Development and Validation of a Physical and Psychosocial Job-Exposure Matrix in Older and Retired Workers
Development and Validation of a Physical and Psychosocial Job-Exposure Matrix in Older and Retired Workers
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DOI：
10.1093/annhyg/met052
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发表时间：
2014-03-01
影响因子：
--
通讯作者：
Deeg, Dorly J. H.
中科院分区：
文献类型：
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作者：
Rijs, Kelly J.;van der Pas, Suzan;Deeg, Dorly J. H.
一般人口的工作接触矩阵（GPJEM），包括身体和心理需求，以及适用于老年人和退休工人的心理资源。它的有效性进行了评估，检查协会的身体需求和iso-strain（高心理社会需求和低资源相结合）与health.Physical和心理社会工作暴露报告的5564奥尔兹的人来自荷兰的工作条件调查，并与荷兰职业标准分类1992年。开发了具有低、中和高暴露于需求和资源的概率的GPJEM。为了研究与健康的关联，阿姆斯特丹纵向老龄化研究选择了两组：当前（即在采访时，5564岁）和前工人（5584岁）。线性和逻辑回归模型，使用武力和不舒服的位置工作显着相关的功能限制和自我感觉健康（SPH），但不髋关节或膝关节骨关节炎（OA），在当前和以前的工人。中度概率的重复运动与功能限制的前工人。高概率的重复性运动与当前和以前的工人的功能限制，以及与SPH和髋关节和膝关节OA的前工人。以前暴露于等应变的受访者有显着更高的舒张压和更常见的高血压。在目前的工人中没有发现这种协会。结果表明，我们的GPJEM根据身体需求和等应变（尽管不太清楚）准确地对工作进行了分类。
A general population job-exposure matrix (GPJEM) including physical and psychosocial demands as well as psychosocial resources applicable to older and retired workers was developed. Its validity was evaluated by examining associations of physical demands and iso-strain (combination of high psychosocial demands and low resources) with health.Physical and psychosocial work exposures reported by 5564 year olds were derived from the Netherlands Working Conditions Survey and linked to the Netherlands Standard Classification of Occupations 1992. A GPJEM with low, moderate, and high probability of exposure to demands and resources was developed. To examine associations with health, two groups of the Longitudinal Aging Study Amsterdam were selected: current (i.e. at the time of the interview, 5564 years) and former workers (5584 years). Linear and logistic regression models were applied.Use of force and work in uncomfortable positions were significantly associated with functional limitations and self-perceived health (SPH), but not hip or knee osteoarthritis (OA), in current and former workers. A moderate probability of repetitive movements was associated with functional limitations in former workers. A high probability of repetitive movements was associated with functional limitations in current and former workers as well as with SPH and hip and knee OA in former workers. Respondents formerly exposed to iso-strain had significantly higher diastolic blood pressure and more often hypertension. No such associations were found in current workers. No association was found with cardiovascular disease.The results suggest that our GPJEM accurately classifies jobs according to physical demands and, although less clearly, iso-strain.