The prevalence of work-related stress, and its association with self-perceived health and sick-leave, in a population of employed Swedish women

BMC Public Health - Tập 9 - Trang 1-10 - 2009
Kristina Holmgren1, Synneve Dahlin-Ivanoff1, Cecilia Björkelund2, Gunnel Hensing3
1Department of Clinical Neuroscience and Rehabilitation/Occupational Therapy, Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden
2Department of Public Health and Community Medicine/Primary Health Care, Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden
3Department of Public Health and Community Medicine/Social Medicine, Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden

Tóm tắt

Women report more occupational ill-health and are more sick-listed than men. Exploration of women's working conditions would therefore seem to be valuable. In this study we investigated the prevalence of work-related stress and its association with self-perceived health and sick-leave in a population of employed, working Swedish women. This cross-sectional population study comprised 424 employed, working women who answered questionnaires on work-related stress, self-perceived health and sick-leave. The odds ratio (OR) with 95% confidence interval (CI) was calculated in order to analyse the association between the exposure variables of work-related stress and outcome variables of ill-health symptoms, self-rated health and sick-leave. Ten percent of the group reported high perceived stress owing to indistinct organisation and conflicts, and 25% high perceived stress owing to individual demands and commitment. Twenty-two percent reported low influence at work and 33% reported work interference with leisure time. All categories of overall work-related stress were significantly associated with increased odds of high level of illness symptoms, with the highest OR for high perceived stress owing to indistinct organisation and conflicts and high perceived stress owing to individual demands and commitment with an OR of 3.17 (CI = 1.51–6.62) and 4.53 (CI = 2.71–7.56) respectively. High perceived stress owing to indistinct organisation and conflicts and low influence at work were significantly associated with sick-leave with an OR of 3.85 (CI = 1.59–9.30) and 2.54 (CI = 1.17–5.48) respectively. This study showed an association between, on the one hand, work-related stress, and on the other hand, illness symptoms and sick-leave. Distinguishing between the occurrence of negative work characteristics, and the immediate perception of stress because of these, resulted in a broad view of women's working conditions and expanded knowledge of work-related stress in women.

