factors in the French working population between 2006 and 2010. Int Arch Occup Environ Health 2014; 88:235-46. [PMID: 24961910 DOI: 10.1007/s00420-014-0953-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2014] [Accepted: 06/06/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of the study was to assess the changes in psychosocial work factors in the French working population between 2006 and 2010 and to examine potential differential changes according to age, occupation, public/private sector, work contract and self-employed/employee status. METHODS The study sample included 5,600 workers followed up from 2006 to 2010 from the national representative Santé et Itinéraire Professionnel (SIP) survey. Psychosocial work factors included decision latitude, psychological demands, social support, reward, overcommitment, long working hours, predictability, night- and shift work, emotional demands, role conflict, ethical conflict, tensions with the public, job insecurity and work-life imbalance, and were measured using scores. Linear regressions were used to analyse the change in the scores of these factors adjusted for age and initial score. All analyses were stratified by gender. RESULTS Psychosocial work factors worsened between 2006 and 2010: decision latitude, social support, reward, role conflict and work-life imbalance for both genders, and psychological demands, emotional demands, ethical conflict and tensions with the public for women. Differential changes according to age, occupation, public/private sector, work contract and self-employed/employee status were observed suggesting that some groups may be more likely to be exposed to negative changes especially the younger, low- and high-skilled and public sector workers. CONCLUSION Monitoring exposure to psychosocial work factors over time may be crucial, and prevention policies should take into account that deterioration of psychosocial work factors may be sharper among subgroups such as younger, low- and high-skilled and public sector workers.
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Area-Level Unemployment and Perceived Job Insecurity: Evidence from a Longitudinal Survey Conducted in the Australian Working-Age Population. ACTA ACUST UNITED AC 2013; 58:171-81. [DOI: 10.1093/annhyg/met066] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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