Factors underlying the effect of organisational downsizing on health of employees:: longitudinal cohort study
Factors underlying the effect of organisational downsizing on health of employees:: longitudinal cohort study
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DOI：
10.1136/bmj.320.7240.971
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发表时间：
2000-04-08
影响因子：
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通讯作者：
Ferrie, JE
中科院分区：
文献类型：
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作者：
Kivimäki, M;Vahtera, J;Ferrie, JE
目的探讨组织精简与员工健康恶化之间的内在机制。设计纵向队列研究。收集的数据来自裁员前(时间1)；在影响某些工作类别的重大裁员期间(时间2)；以及裁员后(时间3)，时间1至时间2之间的工作、支持和健康相关行为的变化对时间3的裁员和病假之间的关系的贡献通过多水平模型进行评估。平均随访时间为4.9年。以芬兰莱西奥镇为研究对象，调查对象为764名裁员后仍在工作的市政雇员。主要结果衡量持有医疗证明的所有原因缺勤的记录。结果裁员与工作的负面变化、配偶的支持减弱和吸烟率增加相关。大规模裁员后所有原因的疾病缺勤率为2.17(95%可信区间为1.54至3.07)，是轻微裁员后的2.17倍。对工作变化(例如，身体需求、工作控制和工作不安全感)进行调整后，裁员和病假之间的关系减少了49%。对社会支持受损或吸烟增加的调整没有改变。裁员与病假的关系。研究结果不受性别和收入的影响。结论对潜在中介因素的探索为组织裁员心理和健康之间可能存在的应用因果路径提供了新的信息。裁员会导致工作、社会关系和与健康相关的行为发生变化。观察到的病假缺勤增加的部分原因是随之而来的身体需求和工作不安全感的增加以及工作控制的减少，然而，增加的相当大一部分仍然无法用所衡量的因素来解释。
Objective To explore the underlying mechanisms between organisational downsizing and deterioration of health of employees.Design Longitudinal cohort study. Data were assembled from before downsizing (time 1); during major downsizing affecting some job categories (time 2); and after downsizing (time 3), Contributions of changes in work, support, and health related behaviours between time 1 and rime 2 to the relation between downsizing and sickness absence at time 3 were assessed by multilevel modelling. Mean length of follow up was 4.9 years.Setting Raisio, a town in Finland.Subjects 764 municipal employees who remained in employment after downsizing.Main outcome measures Records of absences from work from all causes with medical certificate.Results Downsizing was associated with negative changes in work, impaired support from spouse, and increased prevalence of smoking. Sickness absence rate from all causes was 2.17 (95% confidence inter-val 1.54 to 3.07) times higher after major downsizing than after minor downsizing. Adjustment for changes in work (for instance, physical demands,job control, and job insecurity) diminished the relation between downsizing and sickness absence by 49%. Adjustments for impaired social support or increased smoking did not alter. the relation between downsizing and sickness absence. The findings were unaffected by sex and income.Conclusions The exploration of potential mediating factors provides new information about the possible of Applied causal pathways linking organisational do downsizing Psychology, and health. Downsizing results in changes in work, social relationships, and health related behaviours. The observed increase in certificated sickness absence was partially explained by concomitant increases in physical demands and job insecurity and a reduction in job control, A considerable proportion of the increase, however, remained unexplained by the factors measured.