Job stress, psychosocial strain, and physical health problems in women employed full-time outside the home and homemakers

Psychological distress and job stressors among Lebanese workers: experience from a private sector

No published data exists on the prevalence of psychological distress (PD) among the Lebanese working population, and its association with job stressors. A cross-sectional study was conducted in 2003 among Lebanese employees in a private administrative company. All employees (n = 200) received an anonymous questionnaire by mail. The General Health Questionnaire (GHQ-28) was used to estimate the prevalence of PD. Multiple regression analyses were performed to evaluate the relationship between GHQ-28 Likert score (0-84) and job stressors and other covariates. The participation rate was 79.3%. PD was identified in 30.0% of the studied population. A significant association was found between PD and lack of moral support, a recent disturbing event, feeling of job insecurity, and inability to be proactive. The results showed a high prevalence of PD in the studied population with significant association with job stressors.

Women, work, and well-being 1950–2000:

In this research synthesis, we summarize 161 measures of the effects of women's employment on well being reported between 1950 and 2000. Variations in the conceptualization and measurement of employment and health outcomes and the difficulty in distinguishing social selection from social causation limit the inferences that can be drawn from the evidence. Therefore, we distinguish two types of studies. Longitudinal studies measuring relevant covariates at the first measurement occasion and statistically controlling them in multivariate analyses providing effect-size information are classified as Type II studies. The remaining studies are classified as Type I studies. The main findings were that (1) results from methodologically sound Type II studies confirm the cross-sectional finding that paid employment has no adverse effects on women; (2) the outcome groups psychological distress, subjective health, cardiovascular risks and disease, and mortality do not converge completely.

Cigarette smoking in veteran women: the impact of job strain

To evaluate the health effects of role overload, the relationship between multiple role (i.e., worker, spouse, caretaker) strain and current cigarette smoking was examined. A cross-sectional survey of women veterans, aged 36-85 years, was performed measuring home and job strain and health behaviors. Of the 275 women who rated both their work and home strains, 25% (n = 69) currently smoke cigarettes. Higher work strain, but not higher home strain, was associated with smoking adjusting for age, education, income, weight, and marital status. A stressful work environment may trigger persistent smoking and should be addressed during smoking cessation counseling.

The relationship of economic factors and stress among employed, married women with children

A convenience sample of 62 married women with children at home were measured on five economic variables and three stress-related variables: mother/marital role satisfaction, mother work role fulfillment and physical indicators of stress. The analysis reveals several significant relationships for the fulfillment and stress variables. Regression analysis also was used to model the relationship among economic and stress-related variables. The study suggests that financial health modules be integrated into stress management and other health enhancement programs for married, employed women.

Auxiliary nurses in Mexico: impact of multiple roles on their health

As more women worldwide enter the labor force, debate has been generated over how this additional work role influences women's health. In this study, we explored the work, maternal, and spousal roles of 59 auxiliary nurses in two university-affiliated Mexican hospitals. Participants completed questionnaires that included demographics, a women's roles interview protocol, a self-rating of health status, and the Cornell Medical Index (CMI). No significant correlation was found between the perception of their health status and the number of roles, amount of role involvement, or their perceived levels of stress and satisfaction in any of their three roles. Work stress was significantly correlated with the number of physical symptoms (r = .30, p < .05), longer periods of standing (r = .31, p < .05), more muscle strain (r = .53, p < .01), eye problems (r = .43, p < .01), frequent changes in environmental temperature (r = .30, p < .05), and perceptions of economic inadequacy (r = .37, p < .01). Years of education was not related to any health measure or degree of stress or satisfaction in any of the roles. The greater the degree of role integration, that is, the greater the sum of satisfactions minus stresses of each role, the fewer the physical symptoms (r = .48, p < .05) and the fewer total symptoms (r = .43, p < .05) reported on the CMI. Those with more spousal stress reported more work-related muscle strain (r = .35, p < .05), and working mothers with three or more children tended to perceive themselves as less healthy (r = .75, p < .01). Thus, analyzing the interrelationship of women's multiple roles is a better predictor of health than examining specific role stresses in isolation.

Stress in employed women: impact of marital status and children at home on neurohormone output and home strain

OBJECTIVE

To evaluate the biological and psychological effects of role overload, we examined the effects of marital (or partnership) status and parental status (defined as having children at home) on daily excretion of urinary catecholamines and cortisol in a sample of 109 employed women. Other measures included work and home strain, and social support.