Tài liệu tham khảo

Kivimaki M, Elovainio M, Vahtera J, Ferrie JE: Organisational justice and health of employees: prospective cohort study. Occup Environ Med. 2003, 60 (1): 27-33. 10.1136/oem.60.1.27. discussion 33-4. Vaananen A, Kalimo R, Toppinen-Tanner S, Mutanen P, Peiro JM, Kivimaki M, et al: Role clarity, fairness, and organizational climate as predictors of sickness absence: a prospective study in the private sector. Scand J Public Health. 2004, 32 (6): 426-34. 10.1080/14034940410028136. Head J, Kivimaki M, Siegrist J, Ferrie JE, Vahtera J, Shipley MJ, et al: Effort-reward imbalance and relational injustice at work predict sickness absence: the Whitehall II study. J Psychosom Res. 2007, 63 (4): 433-40. 10.1016/j.jpsychores.2007.06.021. North FM, Syme SL, Feeney A, Shipley M, Marmot M: Psychosocial work environment and sickness absence among British civil servants: the Whitehall II study. Am J Public Health. 1996, 86 (3): 332-40. 10.2105/AJPH.86.3.332. Oxenstierna G, Ferrie J, Hyde M, Westerlund H, Theorell T: Dual source support and control at work in relation to poor health. Scand J Public Health. 2005, 33 (6): 455-63. 10.1080/14034940510006030. Östergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, et al: Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmo shoulder and neck study cohort. J Epidemiol Community Health. 2005, 59 (9): 721-8. 10.1136/jech.2005.034801. Stansfeld SA, Fuhrer R, Shipley MJ, Marmot MG: Work characteristics predict psychiatric disorder: prospective results from the Whitehall II Study. Occup Environ Med. 1999, 56 (5): 302-7. 10.1136/oem.56.5.302. Vingård E, Lindberg P, Josephson M, Voss M, Heijbel B, Alfredsson L, et al: Long-term sick-listing among women in the public sector and its associations with age, social situation, lifestyle, and work factors: a three-year follow-up study. Scand J Public Health. 2005, 33 (5): 370-5. 10.1080/14034940510005860. Lidwall U, Marklund S: What is healthy work for women and men? – A case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work. 2006, 27 (2): 153-63. Ala-Mursula L, Vahtera J, Linna A, Pentti J, Kivimaki M: Employee worktime control moderates the effects of job strain and effort-reward imbalance on sickness absence: the 10-town study. J Epidemiol Community Health. 2005, 59 (10): 851-7. 10.1136/jech.2004.030924. Niedhammer I, Chastang JF, David S, Barouhiel L, Barrandon G: Psychosocial work environment and mental health: Job-strain and effort-reward imbalance models in a context of major organizational changes. Int J Occup Environ Health. 2006, 12 (2): 111-9. Busch H, Göransson S, Melin B: Self-efficacy beliefs predict sustained long-term sick absenteeism in individuals with chronic musculoskeletal pain. Pain Pract. 2007, 7 (3): 234-40. 10.1111/j.1533-2500.2007.00134.x. Lidwall U, Marklund S, Skogman Thoursie P: Sickness absence in Sweden. Worklife and Health in Sweden 2004. Edited by: Gustafsson R, Lundberg I. 2004, Stockholm: National Institute for Working Life, 183-204. Persson G, Danielsson M, Rosen M, Alexanderson K, Lundberg O, Lundgren B, et al: Health in Sweden: the National Public Health Report 2005. Scand J Public Health Suppl. 2006, 67: 3-10. 10.1080/14034950600677360. Vahtera J, Kivimaki M, Pentti J, Linna A, Virtanen M, Virtanen P, et al: Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study. Bmj. 2004, 328 (7439): 555-10.1136/bmj.37972.496262.0D. Östlin P: Gender inequalities in health: the significance of work. Gender and social inequities in health. Edited by: Wamala SP, Lynch J. 2002, Lund: Studentlitteratur, 43-65. Holmgren K, Dahlin Ivanoff S: Women on sickness absence – views of possibilities and obstacles for returning to work. A focus group study. Disabil Rehabil. 2004, 26 (4): 213-22. Holmgren K, Hensing G, Dahlin-Ivanoff S: Development of a questionnaire assessing work-related stress in women – identifying individuals who risk being put on sick leave. Disabil Rehabil. 2009, 31 (4): 284-292. 10.1080/09638280801931287. Bengtsson C, Blohme G, Hallberg L, Hallström T, Isaksson B, Korsan-Bengtsen K, et al: The study of women in Gothenburg 1968–1969 – a population study. General design, purpose and sampling results. Acta Med Scand. 