Employee worktime control moderates the effects of job strain and effort-reward imbalance on sickness absence:: the 10-town study
Employee worktime control moderates the effects of job strain and effort-reward imbalance on sickness absence:: the 10-town study
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DOI：
10.1136/jech.2004.030924
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发表时间：
2005-10-01
影响因子：
6.3
通讯作者：
Kivimäki, M
中科院分区：
文献类型：
--
作者：
Ala-Mursula, L;Vahtera, J;Kivimäki, M
研究目的：研究工作压力对病假的影响是否因员工对工作时间的控制程度而异。设计：前瞻性队列研究。在2000-01年度，对工作压力、付出与回报的不平衡以及对每天工作时间和休息日的控制进行了调查。调查答复与调查前一年至2003年底经医生证明的病假（>3天）次数的登记数据相联系。平均随访时间为28.2（SD 8.1）个月。对人口统计学和行为健康风险进行了调整。根据工作场所的工作时间控制的综合措施被用来控制反应和反应风格的差异。设置：在芬兰的十个城镇。参与者：16139名公共部门雇员谁没有医疗证明的疾病缺席在调查前一年。主要结果：在女性中，对每日工作时间和休息日的单独测量控制缓和了工作压力和病假之间的关联。高压力和良好的工作时间控制相结合，与高压力和工作时间控制不良相结合相比，缺勤率较低。这一发现被复制在分析中使用的工作场所总量的工作时间控制。在男性中，研究结果是不太一致的，不可复制的工作时间控制的综合措施。结论：良好的控制工作时间减少了工作压力对病假的不利影响，特别是女性员工。
Study objective: To examine whether the effects of work stress on sickness absence vary by the level of control the employees have over their working times.Design: Prospective cohort study. A survey of job strain, effort-reward imbalance, and control over daily working hours and days off was carried out in 2000-01. The survey responses were linked with registered data on the number of medically certified (>3 days) sickness absences from one year before the survey until the end of 2003. The mean follow up period was 28.2 (SD 8.1) months. Adjustments were made for demographics and behavioural health risks. Aggregated measures of worktime control according to workplaces were used to control for differences in reactivity and response style.Setting: Ten towns in Finland.Participants: 16139 public sector employees who had no medically certified sickness absences in the year preceding the survey.Main results: Among the women, individually measured control over daily working hours and days off moderated the association between work stress and sickness absence. The combination of high stress and good worktime control was associated with lower absence rates than a combination of high stress and poor worktime control. This finding was replicated in the analyses using workplace aggregates of worktime control. Among the men, the findings were less consistent and not replicable using aggregated measures of worktime control.Conclusions: Good control over working times reduces the adverse effect of work stress on sickness absence especially among female employees.