Association of Occupation, Employment Contract, and Company Size with Mental Health in a National Representative Sample of Employees in Japan

Association of Occupation, Employment Contract, and Company Size with Mental Health in a National Representative Sample of Employees in Japan
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DOI:
10.1539/joh.o10002
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发表时间:
2010-07-01
影响因子:
3
通讯作者:
Hashimoto, Hideki
Hashimoto, Hideki
中科院分区:
医学4区
文献类型:
--
作者:
Inoue, Akiomi;Kawakami, Norito;Hashimoto, Hideki

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职业、雇佣合同和公司规模与日本全国代表性员工心理健康的关系:Akiomi INOUE等。目的:本研究的目的是调查雇佣合同、公司规模和职业与心理困扰的横断面关系,使用具有全国代表性的日本人口样本。方法:2007年6 - 7月,随机抽取社区内9461名男性员工和7717名女性员工,采用自填问卷和访谈法对其职业类别变量、心理困扰(K6量表)、精神障碍治疗情况及其他相关变量进行调查。结果:在男性中,兼职工人的心理困扰发生率明显高于全职工人。在女性中,临时工/合同工的心理困扰发生率明显高于正式工人。在男性中,那些在300-999名员工的公司工作的人比那些在规模最小的公司(1-29名员工)工作的人有明显更高的心理困扰患病率。公司规模与女性心理困扰无显著相关。此外,职业与男性或女性的心理困扰没有显著相关。当对那些有心理困扰和/或接受过精神障碍治疗的人进行分析时,也观察到类似的模式。结论:在日本,男性兼职工作者和女性临时工/合同工可能与心理健康状况不佳有关。在日本,没有观察到心理健康随公司规模或职业的明显梯度。(职业卫生杂志;2010;52:227-240)
Association of Occupation, Employment Contract, and Company Size with Mental Health in a National Representative Sample of Employees in Japan: Akiomi INOUE, et al. Japan Society for the Promotion of Science-Objectives: The purpose of this study was to investigate the cross-sectional association of employment contract, company size, and occupation with psychological distress using a nationally representative sample of the Japanese population. Methods: From June through July 2007, a total of 9,461 male and 7,717 female employees living in the community were randomly selected and surveyed using a self-administered questionnaire and interview including questions about occupational class variables, psychological distress (K6 scale), treatment for mental disorders, and other covariates. Results: Among males, part-time workers had a significantly higher prevalence of psychological distress than permanent workers. Among females, temporary/contract workers had a significantly higher prevalence of psychological distress than permanent workers. Among males, those who worked at companies with 300-999 employees had a significantly higher prevalence of psychological distress than those who worked at the smallest companies (with 1-29 employees). Company size was not significantly associated with psychological distress among females. Additionally, occupation was not significantly associated with psychological distress among males or females. Similar patterns were observed when the analyses were conducted for those who had psychological distress and/or received treatment for mental disorders. Conclusions: Working as part-time workers, for males, and as temporary/contract workers, for females, may be associated with poor mental health in Japan. No clear gradient in mental health along company size or occupation was observed in Japan. (J Occup Health 2010; 52: 227-240)