Psychosocial work factors and social inequalities in psychological distress: a population-based study

被引：17

作者：

Duchaine, Caroline S. ^{[1
,2
]}

Ndjaboue, Ruth ^{[1
,2
]}

Levesque, Manon ^{[1
,2
]}

Vezina, Michel ^{[2
]}

Trudel, Xavier ^{[1
,2
]}

Gilbert-Ouimet, Mahee ^{[1
,2
]}

Dionne, Clermont E. ^{[1
,3
]}

Masse, Benoit ^{[4
,6
]}

Pearce, Neil ^{[5
]}

Brisson, Chantal ^{[1
,2
]}

机构：

[1] Univ Laval, Res Ctr, Populat Hlth & Optimal Hlth Practices Unit, St Sacrement Hosp,CHU Quebec, 1050 Chemin St Foy, Quebec City, PQ G1S 4L8, Canada

[2] Univ Laval, Dept Social & Prevent Med, Fac Med, 1050 Ave Med, Quebec City, PQ G1V 0A6, Canada

[3] Univ Laval, Rehabil Dept, Fac Med, 1050 Ave Med, Quebec City, PQ G1V 0A6, Canada

[4] Univ Montreal, Sch Publ Hlth, Dept Social & Prevent Med, 7101 Ave Parc, Montreal, PQ H3N 1X9, Canada

[5] London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, Keppel St, London WC1E 7HT, England

[6] CHU Ste Justine, Res Ctr, 3175 Cote Ste Catherine, Montreal, PQ H3T 1C5, Canada

来源：

BMC PUBLIC HEALTH | 2017年 / 17卷

基金：

加拿大健康研究院;

关键词：

Social inequalities; Mental health problems; Job strain; Effort-reward imbalance; Psychological distress; ORGANIZATIONAL-LEVEL INTERVENTIONS; COMMON MENTAL-DISORDERS; EFFORT-REWARD IMBALANCE; SOCIOECONOMIC INEQUALITIES; OCCUPATIONAL INEQUALITIES; DEPRESSIVE SYMPTOMS; HEALTH INEQUALITY; SCREENING SCALES; JOB STRAIN; EMPLOYEES;

D O I：

10.1186/s12889-017-4014-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Mental health problems (MHP) are the leading cause of disability worldwide. The inverse association between socioeconomic position (SEP) and MHP has been well documented. There is prospective evidence that factors from the work environment, including adverse psychosocial work factors, could contribute to the development of MHP including psychological distress. However, the contribution of psychosocial work factors to social inequalities in MHP remains unclear. This study evaluates the contribution of psychosocial work factors from two highly supported models, the Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models to SEP inequalities of psychological distress in men and women from a population-based sample of Quebec workers. Methods: Data were collected during a survey on working conditions, health and safety at work. SEP was evaluated using education, occupation and household income. Psychosocial work factors and psychological distress were assessed using validated instruments. Mean differences (MD) in the score of psychological distress were estimated separately for men and women. Results: Low education level and low household income were associated with psychological distress among men (MD, 0.56 (95% CI 0.06; 1.05) and 1.26 (95% CI 0.79; 1.73) respectively). In men, the contribution of psychosocial work factors from the DCS and the ERI models to the association between household income and psychological distress ranged from 9% to 24%. No clear inequalities were observed among women. Conclusions: These results suggest that psychosocial work factors from the DCS and the ERI models contribute to explain a part of social inequalities in psychological distress among men. Psychosocial factors at work are frequent and modifiable. The present study supports the relevance of targeting these factors for the primary prevention of MHP and for health policies aiming to reduce social inequalities in mental health.

引用

页数：10