Kristensen Tage S, Borg Vilhelm, Hannerz Harald
National Institute of Occupational Health, Copenhagen, Denmark.
Scand J Public Health Suppl. 2002;59:41-8.
The aim of this study was to analyse the associations between socioeconomic status (SES ) and a number of psychosocial work environment factors with a potential impact on inequality in health.
A representative sample of 1,684 adult Danish employees filled in a standardized questionnaire or were interviewed by telephone. The response rate was 62%. The population was divided into four levels of SES (I to IV ). The psychosocial work environment was described with 19 scales.
Quantitative, cognitive, and emotional job demands and a number of dimensions related to active and developmental work showed higher levels among high SES individuals. Job insecurity was highest among women with low SES. Dimensions describing interpersonal relations, social support, and leadership showed no clear associations with SES.
Prevention aiming at improving health and reducing inequality in health should focus on the dimensions of active and developmental work: influence at work, possibilities for development, degrees of freedom, and meaning of work. Furthermore, job insecurity should be reduced.
本研究旨在分析社会经济地位(SES)与一些可能对健康不平等产生影响的心理社会工作环境因素之间的关联。
对1684名丹麦成年员工进行代表性抽样,他们填写了标准化问卷或接受电话访谈。回复率为62%。研究对象被分为四个社会经济地位等级(I至IV)。心理社会工作环境用19个量表进行描述。
高社会经济地位个体的定量、认知和情感工作需求以及与积极和发展性工作相关的若干维度水平更高。工作不安全感在低社会经济地位女性中最高。描述人际关系、社会支持和领导力的维度与社会经济地位没有明显关联。
旨在改善健康和减少健康不平等的预防措施应侧重于积极和发展性工作的维度:工作中的影响力、发展可能性、自由度和工作意义。此外,应减少工作不安全感。