Work and family demands: predictors of all-cause sickness absence in the GAZEL cohort.
Work and family demands: predictors of all-cause sickness absence in the GAZEL cohort.
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工作和家庭需求：GAZEL 队列中全因病缺勤的预测因素。
DOI：
10.1093/eurpub/ckr041
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发表时间：
2012
影响因子：
4.4
通讯作者：
Berkman,LisaF
中科院分区：
文献类型：
--
作者：
Sabbath,ErikaL;Melchior,Maria;Goldberg,Marcel;Zins,Marie;Berkman,LisaF
背景：本研究的目的是评估工作和家庭综合需求对全因病缺勤的影响，并检查这种关系随职业等级和性别的变化。方法：研究样本由法国电力-法国天然气公司 (EDF-GDF) 的 13~179 名员工组成，他们是 1995 年 GAZEL 职业群体的成员。工作和家庭综合需求是根据工作压力和家属人数进行评估的 在基线（1995 年）进行评估。协变量包括职业等级以及基线评估的人口、行为和社会变量。每个员工因病缺勤天数与总人天数的比率是根据基线和 2003 年随访结束时的管理数据确定的。然后计算不同工作-家庭需求级别的比率。测试了性别和就业等级对效应的修正。结果：在完全调整的模型中，与低需求工人相比，工作家庭需求最高的个体的因病缺勤率为 1.78（95% CI 1.47-2.14）。这种关联与职业等级无关，并且不随性别而变化。结果不仅仅归因于精神疾病缺勤。结论：基线时的高工作家庭需求预示着社会经济多元化职业群体中长期因病缺勤。
Background:The aim of this study is to assess the impact of combined work and family demands on all-cause sickness absence and to examine variation in this relationship by occupational grade and gender.Methods:The study sample consists of 13 179 employees of Electricité de France-Gaz de France (EDF-GDF) who were members of the GAZEL occupational cohort in 1995. Combined work and family demands are assessed based on measures of job strain and number of dependants assessed at baseline (1995). Covariates include occupational grade and demographic, behavioural and social variables assessed at baseline. Ratios of sickness absence days to total person-days contributed by each employee were established from administrative data between baseline and the end of follow-up in 2003. Rate ratios across levels of work–family demands were then calculated. Effect modification by gender and grade of employment was tested.Results:In fully adjusted models, individuals with the highest work–family demands had a rate ratio of sickness absence of 1.78 (95% CI 1.47–2.14) compared with low-demand workers. This association was independent of occupational grade and did not vary with gender. Results were not attributable solely to psychiatric sickness absences.Conclusion:High work–family demands at baseline predict long-term all-cause sickness absence across a socio-economically diverse occupational cohort.