Associations between work stress, alcohol consumption and sickness absence
Associations between work stress, alcohol consumption and sickness absence
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DOI：
10.1046/j.1360-0443.1998.9322317.x
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发表时间：
1998-02-01
期刊：
影响因子：
6
通讯作者：
Kok, G
中科院分区：
文献类型：
--
作者：
Vasse, RM;Nijhuis, FJN;Kok, G
目标。探讨工作压力源、知觉压力、饮酒量与病假间的关系。设计横截面调查。设置.这项研究是一个工作场所健康项目，包括员工援助计划和健康促进计划在荷兰的一部分。参与者研究对象为两个城市垃圾收集部门的蓝领工人和一家制药公司的白领工人（N = 471）。测量.测量包括社会人口特征（性别，年龄，教育，婚姻状况），工作压力，感知压力，饮酒和病假。工作场所类型（蓝领或白领）和吸烟行为被用作协变量。调查结果。回归分析得出三个主要结果。首先，在压力存在的情况下，与适度饮酒相比，戒酒增加了病假的风险。我们没有发现过量饮酒和病假之间有明显的关系。其次，压力介导的压力和饮酒之间的关联，压力和病假，虽然压力也直接预测病假。结论.禁欲和病假之间的联系可能反映了禁欲者的医疗问题或缺乏应对压力的技能。未能发现过度饮酒的显著有害影响可能是由于过度饮酒和/或低功率的低阈值的使用。需要进行前瞻性研究，以深入了解相关变量之间的因果关系。
Aims. To test an interactional model on the associations between work stressors, perceived stress, alcohol consumption and sickness absence. Design. Cross-sectional survey. Setting. The study was parr of a Worksite Health Project including an Employee Assistance Programme and a Health Promotion Programme in the Netherlands. Participants. Participants were blue-collar workers from two Municipal Garbage Collecting Departments and white-collar workers fi om a Pharmaceutical Company (N = 471). Measurements. Measurements included socio-demographic characteristics (gender, age, education, marital status), work stressors, perceived stress, alcohol consumption and sickness absence. Type of work-site (blue-or white-collar) and smoking behaviour were used as covariates. Findings. Regression analyses resulted in three major findings. First, in the presence of stress, abstinence increased the risk of sickness absence compared with moderate drinking. We failed to find a significant relationship between excessive drinking and sickness absence. Secondly, stress mediated the associations between stressor and alcohol consumption, and between stressor and sickness absence, although stressors also directly predicted sickness absence. Conclusions. The association between abstinence and sickness absence could reflect medical problems of abstainers or a lack of skills for coping with stress. The failure to find a significant detrimental effect qi excessive drinking may have been due to use of a low threshold for excessive drinking and/or low power. Prospective studies are needed to gain insight in causal relationships between the variables concerned.