Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion.

Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion.
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DOI:
10.1155/2015/915359
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发表时间:
2015-01-01
影响因子:
--
通讯作者:
Punnett, Laura
Punnett, Laura
中科院分区:
其他
文献类型:
--
作者:
Miranda, Helena;Gore, Rebecca J;Punnett, Laura

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背景技术背景:许多工作场所的健康促进计划忽视了工作条件对不健康的behaviors.METHODS的潜在影响:一项研究的养老院员工(56%护理助理)采用了标准化的问卷调查。我们分析了工作场所的压力源和肥胖,吸烟,和身体inactivity.Results之间的横截面关联:1506受访者,20%的报告暴露于三个或更多的工作场所的压力源(身体或组织),如举重,低决策纬度,低同事的支持,经常夜间工作,和身体攻击。对于每种结果,有四到五个工作压力源的受访者的患病率在1.5到2之间。40岁以下的个人有较强的工作场所的压力源和吸烟和obesity.CONCLUSIONS:工作场所的压力与吸烟,肥胖和缺乏体力活动,即使是在最低的地位工人之间的关联。目前的工作条件对年轻工人的影响大于对老年工人的影响。虽然这项研究是横断面的,但它还有其他优势,包括研究的工作压力源范围广泛。繁重的体力劳动和心理社会压力在低工资工人中很常见,如养老院助理。如果工作场所健康促进计划包括减少紧张工作环境特征的措施,使工作条件支持而不是干扰员工健康,那么这些计划可能会更有效。
BACKGROUND: Many worksite health promotion programs ignore the potential influence of working conditions on unhealthy behaviors.METHODS: A study of nursing home employees (56% nursing aides) utilized a standardized questionnaire. We analyzed the cross-sectional associations between workplace stressors and obesity, cigarette smoking, and physical inactivity.RESULTS: Of 1506 respondents, 20% reported exposure to three or more workplace stressors (physical or organizational), such as lifting heavy loads, low decision latitude, low coworker support, regular night work, and physical assault. For each outcome, the prevalence ratio was between 1.5 and 2 for respondents with four or five job stressors. Individuals under age 40 had stronger associations between workplace stressors and smoking and obesity.CONCLUSIONS: Workplace stressors were strongly associated with smoking, obesity, and physical inactivity, even among the lowest-status workers. Current working conditions affected younger workers more than older workers. Although this study is cross-sectional, it has other strengths, including the broad range of work stressors studied. Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides. Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health.