Workplace bullying and sickness absence in hospital staff
Workplace bullying and sickness absence in hospital staff
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DOI：
10.1136/oem.57.10.656
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发表时间：
2000-10-01
影响因子：
4.9
通讯作者：
Vahtera, J
中科院分区：
文献类型：
--
作者：
Kivimäki, M;Elovainio, M;Vahtera, J
目的-在过去，关于工作场所欺凌的负面后果的证据仅限于自我报告欺凌的横断面研究。在这项研究中，这些后果进行了前瞻性的审查，重点是病假在医院工作人员。方法-泊松回归分析的医疗认证的法术（大于或等于4天）和自我认证法术（1-3天）病假，与欺凌和其他健康预测因素有关，基于年龄在19-63岁的674名男性和4981名女性医院员工的队列。病假数据是从雇主登记册中收集的。欺凌和其他健康的预测因素进行了测量的问卷调查。结果-302（5%）的员工报告被欺凌的受害者。他们在性别、年龄、职业、工作合同类型、工作时间、收入、吸烟、饮酒或体育活动方面与其他雇员没有区别。欺凌的受害者有较高的体重和慢性病的患病率，他们的医疗和自我证明的病假率分别为1.5（95%置信区间（95%CI）1.3至1.7）和1.2（1.1至1.4）倍，高于其他工作人员。调整人口统计数据，职业背景，涉及健康风险的行为，基线健康状况，和疾病absence.Conclusion-Workplace欺负与医院工作人员的疾病缺勤率的增加后，比率仍然显着。欺凌的目标似乎不属于任何具有某些人口特征或职业背景的独特群体。
Objectives-In the past, evidence on the negative consequences of workplace bullying has been limited to cross sectional studies of self reported bullying. In this study, these consequences were examined prospectively by focusing on sickness absence in hospital staff.Methods-The Poisson regression analyses of medically certified spells (greater than or equal to 4 days) and self certified spells (1-3 days) of sickness absence, relating to bullying and other predictors of health, were based on a cohort of 674 male and 4981 female hospital employees aged 19-63 years. Data on sickness absence were gathered from employers' registers. Bullying and other predictors of health were measured by a questionnaire survey.Results-302 (5%) of the employees reported being victims of bullying. They did not differ from the other employees in terms of sex, age, occupation, type of job contract, hours of work, income, smoking, alcohol consumption, or physical activity. Victims of bullying had higher body mass and prevalence of chronic disease, and their rates of medically and self certified spells of sickness absence were 1.5 (95% confidence interval (95% CI) 1.3 to 1.7) and 1.2 (1.1 to 1.4) times higher than those of the rest of the staff. The rate ratios remained significant after adjustment for demographic data, occupational background, behaviour involving risks to health, baseline health status, and sickness absence.Conclusion-Workplace bullying is associated with an increase in the sickness absenteeism of the hospital staff. Targets of bullying seem not to belong to any distinct group with certain demographic characteristics or occupational background.