Health among hospital employees in Europe: A cross-national study of the impact of work stress and work control

Health among hospital employees in Europe: A cross-national study of the impact of work stress and work control
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DOI:
10.1016/j.socscimed.2010.12.017
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发表时间:
2011-03-01
影响因子:
5.4
通讯作者:
den Dulk, Laura
den Dulk, Laura
中科院分区:
医学2区
文献类型:
--
作者:
Pisljar, Tjasa;van der Lippe, Tanja;den Dulk, Laura

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本文分析了工作条件对整个欧洲医院员工健康的影响。医院雇员往往有要求高的工作,增加了他们的压力水平,因此,他们的健康问题的风险。以员工自主性和工作时间灵活性为代表的工作控制有助于他们科普高水平的工作压力。传统上,研究者从个体的角度研究工作条件、应对策略和职业健康之间的关系。我们认为,个人的工作健康关系是密切相关的社会和制度背景。本研究旨在探讨工作压力和工作控制如何影响医院员工的健康,并旨在了解这方面的跨国差异。使用数据超过1500名医院员工谁参加了研究“在一个不断变化的欧洲的工作和生活质量”(2007年)在八个欧洲国家,我们使用有序回归分析,以测试一系列的假设。结果表明,工作压力对医院员工的健康有负面影响,而工作控制对健康没有任何影响。比较分析表明,工作条件对健康的影响在欧洲各国各不相同。在东欧国家,加班与健康状况较差的关系更为密切,但我们发现,只有西欧国家的工作自主权与健康状况之间存在正相关关系,这表明工作环境对东欧和西欧员工的健康状况有不同的影响。(C)2011爱思唯尔有限公司保留所有权利。
This article analyses the effect of working conditions on the health of hospital employees across Europe. Hospital employees often have demanding jobs that increase their stress levels and, consequently, their risk of health problems. Work control typified by employee autonomy and working time flexibility helps them cope with high levels of work stress. Researchers have traditionally studied the relationship between working conditions, coping strategies and occupational health from an individual perspective. We argue that the individual work health relationship is closely connected with the social and institutional context. This study explores how work stress and work control influence the health of hospital employees and aims to understand cross-country differences in this respect. Using data on over 1500 hospital employees who participated in the study 'Quality of work and life in a changing Europe' (2007) in eight European countries, we used ordinal regression analyses to test a range of hypotheses. The results show that work stress has a negative effect on the health of hospital employees, while work control is not found to have any effect on their health. Comparative analyses reveal that the effects of working conditions on health vary across European countries. While working overtime is more closely related to poorer health in Eastern European countries, we found evidence of a positive relationship between job autonomy and health in Western Europe only, indicating that circumstances in the working environment have differing effects on employee health in Eastern and Western Europe. (C) 2011 Elsevier Ltd. All rights reserved.