Associations between psychological demands, decision latitude, and job strain with smoking in female hotel room cleaners in Las Vegas
Associations between psychological demands, decision latitude, and job strain with smoking in female hotel room cleaners in Las Vegas
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DOI：
10.1007/bf03003072
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发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Krause, Niklas
中科院分区：
文献类型：
--
作者：
Rugulies, Reiner;Scherzer, Teresa;Krause, Niklas
背景：人们对工作环境对服务业低薪工作女性吸烟的影响知之甚少。目的：研究需求控制模型的组成部分与酒店客房清洁工吸烟之间的关联。方法：我们对拉斯维加斯 776 名女性酒店客房清洁工进行了工作和健康调查。通过多元回归分析分析心理社会工作特征与吸烟之间的关联。结果：调整协变量后，心理社会工作特征与吸烟相关。通过对种族进行额外调整，效应估计值大幅降低，但对于高心理需求和吸烟率（OR = 1.97，p = 0.02）、高工作压力和吸烟率（OR = 1.87，p = 0.04）以及高工作压力和吸烟强度（系数 = 3.52，p = 0.03）仍然显着。当分析仅限于西班牙裔工人并进一步根据出生地进行调整时，低决策自由度（系数 = 3.94，p = 0.04）和高工作压力（系数 = 4.57，p = 003）与吸烟强度相关，但与吸烟状况无关。结论：工作场所戒烟计划可能受益于减少服务人员工作压力的一级预防措施。需要更多的研究来了解同一职业中不同种族、移民和其他社会群体之间心理社会工作特征的感知和客观差异。
Background: Little is known of the impact of the work environment on smoking among women holding low-paid jobs in the service sector. Purpose: To study the associations between the components of the demand-control model with smoking in hotel room cleaners. Methods: We conducted a survey on work and health among 776 female hotel room cleaners in Las Vegas. Associations between psychosocial work characteristics and smoking were analyzed with multivariate regression analyses. Results: Psychosocial work characteristics were associated with smoking after adjustment for covariates. Effect estimates were substantially reduced by additional adjustment for ethnicity, but remained significant for high psychological demands and smoking prevalence (OR = 1.97, p = 0.02), high job strain and smoking prevalence (OR = 1.87, p = 0.04), and high job strain and smoking intensity (coefficient = 3.52, p = 0.03). When analyses were restricted to Hispanic workers and further adjusted for place of birth, low decision latitude (coefficient = 3.94, p = 0.04) and high job strain (coefficient = 4.57, p = 003) were associated with smoking intensity but not with smoking status. Conclusion: Workplace smoking cessation programs may benefit from a primary prevention component reducing job strain among service workers. More research is needed on perceived and objective differences in psychosocial work characteristics across ethnic, immigrant, and other social groups within the same occupation.