Aittomäki A, Lahelma E, Roos E, Leino-Arjas P, Martikainen P
Department of Public Health, PO Box 41, 00014 University of Helsinki, Finland.
Occup Environ Med. 2005 Feb;62(2):95-100. doi: 10.1136/oem.2004.014035.
To test whether (1) physically demanding work is less frequent for older than younger employees, and whether (2) the association of physically demanding work with decline of physical functioning is stronger for older employees than their younger counterparts. The gender differences in these associations were examined.
Subjects of the study were 40-60 year old employees of the City of Helsinki. Data (n = 5802) were collected with mail questionnaires in 2000 and 2001. Functioning was measured with the Role Limitations due to Physical Health Problems scale of the SF36 health questionnaire. Logistic regression models were used to analyse the data.
There was a linear trend of less physically demanding work in older than in younger age groups. This trend was more marked for men than women. Age and physically demanding work were associated with poor functioning. In women the association of physically demanding work with poor functioning tended to be stronger for older than for younger age groups, while the opposite was observed in men.
Results suggest that physically demanding work causes more ailments in women of high age than men. It is possible that less men than women are still employed in physically demanding occupations at high age, even though direct evidence of exit from physically demanding work cannot be obtained from cross-sectional data. In these data the physically demanding occupations for men and women were largely different. High physical workload among women working in social and health care is likely to contribute to the gender differences.
检验(1)体力要求高的工作在老年员工中是否比年轻员工中出现的频率更低,以及(2)体力要求高的工作与身体机能下降之间的关联在老年员工中是否比年轻员工更强。同时研究了这些关联中的性别差异。
研究对象为赫尔辛基市40至60岁的员工。2000年和2001年通过邮寄问卷收集数据(n = 5802)。身体机能用SF36健康问卷中因身体健康问题导致的角色受限量表进行测量。采用逻辑回归模型分析数据。
年龄较大的年龄组中体力要求高的工作比年龄较小的年龄组中呈线性减少趋势。这种趋势在男性中比女性更明显。年龄和体力要求高的工作与身体机能差有关。在女性中,体力要求高的工作与身体机能差之间的关联在老年组中往往比年轻组更强,而在男性中则观察到相反的情况。
结果表明,体力要求高的工作在高龄女性中比男性导致更多疾病。高龄时从事体力要求高的职业的男性可能比女性少,尽管从横断面数据中无法获得从事体力要求高的工作的员工离职的直接证据。在这些数据中,男性和女性从事的体力要求高的职业有很大不同。社会和医疗保健行业中女性的高体力工作量可能导致了性别差异。