Health inequalities by wage income in Sweden:: The role of work environment
Health inequalities by wage income in Sweden:: The role of work environment
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DOI：
10.1016/j.socscimed.2004.12.028
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发表时间：
2005-08-01
影响因子：
5.4
通讯作者：
Hemström, Ö
中科院分区：
文献类型：
--
作者：
Hemström, Ö
本研究的主要目的是探讨瑞典工作环境对工资收入健康不平等的中介作用。还分析了性别差异。对1998年和1999年瑞典生活条件调查的数据进行了分析。调查对象包括20-64岁的有登记工资的就业者（近6000名受访者）。与总体自测健康状况相关的性别特异性logistic回归分析显示，收入最低的五分之一人群的健康状况低于良好的概率是收入最高的五分之一人群的2.4倍（男性）和4.3倍（女性）（调整了年龄、家庭状况、出生国、教育水平、吸烟和全职工作）。工作环境因素对按收入分列的健康梯度的中介作用分别为25%（男子）和29%（妇女）。这种贡献主要来自人体工程学和物理暴露、决策权威和技能自由裁量权。心理需求并没有造成这种不平等，因为与低收入工作相比，高收入工作中对精神要求较高的工作任务更为常见。使用特定性别的收入五分位数，而不是收入五分位数的整个sample，给出了非常相似的results.In结论，工作环境因素可以被看作是重要的调解人之间的关联工资收入和健康状况不佳在瑞典。与男子相比，收入对妇女健康的剩余影响更大，这表明，在瑞典，一个人自己的工作收入是妇女健康状况不佳的一个比男子更重要的决定因素。（0 2005 Elsevier Ltd.保留所有权利。
The main aim of this study was to explore the mediating role made by work environment to health inequalities by wage income in Sweden. Gender differences were also analysed. Data from the Swedish Survey of Living Conditions for the years 1998 and 1999 were analysed. Employed 20-64-year olds with a registered wage were included (nearly 6000 respondents). Sex-specific logistic regressions in relation to global self-rated health were applied.Those in the lowest income quintile had 2.4 times (men) and 4.3 times (women) higher probability of less than good health than did those in the highest quintile (adjusted for age, family status, country of birth, education level, smoking and full-time work). The mediating contribution of work environment factors to the health gradient by income was 25 per cent (men) and 29 per cent (women), respectively. This contribution was observed mainly from ergonomic and physical exposure, decision authority and skill discretion. Psychological demands did not contribute to such inequalities because mentally demanding work tasks are more common in high income as compared with low income jobs. Using sex-specific income quintiles, instead of income quintiles for the entire sample, gave very similar results.In conclusion, work environment factors can be seen as important mediators for the association between wage income and ill health in Sweden. A larger residual effect of income on health for women as compared with men suggests that one's own income from work is a more important determinant of women's than men's ill health in Sweden. (0 2005 Elsevier Ltd. All rights reserved.