Longitudinal Assessment of Effort–Reward Imbalance and Job Strain Across Pregnancy: A Preliminary Study

Objectives To assess longitudinal changes in occupational effort–reward imbalance (ERI) and demand-control (DC) scores across pregnancy and examine associations with blood pressure (BP) during pregnancy. Methods A pilot repeated-measures survey was administered four times to a sample of working wome...

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Veröffentlicht in:Maternal and child health journal 2016-07, Vol.20 (7), p.1366-1374
Hauptverfasser: Meyer, John D., Muntaner, Carles, O’Campo, Patricia, Warren, Nicolas
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container_end_page 1374
container_issue 7
container_start_page 1366
container_title Maternal and child health journal
container_volume 20
creator Meyer, John D.
Muntaner, Carles
O’Campo, Patricia
Warren, Nicolas
description Objectives To assess longitudinal changes in occupational effort–reward imbalance (ERI) and demand-control (DC) scores across pregnancy and examine associations with blood pressure (BP) during pregnancy. Methods A pilot repeated-measures survey was administered four times to a sample of working women across pregnancy using the ERI and DC instruments. Demographic data and blood pressure measurements were collected at each interval. Growth mixture modeling was used to examine trajectories of change in occupational characteristics. Associations with BP were examined using repeated-measures linear regression models. Results ERI model components (effort, reward, and overcommitment) all declined across pregnancy while job control remained stable. Increasing ERI trajectory was associated with higher systolic BP (b = 8.8; p  
doi_str_mv 10.1007/s10995-016-1933-0
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Methods A pilot repeated-measures survey was administered four times to a sample of working women across pregnancy using the ERI and DC instruments. Demographic data and blood pressure measurements were collected at each interval. Growth mixture modeling was used to examine trajectories of change in occupational characteristics. Associations with BP were examined using repeated-measures linear regression models. Results ERI model components (effort, reward, and overcommitment) all declined across pregnancy while job control remained stable. Increasing ERI trajectory was associated with higher systolic BP (b = 8.8; p  &lt; 0.001) as was high overcommitment; declining ERI also showed a lesser association with higher BP. Associations between DC trajectories and BP were much smaller, and non-significant once controlled for overcommitment. Conclusions Self-assessed efforts, rewards, and overcommitment at work decline across pregnancy in our participants, while job control remains stable. Replication in a more diverse pregnant working population is warranted to confirm these results. These preliminary data suggest that further investigation into the factors that may be linked with improved work psychosocial climate during pregnancy may be useful in order to improve pregnancy outcomes.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-016-1933-0</identifier><identifier>PMID: 26948376</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Analysis ; Birth weight ; Blood pressure ; Blood Pressure - physiology ; Cardiovascular disease ; Employee promotions ; Employment ; Employment - psychology ; Employment interviews ; Employment security ; Female ; Gynecology ; Health aspects ; Humans ; Job Satisfaction ; Job stress ; Longitudinal Studies ; Male ; Maternal &amp; child health ; Maternal and Child Health ; Medicine ; Medicine &amp; Public Health ; Occupational Health ; Occupational stress ; Pediatrics ; Performance-based assessment ; Population Economics ; Pregnancy ; Pregnancy Outcome ; Psychological aspects ; Public Health ; Questionnaires ; Reward ; Self report ; Socioeconomic factors ; Sociology ; Stress, Psychological - complications ; Stress, Psychological - psychology ; Womens health ; Work Performance ; Working conditions ; Workload - psychology ; Workplace - psychology ; Young Adult</subject><ispartof>Maternal and child health journal, 2016-07, Vol.20 (7), p.1366-1374</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>COPYRIGHT 2016 Springer</rights><rights>Springer Science+Business Media New York 2016.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c672t-8e82ffba1378f36dc3c0904ef55f773452b4db4bd9890e264c1f6fe1121ea7203</citedby><cites>FETCH-LOGICAL-c672t-8e82ffba1378f36dc3c0904ef55f773452b4db4bd9890e264c1f6fe1121ea7203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-016-1933-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-016-1933-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26948376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meyer, John D.</creatorcontrib><creatorcontrib>Muntaner, Carles</creatorcontrib><creatorcontrib>O’Campo, Patricia</creatorcontrib><creatorcontrib>Warren, Nicolas</creatorcontrib><title>Longitudinal Assessment of Effort–Reward Imbalance and Job Strain Across Pregnancy: A Preliminary Study</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>Objectives To assess longitudinal changes in occupational effort–reward imbalance (ERI) and demand-control (DC) scores across pregnancy and examine associations with blood pressure (BP) during pregnancy. Methods A pilot repeated-measures survey was administered four times to a sample of working women across pregnancy using the ERI and DC instruments. Demographic data and blood pressure measurements were collected at each interval. Growth mixture modeling was used to examine trajectories of change in occupational