Effort-reward imbalance and work ability: cross-sectional and longitudinal findings from the Second German Sociomedical Panel of Employees

被引:25
作者
Bethge, Matthias [1 ]
Radoschewski, Friedrich Michael [2 ]
Gutenbrunner, Christoph [1 ]
机构
[1] Hannover Med Sch, Coordinat Ctr Appl Rehabil Res, Dept Rehabil Med, D-3000 Hannover, Germany
[2] Charite, Dept Hlth Care Res & Qual Management Rehabil, D-13353 Berlin, Germany
来源
BMC PUBLIC HEALTH | 2012年 / 12卷
关键词
MENTAL-HEALTH; STRESS; GLOBALIZATION; ENVIRONMENT; INDEX; LIFE; INTERVENTION; DETERMINANTS; EMPLOYMENT; DISORDERS;
D O I
10.1186/1471-2458-12-875
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Although data from longitudinal studies are sparse, effort-reward imbalance (ERI) seems to affect work ability. However, the potential pathway from restricted work ability to ERI must also be considered. Therefore, the aim of our study was to analyse cross-sectional and longitudinal associations between ERI and work ability and vice versa. Methods: Data come from the Second German Sociomedical Panel of Employees. Logistic regression models were estimated to determine cross-sectional and longitudinal associations. The sample used to predict new cases of poor or moderate work ability was restricted to cases with good or excellent work ability at baseline. The sample used to predict new cases of ERI was restricted to persons without ERI at baseline. Results: The cross-sectional analysis included 1501 full-time employed persons. The longitudinal analyses considered 600 participants with good or excellent baseline work ability and 666 participants without baseline ERI, respectively. After adjustment for socio-demographic variables, health-related behaviour and factors of the work environment, ERI was cross-sectionally associated with poor or moderate work ability (OR = 1.980; 95% CI: 1.428 to 2.747). Longitudinally, persons with ERI had 2.1 times higher odds of poor or moderate work ability after one year (OR = 2.093; 95% CI: 1.047 to 4.183). Conversely, persons with poor or moderate work ability had 2.6 times higher odds of an ERI after one year (OR = 2.573; 95% CI: 1.314 to 5.041). Conclusions: Interventions that enable workers to cope with ERI or address indicators of ERI directly could promote the maintenance of work ability. Integration management programmes for persons with poor work ability should also consider their psychosocial demands.
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页数:9
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