Reciprocal relationship between psychosocial work stress and quality of life: the role of gender and education from the longitudinal study of the Survey of Health, Ageing and Retirement in Europe
Reciprocal relationship between psychosocial work stress and quality of life: the role of gender and education from the longitudinal study of the Survey of Health, Ageing and Retirement in Europe
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社会心理工作压力与生活质量之间的相互关系：来自欧洲健康、老龄化和退休调查纵向研究的性别和教育的作用
DOI：
10.1136/bmjopen-2018-027051
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Pei, Jin-Jing
中科院分区：
文献类型：
--
作者：
Lu, Ya-Ke;Qiao, Ya-Mei;Pei, Jin-Jing
目的探讨心理社会工作压力与生活质量（QoL）之间的相互关系，并检验这种关系是否可以通过性别或教育来调节。设计纵向，基于人群的研究。设置欧洲健康，老龄化和退休调查（SHARE）。参与者研究人群来自SHARE，有2006名参与者在基线时生活质量良好，分别对1109名高工作控制者和1072名高工作报酬者进行为期2年的随访，检测其生活质量（QoL）、低工作控制者和低工作报酬者的发生率。结果基线时低奖励（OR= 1.53，95%CI 1.26 ~ 1.88）和低控制（OR= 1.40，95%CI 1.14 ~ 1.71）的参与者在2年随访中生活质量较差的风险较高。低奖励和低控制的组合进一步增加了风险（OR= 1.90，95%CI 1.46至2.48）。分层分析显示，这些关联在受教育程度高的人群中更为明显。此外，在2年随访时，生活质量差的个体的低奖励风险（OR= 2.14，95%CI 1.55至2.96）显著较高，但控制力不低（OR= 1.33，95%CI 0.98至1.79），尤其是在中等教育水平的个体中。结论心理工作压力与生活质量不良之间存在交互关系。教育可能在这种关系中发挥重要作用。
Objective To investigate the reciprocal relationship between psychosocial work stress and quality of life (QoL) and to examine whether the relationship can be moderated by gender or education.Design Longitudinal, population-based study.Setting The Survey of Health, Ageing and Retirement in Europe (SHARE).Participants The study population was derived from the SHARE, and there were 2006 participants with good QoL at baseline, 1109 with high job control and 1072 with high job reward, respectively, who were followed up for 2 years to detect incidence of poor QoL, low job control and low job reward.Main outcome measures Logistic regression models were employed to explore the reciprocal relationship between psychological work stress and QoL. Stratification analyses by gender and education were performed.Results Participants with low reward (OR= 1.53, 95% CI 1.26 to 1.88) and low control (OR= 1.40, 95% CI 1.14 to 1.71) at baseline were at higher risk of poor QoL over the 2-year follow-up. The combination of low reward and low control further increased the risk (OR= 1.90, 95% CI 1.46 to 2.48). Stratified analyses revealed that these associations were more pronounced among those who had high levels of education. Further, individuals with poor QoL were at significantly higher risk of having low reward (OR= 2.14, 95% CI 1.55 to 2.96) but not low control (OR= 1.33, 95% CI0.98 to 1.79) at the 2-year follow-up, especially among those who had medium levels of education. No gender differences were found.Conclusions There is a reciprocal relationship between psychological work stress and poor QoL. Education may play an important role in the relationship.