Occupational position, work stress and depressive symptoms: a pathway analysis of longitudinal SHARE data.
Occupational position, work stress and depressive symptoms: a pathway analysis of longitudinal SHARE data.
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DOI：
10.1136/jech-2014-205206
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发表时间：
2015-05
影响因子：
6.3
通讯作者：
Siegrist J
中科院分区：
文献类型：
--
作者：
Hoven H;Wahrendorf M;Siegrist J
几项研究测试了紧张的工作是否会在社会经济地位(SEP)和健康之间起到中介作用。虽然提供了适度的支持，但证据仍然不确定，部分原因是缺乏基于理论的SEP和工作压力测量方法，以及方法上的限制。这一贡献旨在克服这些限制。我们进行了路径分析，并通过压力工作来研究SEP对心理健康的间接影响。数据来源于《欧洲健康、老龄化和退休状况调查》的前两波调查(SHARE)，信息来自11个欧洲国家(N=2798)的50岁在职男女。SEP是根据两种不同的职业地位衡量标准来衡量的：职业等级(侧重于雇佣关系)和职业地位(侧重于声望)。我们根据努力-回报失衡和需求-控制模型(第一波)来评估工作压力，并将新出现的抑郁症状作为健康结果(第二波)。努力-回报不平衡和低控制力在职业类别和职业地位对抑郁症状的影响中起中介作用。我们的发现指出，在解释健康方面的社会经济差异时，工作压力的两个重要方面(努力-回报失衡和低控制力)。此外，我们还说明了职业地位的两个可供选择的维度--职业类别和职业地位的意义。
Several studies tested whether stressful work mediates the association between socioeconomic position (SEP) and health. Although providing moderate support, evidence is still inconclusive, partly due to a lack of theory-based measures of SEP and work stress, and because of methodological limitations. This contribution aims at overcoming these limitations. We conduct pathway analysis and investigate indirect effects of SEP on mental health via stressful work. Data are derived from the first two waves of the ‘Survey of Health, Ageing and Retirement in Europe’ (SHARE) with information from employed men and women aged 50–64 across 11 European countries (N=2798). SEP is measured according to two alternative measures of occupational position: occupational class (focus on employment relations) and occupational status (focus on prestige). We assess work stress according to the effort-reward imbalance and the demand-control model (wave 1), and we use newly occurring depressive symptoms as health outcome (wave 2). Effort-reward imbalance and, less consistently, low control mediate the effect of occupational class and occupational status on depressive symptoms. Our findings point to two important aspects of work stress (effort-reward imbalance and low control) in explaining socioeconomic differences in health. Further, we illustrate the significance of two alternative dimensions of occupational position, occupational class and occupational status.
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影响因子：
4.9
作者：
Hoven H;Siegrist J
通讯作者：
Siegrist J
影响因子：
4.9
作者：
Chandola, T;Siegrist, J;Marmot, M
通讯作者：
Marmot, M
影响因子：
6.6
作者：
Marmot, MG;Fuhrer, R;Ryff, CD
通讯作者：
Ryff, CD
影响因子：
5.4
作者：
Borrell, C;Muntaner, C;Artazcoz, L
通讯作者：
Artazcoz, L
影响因子：
5.4
作者：
Chandola, T
通讯作者：
Chandola, T