Employee control over working times:: associations with subjective health and sickness absences
Employee control over working times:: associations with subjective health and sickness absences
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DOI：
10.1136/jech.56.4.272
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发表时间：
2002-04-01
影响因子：
6.3
通讯作者：
Pentti, J
中科院分区：
文献类型：
--
作者：
Ala-Mursala, L;Vahtera, J;Pentti, J
研究目的：考虑到工作控制的其他方面，研究员工工作时间控制对健康的影响。设计：分析1997年问卷调查数据和1996-1998年病假缺勤登记数据。背景：芬兰的八个城镇。参与者：6442名市政雇员（11490名男性和4952名女性），代表了所研究城镇的工作人员。随访17706人年。主要结果：在女性中，健康状况不佳和心理困扰在工作时间控制最低四分位数的人群中比在工作时间控制最高四分位数的人群中更为普遍（在对包括工作控制其他方面在内的潜在混杂因素进行调整后，健康状况不佳和心理困扰的比值比及其95%置信区间分别为1.8（1.5至2.3）和1.6(1.3至2.0)）。相应地，工作时间控制率低的妇女的调整病假缺勤率是工作时间控制率高的妇女的1.2倍（1.1至1.2倍）。在男性中，没有发现工作时间控制与健康之间的显著关联。从总样本中获得的这些结果在由女性和男性组成的同质职业组中是可重复的。结论：对工作控制的具体方面的探索为工作人群中健康问题的潜在可逆原因提供了新的信息。工作时间控制是女性健康状况的独立预测指标，而不是男性。男女之间职业分布的不同并不能解释这种差异。
Study objective: To investigate the impact of employees' worktime control on health, taking into account other aspects of job control.Design: Analysis of questionnaire data in 1997 and register data on sickness absence during 1996-1998.Setting: Eight towns in Finland.Participants: 6442 municipal employees (11490 men and 4952 women) representing the staff of the towns studied. Follow up was 17 706 person years.Main results: In women, poor health and psychological distress were more prevalent among those in the lowest quartile of worktime control than those in the highest (after adjustment for potential confounders including other aspects of job control, odds ratios and their 95% confidence intervals for poor health and psychological distress were 1.8 (1.5 to 2.3) and 1.6 (1.3 to 2.0), respectively). Correspondingly, the adjusted sickness absence rate was 1.2 (1.1 to 1.2) times higher in women with low worktime control than in women with high worktime control. In men, no significant associations between worktime control and health were found. These results, obtained from the total sample, were replicable, within a homogeneous occupational group comprising women and men.Conclusions: Exploration of specific aspects of job control provides new information about potentially reversible causes of health problems in a working population. Worktime control is an independent predictor of health in women but not in men. Dissimilarities in the distribution of occupations between men and women are not a probable explanation for this difference.