Changes in psychosocial and physical working conditions and common mental disorders

被引:17
作者
Kouvonen, Anne [1 ,2 ,3 ]
Manty, Minna [4 ]
Lallukka, Tea [4 ,5 ]
Lahelma, Eero [4 ]
Rahkonen, Ossi [4 ]
机构
[1] Univ Helsinki, Dept Social Res, POB 18, FIN-00014 Helsinki, Finland
[2] SWPS Univ Social Sci & Humanities, Fac Wroclaw, Wroclaw, Poland
[3] Queens Univ Belfast, UKCRC Ctr Excellence Publ Hlth Northern Ireland, Belfast, Antrim, North Ireland
[4] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland
[5] Finnish Inst Occupat Hlth, Helsinki, Finland
基金
英国医学研究理事会; 芬兰科学院;
关键词
4-YEAR FOLLOW-UP; DEPRESSIVE SYMPTOMS; JOB STRAIN; SICKNESS ABSENCE; GENERAL HEALTH; RISK; STRESS; ENVIRONMENT; POPULATION;
D O I
10.1093/eurpub/ckw019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Previous studies on changes in working conditions and mental health are few and have typically focused only on psychosocial working conditions. We assessed the impact of changes in both psychosocial and physical working conditions on common mental disorders (CMDs) in a cohort of midlife and older employees. Methods: Repeat data were derived from the Helsinki Health Study, which is a cohort study on employees of the City of Helsinki, Finland (aged 40-60 years at baseline). Changes in working conditions were assessed between Phase 1 (2000-2002) and Phase 2 (2007). CMD was assessed at Phase 1, Phase 2 and Phase 3 (2012) using the 12-item General Health Questionnaire. In total, 4946 participants (82% women) who were still employed at Phase 2 were available for the analyses. Logistic regression analyses using generalized estimating equations were conducted to examine the association between changes in working conditions and the likelihood of CMD. ORs and their 95% CIs were estimated. Results: After adjustment for sex, age, marital status, health behaviours and obesity; increased and repeated exposure to low job control, high job demands and repetitive movements and repeated exposure to awkward postures and rotation of back were associated with a higher likelihood of CMD at Phases 1-3. Fully adjusted ORs ranged from 1.27 to 2.39 for psychosocial, and from 1.18 to 1.29 for physical working conditions. Conclusions: Repeated and increased exposures to several adverse psychosocial and physical working conditions are associated with a higher likelihood of CMD.
引用
收藏
页码:458 / 463
页数:6
相关论文
共 39 条
[1]   A Longitudinal Analysis of Changes in Job Control and Mental Health [J].
Bentley, Rebecca J. ;
Kavanagh, Anne ;
Krnjacki, Lauren ;
LaMontagne, Anthony D. .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2015, 182 (04) :328-334
[2]   Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence [J].
Bonde, J. P. E. .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2008, 65 (07) :438-445
[3]   Socioeconomic determinants of health - Stress and the biology of inequality [J].
Brunner, E .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 314 (7092) :1472-1476
[4]   Job stress and depression symptoms in middle-aged workers - prospective results from the Belstress study [J].
Clays, Els ;
De Bacquer, Dirk ;
Eynen, Francoise L. ;
Kornitzer, Marcel ;
Kittel, France ;
De Backer, Gguy .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 2007, 33 (04) :252-259
[5]   Effects of stable and changing demand-control histories on worker health [J].
de Lange, AH ;
Taris, TW ;
Kompier, MAJ ;
Houtman, ILD ;
Bongers, PM .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 2002, 28 (02) :94-108
[6]  
Goldberg D.P., 1988, A user's guide to the General Health Questionnaire
[7]   The validity of two versions of the GHQ in the WHO study of mental illness in general health care [J].
Goldberg, DP ;
Gater, R ;
Sartorius, N ;
Ustun, TB ;
Piccinelli, M ;
Gureje, O ;
Rutter, C .
PSYCHOLOGICAL MEDICINE, 1997, 27 (01) :191-197
[8]   Are Reports of Psychological Stress Higher in Occupational Studies? A Systematic Review across Occupational and Population Based Studies [J].
Goodwin, Laura ;
Ben-Zion, Ilan ;
Fear, Nicola T. ;
Hotopf, Matthew ;
Stansfeld, Stephen A. ;
Wessely, Simon .
PLOS ONE, 2013, 8 (11)
[9]   Childhood Predictors of Use and Costs of Antidepressant Medication by Age 24 Years: Findings from the Finnish Nationwide 1981 Birth Cohort Study [J].
Gyllenberg, David ;
Sourander, Andre ;
Niemela, Solja ;
Helenius, Hans ;
Sillanmaki, Lauri ;
Ristkari, Terja ;
Piha, Jorma ;
Kumpulainen, Kirsti ;
Tamminen, Tuula ;
Moilanen, Irma ;
Almqvist, Fredrik .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2011, 50 (04) :406-415
[10]   Psychosocial working conditions and depressive symptoms among Swedish employees [J].
Hanson, Linda L. Magnusson ;
Theorell, Tores ;
Bech, Per ;
Rugulies, Reiner ;
Burr, Hermann ;
Hyde, Martin ;
Oxenstierna, Gabriel ;
Westerlund, Hugo .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 2009, 82 (08) :951-960