Components of job control and mortality: the Finnish Public Sector Study

Components of job control and mortality: the Finnish Public Sector Study
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DOI:
10.1136/oemed-2014-102111
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发表时间:
2014-08-01
影响因子:
4.9
通讯作者:
Vahtera, Jussi
Vahtera, Jussi
中科院分区:
医学2区
文献类型:
--
作者:
Joensuu, Matti;Kivimaki, Mika;Vahtera, Jussi

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目的最近的研究表明,从工业雇员的工作控制的组成部分可能与死亡率不同,高技能的自由裁量权较低,但高决策权力与较高的死亡率。这一观察尚未得到证实,在其他cohols.Methods本研究的目的是进一步研究的协会技能的自由裁量权和决策的权威与全因和原因-通过性别和社会经济地位的分层分析,在芬兰公共部门研究的60202名公共部门雇员的独立队列中,白领女性的全因死亡率。相比之下,高决策权威与蓝领女性的高全因死亡率相关。在男性中,没有观察到技能自由裁量权、决策权威和死亡率之间存在强有力的关联。有没有强大的协会与死因特异性mortality rates.Conclusions这些结果表明,工作控制和死亡率的组成部分之间的关联是混合的,可能会因性别和社会经济地位而异。
Objectives Recent research from industrial employees suggests the components of job control might be differently associated with mortality; high skill discretion with lower but high decision authority with higher mortality. This observation has not been confirmed in other cohorts.Methods The purpose of this study is to further examine the association of skill discretion and decision authority with all-cause and cause-specific mortality in an independent cohort of 60 202 public sector employees from the Finnish Public Sector study by stratifying analyses by sex and socioeconomic status.Results High skill discretion and high decision authority were associated with lower all-cause mortality rates in white-collar women. By contrast, high decision authority was associated with higher all-cause mortality rates in blue-collar women. No robust association between skill discretion, decision authority and mortality was observed among men. There were no robust associations with cause-specific mortality rates.Conclusions These results suggest that the associations between components of job control and mortality are mixed and may vary depending on sex and socioeconomic status.