Effort-reward imbalance and its association with health among permanent and fixed-term workers
Effort-reward imbalance and its association with health among permanent and fixed-term workers
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DOI：
10.1186/1751-0759-4-16
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发表时间：
2010-01-01
影响因子：
2.1
通讯作者：
Yano, Eiji
中科院分区：
文献类型：
--
作者：
Inoue, Mariko;Tsurugano, Shinobu;Yano, Eiji
背景：在过去的十年里，不断变化的劳动力市场似乎已经拒绝了传统的标准就业，并开始支持各种非标准形式的工作。本研究的目的是比较长期和固定期限工人的工作压力程度、工作压力来源以及高工作压力与健康的关系。方法：我们的研究对象是709名30至49岁的日本东京郊区男性工人。2008年，我们采用努力-回报不平衡（ERI）模型问卷对工作压力进行了横向比较研究。从2008年的健康检查数据中还观察了生活方式、主观症状和体重指数。结果：ERI问卷测量的高危人群工作压力率在固定职工和固定职工之间无显著差异。然而，ERI成分的含量不同。长期工人对努力、过度工作或工作要求更感到苦恼，而固定期限工人对工作不安全感更感到苦恼。此外，在固定期限工人中，较高的ERI与主观症状（OR = 2.07, 95% CI: 1.42- 3.03）和肥胖（OR = 2.84, 95% CI: 1.78-4.53）的存在相关，而在长期工人中没有发现这种趋势。结论：我们的研究表明，尽管工作压力的程度似乎是相同的，但不同就业类型的工人（永久性和定期）的工作压力来源却不同。高ERI与固定期限工人存在的主观症状和肥胖相关。因此，了解长期和固定期限工人的不同工作压力来源及其与健康的关系，应加以考虑，以防止进一步的健康问题。
Background: In the past decade, the changing labor market seems to have rejected the traditional standards employment and has begun to support a variety of non-standard forms of work in their place. The purpose of our study was to compare the degree of job stress, sources of job stress, and association of high job stress with health among permanent and fixed-term workers.Methods: Our study subjects were 709 male workers aged 30 to 49 years in a suburb of Tokyo, Japan. In 2008, we conducted a cross-sectional study to compare job stress using an effort-reward imbalance (ERI) model questionnaire. Lifestyles, subjective symptoms, and body mass index were also observed from the 2008 health check-up data.Results: The rate of job stress of the high-risk group measured by ERI questionnaire was not different between permanent and fixed-term workers. However, the content of the ERI components differed. Permanent workers were distressed more by effort, overwork, or job demand, while fixed-term workers were distressed more by their job insecurity. Moreover, higher ERI was associated with existence of subjective symptoms (OR = 2.07, 95% CI: 1.42- 3.03) and obesity (OR = 2.84, 95% CI: 1.78-4.53) in fixed-term workers while this tendency was not found in permanent workers.Conclusions: Our study showed that workers with different employment types, permanent and fixed-term, have dissimilar sources of job stress even though their degree of job stress seems to be the same. High ERI was associated with existing subjective symptoms and obesity in fixed-term workers. Therefore, understanding different sources of job stress and their association with health among permanent and fixed-term workers should be considered to prevent further health problems.