characteristics. Associations with BP were examined using repeated-measures linear regression models. Results ERI model components (effort, reward, and overcommitment) all declined across pregnancy while job control remained stable. Increasing ERI trajectory was associated with higher systolic BP (b = 8.8; p  &lt; 0.001) as was high overcommitment; declining ERI also showed a lesser association with higher BP. Associations between DC trajectories and BP were much smaller, and non-significant once controlled for overcommitment. Conclusions Self-assessed efforts, rewards, and overcommitment at work decline across pregnancy in our participants, while job control remains stable. Replication in a more diverse pregnant working population is warranted to confirm these results. These preliminary data suggest that further investigation into the factors that may be linked with improved work psychosocial climate during pregnancy may be useful in order to improve pregnancy outcomes.</description><subject>Adult</subject><subject>Analysis</subject><subject>Birth weight</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Cardiovascular disease</subject><subject>Employee promotions</subject><subject>Employment</subject><subject>Employment - psychology</subject><subject>Employment interviews</subject><subject>Employment security</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Job stress</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Maternal &amp; child health</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Occupational Health</subject><subject>Occupational stress</subject><subject>Pediatrics</subject><subject>Performance-based assessment</subject><subject>Population Economics</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Psychological aspects</subject><subject>Public Health</subject><subject>Questionnaires</subject><subject>Reward</subject><subject>Self report</subject><subject>Socioeconomic factors</subject><subject>Sociology</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - psychology</subject><subject>Womens health</subject><subject>Work Performance</subject><subject>Working conditions</subject><subject>Workload - psychology</subject><subject>Workplace - psychology</subject><subject>Young Adult</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1ks1u1DAUhSNERUvhAdigSEiITYr_YicskKKqQNFIIH7WluNcZ1wldrET0Ox4B96QJ8HplLaDBmXhOPe7J77HJ8ueYHSCERIvI0Z1XRYI8wLXlBboXnaES0ELzkl1P72jmhSiEuVh9jDGC4RSF2IPskPCa1ZRwY8yu_Kut9PcWaeGvIkRYhzBTbk3-ZkxPky_f_76BD9U6PLzsVWDchpy5br8vW_zz1NQ1uWNDj7G_GOA3qX65lXeLJvBjkk1bBI2d5tH2YFRQ4TH1-tx9vXN2ZfTd8Xqw9vz02ZVaC7IVFRQEWNahamoDOWdphrViIEpSyMEZSVpWdeytqurGgHhTGPDDWBMMChBED3OXm91L-d2hE6nYYIa5GWwYzqL9MrK3Yqza9n775LVSYSIJPDiWiD4bzPESY42ahjS6ODnKLGoRcU54jyhz_5BL_wckpNREsE5Q7Ri7Jbq1QDSOuPTf_UiKhsmEEfLrIkq9lA9OEiH9A6MTZ93-JM9fHo6GK3e2_D8TsMa1DCtox_myXoXd0G8Ba-uNYC5MQ8juQRPboMnU_DkEjy5uP70rus3HX-TlgCyBWIquR7CrVX_V_0D79LiSg</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Meyer, John D.</creator><creator>Muntaner, Carles</creator><creator>O’Campo, Patricia</creator><creator>Warren, Nicolas</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160701</creationdate><title>Longitudinal Assessment of Effort–Reward Imbalance and Job Strain Across Pregnancy: A Preliminary Study</title><author>Meyer, John D. ; 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Methods A pilot repeated-measures survey was administered four times to a sample of working women across pregnancy using the ERI and DC instruments. Demographic data and blood pressure measurements were collected at each interval. Growth mixture modeling was used to examine trajectories of change in occupational characteristics. Associations with BP were examined using repeated-measures linear regression models. Results ERI model components (effort, reward, and overcommitment) all declined across pregnancy while job control remained stable. Increasing ERI trajectory was associated with higher systolic BP (b = 8.8; p  &lt; 0.001) as was high overcommitment; declining ERI also showed a lesser association with higher BP. Associations between DC trajectories and BP were much smaller, and non-significant once controlled for overcommitment. Conclusions Self-assessed efforts, rewards, and overcommitment at work decline across pregnancy in our participants, while job control remains stable. Replication in a more diverse pregnant working population is warranted to confirm these results. These preliminary data suggest that further investigation into the factors that may be linked with improved work psychosocial climate during pregnancy may be useful in order to improve pregnancy outcomes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26948376</pmid><doi>10.1007/s10995-016-1933-0</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Birth weight
Blood pressure
Blood Pressure - physiology
Cardiovascular disease
Employee promotions
Employment
Employment - psychology
Employment interviews
Employment security
Female
Gynecology
Health aspects
Humans
Job Satisfaction
Job stress
Longitudinal Studies
Male
Maternal & child health
Maternal and Child Health
Medicine
Medicine & Public Health
Occupational Health
Occupational stress
Pediatrics
Performance-based assessment
Population Economics
Pregnancy
Pregnancy Outcome
Psychological aspects
Public Health
Questionnaires
Reward
Self report
Socioeconomic factors
Sociology
Stress, Psychological - complications
Stress, Psychological - psychology
Womens health
Work Performance
Working conditions
Workload - psychology
Workplace - psychology
Young Adult
title Longitudinal Assessment of Effort–Reward Imbalance and Job Strain Across Pregnancy: A Preliminary Study
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