Influence of change in psychosocial work characteristics on sickness absence: The Whitehall II Study.

نویسندگان

  • Jenny Head
  • Mika Kivimäki
  • Pekka Martikainen
  • Jussi Vahtera
  • Jane E Ferrie
  • Michael G Marmot
چکیده

OBJECTIVES To study the influence of change in self perceived psychosocial work characteristics on subsequent rates of sickness absence. METHODS Prospective cohort study of British civil service employees. Job control, job demands, and work social supports were measured in 1985/88 and in 1991/93. Analyses included 3817 British civil servants with sickness absence records at baseline (1985-89) and for two follow up periods, early (1994-95) and later follow up (1996-98). RESULTS Change in work characteristics predicted subsequent incidence of long spells of sickness absence (>7 days) in the early follow up period after adjustment for covariates including baseline work characteristics, health status, and sickness absence. Adjusted rate ratios were 1.23 (95% CI 1.03 to 1.46) for decreased compared with stable decision latitude; 1.17 (95% CI 1.01 to 1.36) for increased compared with stable job demands and 0.79 (95% CI 0.67 to 0.93) for increased compared with stable work social support. These associations were also seen in a sub-sample who did not change employment grade. In the later follow up period, associations between work change and long spells of sickness absence were similar for decision latitude, less pronounced for job demands, and no longer apparent for social supports. Changes in work characteristics were not associated with subsequent short spells of sickness absence (<or=7 days). CONCLUSIONS Adverse changes in the psychosocial work environment may lead to increased rates of sickness absence. These findings suggest that workplace interventions to improve psychosocial working conditions may reduce levels of sickness absence.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Influence of short term and long-term sickness absence on work ability index

Background: Sickness absence is a major socio-economic problem imposing a huge amount of cost to societies.This issue has been widely concerned over the last few years. Absence from work entails complex conditions and multifactorial etiology. According to previous studies, there are various occupational and personal factors contributing to the incidence of sickness absence. Long-term sickness ...

متن کامل

Work related factors and ill health The Whitehall II Study

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means (electronic, mechanical, photocopying, recording, or otherwise) without the prior written permission of the copyright owner. 1999 The influences of the psychosocial work environment on self-reported ill-health including alcohol dependence, health functioni...

متن کامل

Socioeconomic and sex differentials in reason for sickness absence from the Whitehall II Study.

OBJECTIVES Large socioeconomic differences exist in disease and mortality. This paper describes the distribution of specific medical reasons for sickness absence by grade of employment in the Whitehall II study and validates the medical reason by comparison with general practitioners' records. METHODS Analysis of sickness absence data on 5620 male and female civil servants aged 35-55 years. D...

متن کامل

Work environment, alcohol and ill-health The Whitehall II Study

The influences of the psychosocial work environment on incident coronary heart disease and diabetes and the influences of change in work risk factors on health are reported from the longitudinal Whitehall II cohort study of 10308 British civil servants. The contribution of alcohol consumption and alcohol dependence to absence from work attributable to accidents is also investigated. High job de...

متن کامل

بررسی ارتباط بین فاکتورهای روانی – اجتماعی و حوادث شغلی در کارگران طرح اقماری دکل های نفتی شرکت ملی حفاری ایران

Background: Psychosocial factors are present in most workplaces that could affect various aspects of workers’ health. Accordingly, psychosocial risks may lead to work related musculoskeletal disorders, increased risk of cardiovascular disease, effect on quality of working life, sickness absence, depression work injuries and accidents and various health problems. The aim of the present study was...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of epidemiology and community health

دوره 60 1  شماره 

صفحات  -

تاریخ انتشار 2006