Workplace stressors and lifestyle-related cancer risk factors among female physicians: Assessment using the Occupational Stress Index

被引:36
作者
Belkic, Karen
Nedic, Olesja
机构
[1] Karolinska Inst, Dept Oncol & Pathol, SE-171776 Stockholm, Sweden
[2] Univ So Calif, Keck Sch Med, Inst Prevent Res, Los Angeles, CA 90089 USA
关键词
work stressors; physicians; women; smoking; obesity; sedentary lifestyle; lifestyle-related cancer risk factors; threat avoidant vigilance; long work hours; occupational stress index;
D O I
10.1539/joh.49.61
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study examined the relationship between work stressors and lifestyle-related cancer risk factors (LRCRF): smoking, obesity, sedentariness and alcohol consumption, among 112 female physicians in Novi Sad, a region of high LRCRF prevalence. The participation rate was 92.6%. Participants completed the physician-specific version of the Occupational Stress Index (OSI). Self-reported data concerning LRCRF and working conditions were cross-validated with medical records, as well as with worksite measurements and expert observations. A total of 35 (31.3%) of the physicians were current smokers and 10 (8.9%) were heavy smokers (> 20 cigarettes/day); 23 (20.5%) had a body mass index (BMI) of 28 or more, and 11 (9.8%) were obese (BMI >= 30). Only 27 (24.1%) regularly engaged in recreational physical activity (PA). Slightly over 5% consumed alcohol daily. Altogether 15 (13.4%) had a low lifestyle-related cancer risk profile (not a current smoker, BMI < 28, regular recreational PA and no daily alcohol consumption). Total OSI and several OSI aspects, particularly threat avoidance alone or in combination, showed significant multivariate associations with LRCRF, as did individual OSI elements. The latter included long work hours, restricted problem-solving strategy, insufficient help with clinical difficulties and supervisory responsibility (obesity and/or sedentariness) and problems hampering patient care (smoking). There is an urgent need to lower the LRCRF among female physicians in this high risk region. Our findings suggest that diminishing the work stressor burden should be considered when developing intervention strategies aimed at these risk factors.
引用
收藏
页码:61 / 71
页数:11
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