1973, 193 (4): 311-8. Björkelund C, Andersson-Hange D, Andersson K, Bengtsson C, Blomstrand A, Bondyr-Carlsson D, et al: Secular trends in cardiovascular risk factors with a 36-year perspective: Observations from 38- and 50-years-olds in the population study of women in Gothenburg. Scan J Prim Health Care. 2008, Accepted for publication March 2008 Tibblin G, Tibblin B, Peciva S, Kullman S, Svärdsudd K: "The Goteborg quality of life instrument" – an assessment of well-being and symptoms among men born 1913 and 1923. Methods and validity. Scand J Prim Health Care Suppl. 1990, 1: 33-8. Singh-Manoux A, Gueguen A, Martikainen P, Ferrie J, Marmot M, Shipley M: Self-rated health and mortality: short- and long-term associations in the Whitehall II study. Psychosom Med. 2007, 69 (2): 138-43. 10.1097/PSY.0b013e318030483a. Voss M, Stark S, Alfredsson L, Vingard E, Josephson M: Comparisons of self-reported and register data on sickness absence among public employees in Sweden. Occup Environ Med. 2008, 65 (1): 61-7. 10.1136/oem.2006.031427. Paoli P, Merllié D: Third European survey on working conditions 2000. Luxembourg: European Foundation for the Improvement of Living and Working Conditions. 2001 Phillips S, Sen D, McNamee R: Prevalence and causes of self-reported work-related stress in head teachers. Occup Med (Lond). 2007, 57 (5): 367-76. 10.1093/occmed/kqm055. Collins PA, Gibbs AC: Stress in police officers: a study of the origins, prevalence and severity of stress-related symptoms within a county police force. Occup Med (Lond). 2003, 53 (4): 256-64. 10.1093/occmed/kqg061. Rauhala A, Kivimaki M, Fagerstrom L, Elovainio M, Virtanen M, Vahtera J, et al: What degree of work overload is likely to cause increased sickness absenteeism among nurses? Evidence from the RAFAELA patient classification system. J Adv Nurs. 2007, 57 (3): 286-95. 10.1111/j.1365-2648.2006.04118.x. Preckel D, von Kanel R, Kudielka BM, Fischer JE: Overcommitment to work is associated with vital exhaustion. Int Arch Occup Environ Health. 2005, 78 (2): 117-22. 10.1007/s00420-004-0572-8. Krantz G, Östergren PO: Do common symptoms in women predict long spells of sickness absence? A prospective community-based study on Swedish women 40 to 50 years of age. Scand J Public Health. 2002, 30 (3): 176-83. 10.1080/14034940210133816. Bultmann U, Huibers MJ, van Amelsvoort LP, Kant I, Kasl SV, Swaen GM: Psychological distress, fatigue and long-term sickness absence: prospective results from the Maastricht Cohort Study. J Occup Environ Med. 2005, 47 (9): 941-7. 10.1097/01.jom.0000172865.07397.9a. Virtanen M, Vahtera J, Pentti J, Honkonen T, Elovainio M, Kivimaki M: Job strain and psychologic distress influence on sickness absence among Finnish employees. Am J Prev Med. 2007, 33 (3): 182-7. 10.1016/j.amepre.2007.05.003. Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I, et al: The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med. 2004, 58 (8): 1483-99. 10.1016/S0277-9536(03)00351-4. Fahlen G, Knutsson A, Peter R, Åkerstedt T, Nordin M, Alfredsson L, et al: Effort-reward imbalance, sleep disturbances and fatigue. Int Arch Occup Environ Health. 2006, 79 (5): 371-8. 10.1007/s00420-005-0063-6. Alexanderson K, Norlund A: Swedish Council on Technology Assessment in Health Care (SBU). Chapter 12. Future need for research. Scand J Public Health Suppl. 2004, 256-8. 10.1080/14034950410021925. 63 Holmgren K, Ivanoff SD: Supervisors' views on employer responsibility in the return to work process. A focus group study. J Occup Rehabil. 2007, 17 (1): 93-106. 10.1007/s10926-006-9041-4. Statistics Sweden: Women and men in Sweden 2006. 2006, Stockholm: Official Statistics of Sweden Gjerdingen D, McGovern P, Bekker M, Lundberg U, Willemsen T: Women's work roles and their impact on health, well-being, and career: comparisons between the United States, Sweden, and The Netherlands. Women and Health. 2000, 31 (4): 1-20. Krantz G, Berntsson L, Lundberg U: Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. Eur J Public Health. 2005, 15 (2): 209-14. 10.1093/eurpub/cki079. Jansen NW, Kant IJ, van Amelsvoort LG, Kristensen TS, Swaen GM, Nijhuis FJ: Work-family conflict as a risk factor for sickness absence. Occup Environ Med. 2006, 63 (7): 488-94. 10.1136/oem.2005.024943. Göteborgs stad. (The city of Gothenburg). [homepage on the Internet]. Sjukförmåner (Sickness benefit). [updated 2007 Oct 9, cited 2008 Mars 20], [http://www.goteborg.se/statistik] The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/9/73/prepub