A multi-group cross-lagged analyses of work stressors and health using Canadian National sample
A multi-group cross-lagged analyses of work stressors and health using Canadian National sample
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DOI：
10.1016/j.socscimed.2008.10.019
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发表时间：
2009-01-01
影响因子：
5.4
通讯作者：
Muntaner, C.
中科院分区：
文献类型：
--
作者：
Ibrahim, S.;Smith, P.;Muntaner, C.
本文探讨了工作变量与健康结果之间的相互关系，以及这些关系是否因社会阶层（按职业分组衡量）而不同。我们使用了 1994/95-2002/03 加拿大全国人口健康调查 (NPHS) 的纵向数据。 Karasek 的工作压力变量是在 1994/95 年（周期 1，时间 1）、2000/01（周期 4，时间 2）和 2002/03（周期 5，时间 3）调查中测量的。分析仅限于时间 1 时年龄在 18-56 岁之间的 2556 名受访者，他们在所有三个时间点都处于同一社会阶层（根据职业职位定义）。使用的工作变量包括工作紧张率、工作社会支持和工作不安全感。使用的健康结果包括痛苦、抑郁和自评健康。多组路径分析用于调查工作和健康变量之间的相互关系，以及这些关系是否因社会阶层而异。对年龄、性别、婚姻状况和工作状况进行控制分析。我们发现，不同社会阶层的工作心理社会因素和健康结果负担存在差异。工作与健康之间的交叉滞后关系取决于结果、社会阶层和时间滞后。观察到从工作到健康的显着路径比从健康到工作的反向路径更重要。与较长时间滞后（6 年）相比，较短时间滞后（2 年）的工作与健康之间的关系更为显着。对于社会阶层较低的受访者来说，低工作社会支持和工作不稳定对健康更加不利。这项研究的结果强调了时间滞后以及在某种程度上社会阶层在工作与健康之间相互关系中的重要性。 (C) 2008 Elsevier Ltd. 保留所有权利。
This article examines the reciprocal relationships between work variables and health outcomes and if these relationships differ by social class (measured by occupational grouping). We used longitudinal data from the 1994/95-2002/03 Canadian National Population Health Survey (NPHS). Karasek's work stress variables were measured in the 1994/95 (cycle 1, time 1), 2000/01 (cycle 4, time 2) and 2002/03 (cycle 5, time 3) surveys. Analyses were limited to 2556 respondents aged 18-56 at time 1 and who remained in the same social class (as defined by occupational position) for all the three time points. Work variables used were job strain ratio, work social support and job insecurity. Health outcomes used were distress, depression and self-rated health. Multi-group path analyses were used to investigate the reciprocal relationships between work and health variables and if these relationships differed by social class. Analyses controlled for age, gender, marital status and work status.We find there is a differential burden of work psychosocial factors and health outcomes by social class. The cross-lagged relationships between work and health depended on the outcome, social class and time lag. More significara paths from work to health were observed than reverse paths from health to work. More significant relationships between work and health were observed for the shorter time lag (2 years) compared to longer time lags (6 years). Low work social support and job insecurity were more detrimental to health for respondents in lower social class positions. Findings from this study highlight the importance of time lag, and to some extent social class, in the reciprocal relationships between work and health. (C) 2008 Elsevier Ltd. All rights reserved.