A Japanese Stress Check Program screening tool predicts employee long-term sickness absence: a prospective study.
A Japanese Stress Check Program screening tool predicts employee long-term sickness absence: a prospective study.
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DOI：
10.1539/joh.17-0161-oa
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发表时间：
2018-01-25
影响因子：
3
通讯作者：
Kawakami N
中科院分区：
文献类型：
--
作者：
Tsutsumi A;Shimazu A;Eguchi H;Inoue A;Kawakami N
2015年12月1日，日本政府启动了压力检查计划，这是一项新的职业健康政策，旨在筛查员工在工作场所的高心理社会压力。由于该计划的有效性只有微弱的证据，我们试图估计与计划手册中定义的压力相关的长期病假的风险。 研究对象为某金融服务公司的7356名男性和7362名女性员工，他们完成了简明工作压力问卷（BJSQ）。我们对他们进行了为期一年的跟踪调查，并使用公司记录来确定病假超过一个月或更长时间的员工。我们使用BJSQ和程序手册推荐的标准定义了高风险员工。我们使用考克斯比例回归模型来评估压力和长期病假之间的前瞻性关联。 在追踪期间，我们发现34名男性和35名女性员工长期因病缺勤。在调整了年龄、服务年限、工作类型、职位和考试后的面试后，高压力员工长期病假的风险比（95%置信区间）男性为6.59（3.04-14.25），女性为2.77（1.32-5.83）。高压力的相应人群归因风险为男性23.8%（10.3-42.6）和女性21.0%（4.6-42.1）。 在1年的随访期间，被确定为高压力（如压力检查计划手册所定义）的员工长期病假的风险显着增加。
On December 1, 2015, the Japanese government launched the Stress Check Program, a new occupational health policy to screen employees for high psychosocial stress in the workplace. As only weak evidence exists for the effectiveness of the program, we sought to estimate the risk of stress-associated long-term sickness absence as defined in the program manual. Participants were 7356 male and 7362 female employees in a financial service company who completed the Brief Job Stress Questionnaire (BJSQ). We followed them for 1 year and used company records to identify employees with sickness absence of 1 month or longer. We defined high-risk employees using the BJSQ and criteria recommended by the program manual. We used the Cox proportional regression model to evaluate the prospective association between stress and long-term sickness absence. During the follow-up period, we identified 34 male and 35 female employees who took long-term sickness absence. After adjustment for age, length of service, job type, position, and post-examination interview, hazard ratios (95% confidence intervals) for incident long-term sickness absence in high-stress employees were 6.59 (3.04-14.25) for men and 2.77 (1.32-5.83) for women. The corresponding population attributable risks for high stress were 23.8% (10.3-42.6) for men and 21.0% (4.6-42.1) for women. During the 1-year follow-up, employees identified as high stress (as defined by the Stress Check Program manual) had significantly elevated risks for long-term sickness absence.