Long hours in paid and domestic work and subsequent sickness absence:: does control over daily working hours matter?
Long hours in paid and domestic work and subsequent sickness absence:: does control over daily working hours matter?
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DOI：
10.1136/oem.2005.023937
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发表时间：
2006-09-01
影响因子：
4.9
通讯作者：
Kivimaki, M.
中科院分区：
文献类型：
--
作者：
Ala-Mursula, L.;Vahtera, J.;Kivimaki, M.
目的：探讨工作时间(带薪、家庭、通勤和总工时)与病假的关系，并检验这些关系是否因员工对日常工作时间的控制程度而不同。方法：对芬兰10个城镇的25 703名全职公共部门员工进行前瞻性队列研究。在2000-01年度进行了一项关于工时和工时控制的调查。调查答复与2003年底之前自我证明的(3天)疾病缺勤人数登记数据相联系。泊松回归分析和广义估计方程被用来考虑员工嵌套在工作单位内的事实。对工作和家庭特征以及健康行为进行了调整。平均随访期为28.1(SD 8.1)个月。结果：家庭工作时间长和总工作时间长与男女医生证明的疾病缺勤率较高相关。相比之下，较长的带薪工作时间与随后自我证明的疾病缺勤率较低相关。较长的通勤时间与这两种疾病缺勤率的增加有关。对日常工作时间的低控制预示着女性和男性的医生证明的疾病缺勤，以及男性的自我证明的缺勤。同时，对工作时间的高度控制减少了家庭工作时间长和总工作时间长与医生证明的缺勤的不利关联。结论：员工对每天工作时间的控制可能保护健康，帮助员工成功地将全职工作与家务工作的需求结合起来。
Objectives: To explore the associations of working hours ( paid, domestic, commuting, and total) with sickness absence, and to examine whether these associations vary according to the level of employee control over daily working hours.Methods: Prospective cohort study among 25 703 full-time public sector employees in 10 towns in Finland. A survey of working hours and control over working hours was carried out in 2000 - 01. The survey responses were linked with register data on the number of self- certified ( 3 days) sickness absences until the end of 2003. Poisson regression analyses with generalised estimating equations were used to take into account the fact that the employees were nested within work units. Adjustments were made for work and family characteristics and health behaviour. The mean follow-up period was 28.1 (SD 8.1) months.Results: Long domestic and total working hours were associated with higher rates of medically certified sickness absences among both genders. In contrast, long paid working hours were associated with lower rates of subsequent self- certified sickness absences. Long commuting hours were related to increased rates of sickness absence of both types. Low control over daily working hours predicted medically certified sickness absences for both the women and men and self- certified absences for the men. In combinations, high control over working hours reduced the adverse associations of long domestic and total working hours with medically certified absences.Conclusions: Employee control over daily working hours may protect health and help workers successfully combine a full-time job with the demands of domestic work.