Relationship of Job Strain and iso-strain to Health Status in a Cohort of women in the United States

Objective This study examined the relationships of job strain and iso-strain psychosocial work-environment exposures to health status in a cohort of working women in the United States. Methods In a cross-sectional survey, 33 689 women responded to the Karasek job content and the MOS SF-36 health sta...

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Veröffentlicht in:Scandinavian Journal of Work, Environment & Health Environment & Health, 1998-02, Vol.24 (1), p.54-61
Hauptverfasser: Amick, Benjamin C, Kawachi, Ichiro, Coakley, Eugenie H, Lerner, Debra, Levine, Sol, Colditz, Graham A
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container_end_page 61
container_issue 1
container_start_page 54
container_title Scandinavian Journal of Work, Environment & Health
container_volume 24
creator Amick, Benjamin C
Kawachi, Ichiro
Coakley, Eugenie H
Lerner, Debra
Levine, Sol
Colditz, Graham A
description Objective This study examined the relationships of job strain and iso-strain psychosocial work-environment exposures to health status in a cohort of working women in the United States. Methods In a cross-sectional survey, 33 689 women responded to the Karasek job content and the MOS SF-36 health status questionnaires. The psychosocial work-environment exposures were characterized using the job strain and iso-strain frameworks. Health status was assessed with the following 6 scales: physical functioning, vitality, freedom from pain, mental health, role limitations due to physical health, and role limitations due to emotional health. Results When compared with active work, high-strain work (high job demands and low job control) was associated with lower vitality, mental health, higher pain, and increased risks of both physical and emotional role limitations. Iso-strain work (high strain and low work-related social support) increased the risks further. Job insecurity was also associated with lower health status. Conclusions The analyses supported the hypothesis that the psychosocial work environment is an important determinant of health status among working women. The findings suggest that incorporating social conditions at work into the measurement of psychosocial work-environment exposure improves the identification of highrisk work arrangements.
doi_str_mv 10.5271/sjweh.278
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Methods In a cross-sectional survey, 33 689 women responded to the Karasek job content and the MOS SF-36 health status questionnaires. The psychosocial work-environment exposures were characterized using the job strain and iso-strain frameworks. Health status was assessed with the following 6 scales: physical functioning, vitality, freedom from pain, mental health, role limitations due to physical health, and role limitations due to emotional health. Results When compared with active work, high-strain work (high job demands and low job control) was associated with lower vitality, mental health, higher pain, and increased risks of both physical and emotional role limitations. Iso-strain work (high strain and low work-related social support) increased the risks further. Job insecurity was also associated with lower health status. Conclusions The analyses supported the hypothesis that the psychosocial work environment is an important determinant of health status among working women. The findings suggest that incorporating social conditions at work into the measurement of psychosocial work-environment exposure improves the identification of highrisk work arrangements.</description><identifier>ISSN: 0355-3140</identifier><identifier>EISSN: 1795-990X</identifier><identifier>DOI: 10.5271/sjweh.278</identifier><identifier>PMID: 9562401</identifier><language>eng</language><publisher>Helsinki: Scandinavian Journal of Work, Environment & Health</publisher><subject>Adult ; Analysis. Health state ; Biological and medical sciences ; Cohort Studies ; Cross-Sectional Studies ; Epidemiology ; Female ; General aspects ; Health Status ; Humans ; Job Satisfaction ; Life Style ; Medical sciences ; Mental health ; Middle Aged ; Nurses ; Psychological stress ; Psychometrics ; Public health. Hygiene ; Public health. 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Methods In a cross-sectional survey, 33 689 women responded to the Karasek job content and the MOS SF-36 health status questionnaires. The psychosocial work-environment exposures were characterized using the job strain and iso-strain frameworks. Health status was assessed with the following 6 scales: physical functioning, vitality, freedom from pain, mental health, role limitations due to physical health, and role limitations due to emotional health. Results When compared with active work, high-strain work (high job demands and low job control) was associated with lower vitality, mental health, higher pain, and increased risks of both physical and emotional role limitations. Iso-strain work (high strain and low work-related social support) increased the risks further. Job insecurity was also associated with lower health status. Conclusions The analyses supported the hypothesis that the psychosocial work environment is an important determinant of health status among working women. 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Health state</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Status</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Life Style</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Psychological stress</topic><topic>Psychometrics</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>Sprains and strains</topic><topic>Stress, Psychological - complications</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Vitality</topic><topic>Womens health</topic><topic>Working women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amick, Benjamin C</creatorcontrib><creatorcontrib>Kawachi, Ichiro</creatorcontrib><creatorcontrib>Coakley, Eugenie H</creatorcontrib><creatorcontrib>Lerner, Debra</creatorcontrib><creatorcontrib>Levine, Sol</creatorcontrib><creatorcontrib>Colditz, Graham A</creatorcontrib><collection>Airiti Library</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian Journal of Work, Environment & Health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amick, Benjamin C</au><au>Kawachi, Ichiro</au><au>Coakley, Eugenie H</au><au>Lerner, Debra</au><au>Levine, Sol</au><au>Colditz, Graham A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of Job Strain and iso-strain to Health Status in a Cohort of women in the United States</atitle><jtitle>Scandinavian Journal of Work, Environment & Health</jtitle><addtitle>Scand J Work Environ Health</addtitle><date>1998-02-01</date><risdate>1998</risdate><volume>24</volume><issue>1</issue><spage>54</spage><epage>61</epage><pages>54-61</pages><issn>0355-3140</issn><eissn>1795-990X</eissn><abstract>Objective This study examined the relationships of job strain and iso-strain psychosocial work-environment exposures to health status in a cohort of working women in the United States. 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source MEDLINE; JSTOR; EZB Electronic Journals Library
subjects Adult
Analysis. Health state
Biological and medical sciences
Cohort Studies
Cross-Sectional Studies
Epidemiology
Female
General aspects
Health Status
Humans
Job Satisfaction
Life Style
Medical sciences
Mental health
Middle Aged
Nurses
Psychological stress
Psychometrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
Regression Analysis
Sprains and strains
Stress, Psychological - complications
Surveys and Questionnaires
United States
Vitality
Womens health
Working women
title Relationship of Job Strain and iso-strain to Health Status in a Cohort of women in the United States
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