I Niedhammer1, M Chea. 1. INSERM Unit 88, Hôpital National de Saint-Maurice, France. isabelle.niedhammer@st-maurice.inserm.fr
Abstract
BACKGROUND: Psychosocial factors at work have been found to be significant contributors to health, especially cardiovascular health. AIMS: To explore the relation between psychosocial factors at work and self reported health, using cross sectional and prospective analyses for a large occupational cohort of men and women. METHODS: Psychosocial factors at work were evaluated using the Karasek questionnaire, designed to measure psychological demands, decision latitude, social support, and physical demands. Self reported health was used as health outcome. Covariates included chronic diseases, and sociodemographic, occupational, and behavioural factors. The cross sectional and prospective analyses concerned respectively 11 447 and 7664 workers. Men and women were analysed separately. RESULTS: Cross sectional analysis revealed significant associations between psychological demands, decision latitude, social support, and physical demands, and self reported health for both men and women. Prospective analysis showed that high psychological demands for both genders, low decision authority for men, and low social support and high physical demands for women were predictive of poor self reported health. These results were independent of potential confounding variables. CONCLUSIONS: Results highlight the predictive effects of psychosocial factors at work on self reported health in a one year follow up study. They also underline the need for longitudinal study design and separate analyses for men and women in the field of psychosocial factors at work.
BACKGROUND: Psychosocial factors at work have been found to be significant contributors to health, especially cardiovascular health. AIMS: To explore the relation between psychosocial factors at work and self reported health, using cross sectional and prospective analyses for a large occupational cohort of men and women. METHODS: Psychosocial factors at work were evaluated using the Karasek questionnaire, designed to measure psychological demands, decision latitude, social support, and physical demands. Self reported health was used as health outcome. Covariates included chronic diseases, and sociodemographic, occupational, and behavioural factors. The cross sectional and prospective analyses concerned respectively 11 447 and 7664 workers. Men and women were analysed separately. RESULTS: Cross sectional analysis revealed significant associations between psychological demands, decision latitude, social support, and physical demands, and self reported health for both men and women. Prospective analysis showed that high psychological demands for both genders, low decision authority for men, and low social support and high physical demands for women were predictive of poor self reported health. These results were independent of potential confounding variables. CONCLUSIONS: Results highlight the predictive effects of psychosocial factors at work on self reported health in a one year follow up study. They also underline the need for longitudinal study design and separate analyses for men and women in the field of psychosocial factors at work.
Authors: M Goldberg; J F Chastang; A Leclerc; M Zins; S Bonenfant; I Bugel; N Kaniewski; A Schmaus; I Niedhammer; M Piciotti; A Chevalier; C Godard; E Imbernon Journal: Am J Epidemiol Date: 2001-08-15 Impact factor: 4.897
Authors: H Pikhart; M Bobak; J Siegrist; A Pajak; S Rywik; J Kyshegyi; A Gostautas; Z Skodova; M Marmot Journal: J Epidemiol Community Health Date: 2001-09 Impact factor: 3.710
Authors: Sophie Croidieu; Barbara Charbotel; Michel Vohito; Liliane Renaud; Joelle Jaussaud; Christian Bourboul; Dominique Ardiet; Isabelle Imbard; Anne Céline Guerin; Alain Bergeret Journal: Int Arch Occup Environ Health Date: 2008-03-05 Impact factor: 3.015
Authors: Jussi Vahtera; Hugo Westerlund; Jane E Ferrie; Jenny Head; Maria Melchior; Archana Singh-Manoux; Marie Zins; Marcel Goldberg; Kristina Alexanderson; Mika Kivimäki Journal: J Epidemiol Community Health Date: 2009-08-13 Impact factor: 3.710
Authors: Isabelle Niedhammer; Allison Milner; Anthony D LaMontagne; Jean-François Chastang Journal: Int Arch Occup Environ Health Date: 2018-03-08 Impact factor: 3.015
Authors: Jane E Ferrie; Mika Kivimäki; Hugo Westerlund; Jenny Head; Maria Melchior; Archana Singh-Manoux; Marie Zins; Marcel Goldberg; Kristina Alexanderson; Jussi Vahtera Journal: Occup Environ Med Date: 2011-01-17 Impact factor: 4.402