METHODS

Urine collection was conducted on two consecutive workdays in three separate aliquots, a) overnight, b) daytime, and c) evening. Repeated-measures analysis of covariance with age and caffeine consumption as covariates was conducted on levels of epinephrine, norepinephrine, and cortisol in the three aliquots averaged across the 2 days.

RESULTS

We found a significant main effect of parental status on 24-hour cortisol excretion, (p < .01) such that women with at least one child living at home excreted significantly more cortisol, independent of marital status or social support. Women with children at home also reported higher home strain (p < .001) but not work strain. A significant period of day effect for catecholamine levels was found (norepinephrine, p < .001; epinephrine, p < .0001) with all subjects showing an increase during the workday and little or no decline in levels during the evening. Catecholamine levels were unrelated to marital status, parental status, or social support.

CONCLUSIONS

These findings indicate that working women with children at home, independent of marital status or social support, excrete greater amounts of cortisol and experience higher levels of home strain than those without children at home.

Questioning, resisting, acquiescing, balancing: new mothers' career reentry strategies

As part of a larger study on the processes by which career-committed women experience the transitions in becoming new mothers and returning to their careers, I conducted 70 interviews with 35 participants across the trajectory of becoming pregnant, being pregnant, giving birth, taking time out from their careers, and reentering their careers. Using the constant-comparative method, I analyzed data from these interviews to discover a major process, Improvising Identities, supported by two subprocesses, Negotiating Relationships and Managing Practicalities. I report these women's strategies for negotiating their major relationships and managing the practicalities of career reentry, that is, improvising an identity as a career woman with a baby.

Inequalities in health related to women's marital, parental, and employment status--a comparison between the early 70s and the late 80s, Norway

Studies indicate that inequalities in women's health are associated with women's marital, parental and employment status. The causal mechanisms which generate these inequalities are linked to social change at the macro level. The present study asks whether patterns of ill-health according to women's statuses have changed during recent decades in Norway. Five national surveys 1968-91 are analyzed, using number of long-standing diseases as an indicator of health. The results indicate that health differences between full-time employed women and other employment statuses have increased during the 70s and 80s. As regards marital and parental status, the observed changes are not significant. The findings suggest that important causal mechanisms generating health differences related to marital status are located in the private sphere. The interpretation of the widening health gap between employed and non-employed women focuses both on developments which have made it easier to combine employment and family duties, on new norms which favour the self-esteem of employed women, and on health selection processes connected to welfare state developments.

Employed Mexican women as mothers and partners: valued, empowered and overloaded

This study was designed to explore the daily lived experiences of a group of employed, low-income Mexican women in their maternal and spousal roles. The participants were 41 auxiliary nurses recruited from two large urban hospitals in Mexico. Data were collected through the Women's Roles Interview Protocol (WRIP), which solicited the participants' perceptions of the satisfaction and stresses they experienced in their roles as mothers and spouses, and their descriptions of the coping strategies and the resources they used to deal with stressful life experiences related to these roles. Data analysis consisted of a qualitative thematic analysis of the narrative responses to open-ended questions in the WRIP. Satisfying aspects of the maternal and spousal roles, as identified by the participants, included giving to and receiving from their children and being valued and supported by their partners. Spousal approval of their work was also satisfying. These employed mothers, however, experienced many stressful aspects of functioning in multiple roles, including lack of resources, being absent from their children, self-doubt about their maternal role functioning, role overload and spousal absences. The women coped by juggling priorities and utilizing family resources. From the data analysis, the investigators developed a conceptual framework for understanding these women's experiences with parenting and marriage. The centrality of the family, a sense of value and empowerment as women in maternal and spousal roles, and the reality of role overload are discussed within the Mexican culture context of machismo, its female counterpart hembrismo, and family life. Implications for women's health are framed within a context of family and work.

Being a mother and a por día domestic worker. Companionship and deprivation

This article presents qualitative findings concerning women's maternal roles, based on interviews conducted in a study on role integration and health, in a Colombian sample of 60 women who are "por día" domestic workers. The results describe the women's worldview as they discuss the stresses and the satisfactions of their mothering roles. The results also include the coping strategies used to deal with the stresses inherent in the maternal role. Women describe how the companionship of their children, watching their children grow, and the nurturing they give their children provides them with pride and deep satisfaction. These satisfying aspects of their role are burdened by the stress related to worry about children's bad behavior, their illness, and a pervasive generalized sense of constant worry. Being single parents adds more stress to these women's lives. Participants coped emotionally through distraction and through talking with friends. Other coping strategies included calming self, problem solving, talking with children, and substance use. The authors conclude with a discussion of the relationship between poverty and work situation as contexts for understanding maternal roles.