Perceived organizational justice as a predictor of long-term sickness absence due to diagnosed mental disorders: Results from the prospective longitudinal Finnish Public Sector Study
Perceived organizational justice as a predictor of long-term sickness absence due to diagnosed mental disorders: Results from the prospective longitudinal Finnish Public Sector Study
复制标题
DOI：
10.1016/j.socscimed.2013.05.008
复制
发表时间：
2013-08-01
影响因子：
5.4
通讯作者：
Vahtera, Jussi
中科院分区：
文献类型：
--
作者：
Elovainio, Marko;Linna, Anne;Vahtera, Jussi
组织公平感已被认为与心理健康症状相关，但由于报告偏差（与反应方式和反向因果关系相关的测量误差），这种关联的性质尚不清楚。在这项研究中，我们采用前瞻性设计和长期（bb90天）疾病缺勤和精神病学诊断作为结果测量。参与者是21 221名芬兰公共部门雇员（2000-2002年基线参与率为68%），他们对2000-2004年关于程序和互动公正的反复调查以及诊断为抑郁症或焦虑症的缺勤登记数据（822例）作出了回应。逻辑回归分析的结果显示，自我报告和工作单位水平的同事评估的相互公正每增加一个单位，因焦虑障碍而缺勤的几率就会降低25-32%。这些关联对于包括慢性疾病在内的各种潜在的个人水平混杂因素的调整是稳健的（自我报告的相互作用公正的调整OR为0.77,95% CI为0.65-0.91），并且使用同事评估的公正被复制。只发现了微弱的反向因果关系证据。结果表明，组织公平感低是焦虑性疾病缺勤的危险因素。(C) 2013 Elsevier Ltd.版权所有。
Organizational justice perceptions have been suggested to be associated with symptoms of mental health but the nature of the association is unknown due to reporting bias (measurement error related to response style and reversed causality). In this study, we used prospective design and long-term (>9 days) sickness absence with psychiatric diagnosis as the outcome measure. Participants were 21 221 Finnish public sector employees (the participation rate at baseline in 2000-2002 68%), who responded to repeated surveys of procedural and interactional justice in 2000-2004 along with register data on sickness absence with a diagnosis of depression or anxiety disorders (822 cases). Results from logistic regression analyses showed that a one-unit increase in self-reported and work-unit level co-worker assessed interactional justice was associated with a 25-32% lower odds of sickness absence due to anxiety disorders. These associations were robust to adjustments for a variety of potential individual-level confounders including chronic disease (adjusted OR for self-reported interactional justice 0.77, 95% CI 0.65-0.91) and were replicated using co-worker assessed justice. Only weak evidence of reversed causality was found. The results suggest that low organizational justice is a risk factor for sickness absence due to anxiety disorders. (C) 2013 Elsevier Ltd. All rights reserved.