Psychosocial factors associated with work disability in men and women with diabetes: a pooled analysis of three occupational cohort studies.
Psychosocial factors associated with work disability in men and women with diabetes: a pooled analysis of three occupational cohort studies.
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与男性和女性糖尿病患者工作障碍相关的心理社会因素：三项职业队列研究的汇总分析。
DOI：
10.1111/dme.12821
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Ervasti J
中科院分区：
文献类型：
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作者：
Ervasti J
目的探讨独居、心理困扰、工作紧张、上司支持度低等不良心理社会因素对工作能力丧失的影响（病假和残疾抚恤金）在糖尿病雇员中。方法在这三个职业队列研究的个人参与者数据的汇总分析中，（芬兰公共部门研究、英国白厅II研究和法国GAZEL研究），对1088名女性和949名男性糖尿病患者进行了随访，以确定工作残疾的持续时间（天数）和频率（次数）。GAZEL研究的平均随访期为3.2年，Whitehall II研究为4.6年，芬兰公共部门研究为4.7年。使用标准问卷在基线时评估心理社会因素和潜在混杂因素。研究特定的估计汇总使用固定效应Meta-analysis.ResultsIn分析调整社会人口因素，健康行为和合并症，参与者心理困扰有较长的时间（率比1.66; 95%CI 1.31-2.09）和更频繁的缺席（率比1.33; 95%CI 1.19-1.49）相比，那些没有心理困扰。工作压力与缺勤频率略有增加（率比1.19 95%CI 1.05-1.35），但与缺勤时间无关。独居和低主管支持与缺席时间或频率无关。我们没有观察到性别差异，在这些association.ConclusionsPsychological困扰与糖尿病员工的工作残疾的持续时间和频率增加。工作压力与缺勤频率增加有关，但与缺勤持续时间无关。
AimsTo examine the extent to which adverse psychosocial factors, such as living alone, psychological distress, job strain and low support from supervisor, increase the risk of work disability (sickness absence and disability pension) among employees with diabetes.MethodsIn this pooled analysis of individual‐participant data from three occupational cohort studies (the Finnish Public Sector Study, the British Whitehall II study, and the French GAZEL study), 1088 women and 949 men with diabetes were followed up to determine the duration (number of days) and frequency (number of spells) of work disability. The mean follow‐up periods were 3.2 years in the GAZEL study, 4.6 years in the Whitehall II study and 4.7 years in the Finnish Public Sector Study. Psychosocial factors and potential confounding factors were assessed at baseline using standard questionnaires. Study‐specific estimates were pooled using fixed‐effects meta‐analysis.ResultsIn analysis adjusted for sociodemographic factors, health behaviours and comorbidities, participants with psychological distress had longer (rate ratio 1.66; 95% CI 1.31–2.09) and more frequent absences (rate ratio 1.33; 95% CI 1.19–1.49) compared with those with no psychological distress. Job strain was associated with slightly increased absence frequency (rate ratio 1.19 95% CI 1.05–1.35), but not with absence duration. Living alone and low supervisor support were not associated with absence duration or frequency. We observed no sex differences in these associations.ConclusionsPsychological distress was associated with increased duration and frequency of work disability among employees with diabetes. Job strain was associated with increased absence frequency but not with absence duration.