Li Shang1, Natalie Riedel, Adrian Loerbroks, Andreas Müller, Natalia Wege, Peter Angerer, Jian Li. 1. Department of Occupational and Environmental Health (Shang, Dr Li), School of Public Health, Kunming Medical University, Yunnan, PR China; Institute of Occupational and Social Medicine (Dr Riedel, Dr Loerbroks, Dr Müller, Dr Wege, Dr Angerer, Dr Li), Center for Health and Society, Faculty of Medicine, University of Düsseldorf; and Department of Social Epidemiology (Dr Riedel), Institute of Public Health and Nursing Research, Health Sciences Bremen, University of Bremen, Germany.
Abstract
OBJECTIVE: To examine the main and interactive effects of effort-reward imbalance (ERI) and selection, optimization, and compensation (SOC) strategy on depressive symptoms among the working population in the City of Kumning, China. METHODS: We assessed the separate and combined effects of low versus high ERI and good versus poor SOC strategy on depressive symptoms using multivariable logistic regression analyses in a population-based sample (N = 2457). RESULTS: High ERI and poor SOC were significantly associated with depressive symptoms, respectively. In employees with both high ERI and poor SOC, the odds ratio was highly elevated as compared with the reference group (low ERI and good SOC). CONCLUSIONS: If our findings are confirmed by prospective studies, health promotion programs in work settings might consider SOC as an integral part to mitigate the adverse mental health effects of ERI.
OBJECTIVE: To examine the main and interactive effects of effort-reward imbalance (ERI) and selection, optimization, and compensation (SOC) strategy on depressive symptoms among the working population in the City of Kumning, China. METHODS: We assessed the separate and combined effects of low versus high ERI and good versus poor SOC strategy on depressive symptoms using multivariable logistic regression analyses in a population-based sample (N = 2457). RESULTS: High ERI and poor SOC were significantly associated with depressive symptoms, respectively. In employees with both high ERI and poor SOC, the odds ratio was highly elevated as compared with the reference group (low ERI and good SOC). CONCLUSIONS: If our findings are confirmed by prospective studies, health promotion programs in work settings might consider SOC as an integral part to mitigate the adverse mental health effects of ERI.