Elovainio Marko, Ferrie Jane E, Gimeno David, De Vogli Roberto, Shipley Martin, Brunner Eric J, Kumari Meena, Vahtera Jussi, Marmot Michael G, Kivimäki Mika
Department of Epidemiology and Public Health, UCL Medical School, London, England, UK.
Psychosom Med. 2009 Apr;71(3):334-40. doi: 10.1097/PSY.0b013e3181960665. Epub 2009 Feb 27.
To test the hypothesis that organizational injustice contributes to sleeping problems. Poor sleep quality can be a marker of prolonged emotional stress and has been shown to have serious effects on the immune system and metabolism.
Data were from the prospective Whitehall II study of white-collar British civil servants (3143 women and 6895 men, aged 35-55 years at baseline). Age, employment grade, health behaviors, and depressive symptoms were measured at Phase 1 (1985-1988) and baseline sleeping problems were assessed at Phase 2 (1989-1990). Organizational justice was assessed twice, at Phases 1 and 2. The outcome was mean of sleeping problems during Phases 5 (1997-1999) and 7 (2003-2004).
In men, low organizational justice at Phase 1 and Phase 2 were associated with overall sleeping problems, sleep maintenance problems, sleep onset problems, and nonrefreshing sleep at Phases 5 and 7. In women, a significant association was observed between low organizational justice and overall sleeping problems and sleep onset problems. These associations were robust to adjustments for age, employment grade, health behaviors, job strain, depressive symptoms, and sleeping problems at baseline.
This study shows that perceived unfair treatment at workplace is associated with increased risk of poor sleep quality in men and women, one potential mechanism through which justice at work may affect health.
检验组织不公正会导致睡眠问题这一假设。睡眠质量差可能是长期情绪压力的一个指标，并且已被证明会对免疫系统和新陈代谢产生严重影响。
数据来自对英国白领公务员进行的前瞻性白厅II研究（3143名女性和6895名男性，基线时年龄为35 - 55岁）。在第一阶段（1985 - 1988年）测量年龄、就业等级、健康行为和抑郁症状，在第二阶段（1989 - 1990年）评估基线睡眠问题。在第一阶段和第二阶段对组织公正进行了两次评估。结果是第五阶段（1997 - 1999年）和第七阶段（2003 - 2004年）睡眠问题的平均值。
在男性中，第一阶段和第二阶段的低组织公正与第五阶段和第七阶段的总体睡眠问题、睡眠维持问题、入睡问题以及未恢复精力的睡眠有关。在女性中，观察到低组织公正与总体睡眠问题和入睡问题之间存在显著关联。这些关联在对年龄、就业等级、健康行为、工作压力、抑郁症状和基线睡眠问题进行调整后依然稳健。
本研究表明，职场中感知到的不公平待遇与男性和女性睡眠质量差的风险增加有关，这是工作场所公正可能影响健康的一种潜在机制。
