Physical and psychosocial working conditions as explanations for occupational class inequalities in self-rated health.
BACKGROUND: Socio-economic health inequalities are well documented, but efforts to explain health inequalities are less. However, previous studies suggest that working conditions provide potential explanations for inequalities in health. METHODS: Cross-sectional questionnaire survey data, collected...
| Publicado en: | European Journal of Public Health Vol. 19; no. 5; pp. 458 - 464 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105226664&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105226664 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Oct2009 vid: 19 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105226664 2010415469 10.1093/eurpub/ckp095 NLM19570888 105226664 ppf: 458 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Physical and psychosocial working conditions as explanations for occupational class inequalities in self-rated health. aug: au: Kaikkonen R Rahkonen O Lallukka T Lahelma E affil: Department of Living conditions, Health and Well-being, National Institute for Health and Welfare, PO Box 30, 00271 Helsinki, Finland sug: subj: Environment Health Status Work Environment Work Environment Psychosocial Factors Adult Cross Sectional Studies Female Human Locus of Control Male Middle Age Occupational Exposure Adverse Effects Occupational Health Occupations and Professions Personnel Staffing and Scheduling Sex Factors Socioeconomic Factors Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: BACKGROUND: Socio-economic health inequalities are well documented, but efforts to explain health inequalities are less. However, previous studies suggest that working conditions provide potential explanations for inequalities in health. METHODS: Cross-sectional questionnaire survey data, collected from municipal employees of the City of Helsinki, aged 40-60 years (n = 8960, response rate 67%) in 2000-02, were examined using binomial regression analysis. Socio-economic position was measured by six occupational social classes ranging from top managers to manual workers, and the outcome was self-rated health (SRH). Key physical and psychosocial working conditions and work arrangements were included as explanatory factors for inequalities in health. RESULTS: Occupational class inequalities in SRH were clear among women [prevalence ratio (PR) 1.89, 95% confidence interval (CI) 1.54-2.32] and men (PR 1.78, 95% CI 1.40-2.25). Heavy physical workload explained a half of the health inequalities among women and almost one-third among men. Physical and chemical exposures at work explained one-fifth of the health inequalities among women and a half among men. Job control explained 24% of the men's and 40% of women's inequalities, whereas job demands widened the inequalities by 13-14%. The effects of shift work and working hours were negligible. In the fully adjusted model, 60% of the women's and 32% of the men's inequalities in SRH were explained. CONCLUSION: Physical working conditions explained a large part and job control, a somewhat smaller part of socio-economic inequalities in SRH. Improving physical working conditions and increasing job control provide potential routes to reduced inequalities in health among employees. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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