Anne Kouvonen1,2,3, Minna Mänty4, Tea Lallukka4,5, Eero Lahelma4, Ossi Rahkonen4. 1. Department of Social Research, University of Helsinki, Helsinki, Finland. 2. Faculty in Wroclaw, SWPS University of Social Sciences and Humanities, Wroclaw, Poland. 3. UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University Belfast, Belfast, UK. 4. Department of Public Health, University of Helsinki, Helsinki, Finland. 5. Finnish Institute of Occupational Health, Helsinki, Finland.
Abstract
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.
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.
Authors: Anne Kouvonen; Minna Mänty; Tea Lallukka; Olli Pietiläinen; Eero Lahelma; Ossi Rahkonen Journal: BMJ Open Date: 2017-07-12 Impact factor: 2.692
Authors: Tea Lallukka; Leena Kaila-Kangas; Minna Mänty; Seppo Koskinen; Eija Haukka; Johanna Kausto; Päivi Leino-Arjas; Risto Kaikkonen; Jaana I Halonen; Rahman Shiri Journal: Int J Environ Res Public Health Date: 2019-06-13 Impact factor: 3.390
Authors: M Mänty; A Kouvonen; H Nordquist; J Harkko; O Pietiläinen; J I Halonen; O Rahkonen; T Lallukka Journal: Int Arch Occup Environ Health Date: 2021-10-23 Impact factor: 3.015
Authors: Tea Lallukka; Rahman Shiri; Olli Pietiläinen; Johanna Kausto; Hilla Sumanen; Jaana I Halonen; Eero Lahelma; Ossi Rahkonen; Minna Mänty; Anne Kouvonen Journal: Int J Environ Res Public Health Date: 2020-10-27 Impact factor: 3.390
Authors: Noora Heinonen; Tea Lallukka; Jouni Lahti; Olli Pietiläinen; Hilla Nordquist; Minna Mänty; Anu Katainen; Anne Kouvonen Journal: J Occup Environ Med Date: 2022-02-01 Impact factor: 2.162