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职业紧张、抑郁症状与老年人饮酒行为:来自健康与退休研究的结果。

Job strain, depressive symptoms, and drinking behavior among older adults: results from the health and retirement study.

机构信息

Department of Epidemiology and Community Heath, Virginia Commonwealth University, Richmond, VA 23298, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2011 Jul;66(4):426-34. doi: 10.1093/geronb/gbr021. Epub 2011 Mar 22.

Abstract

OBJECTIVE

To examine the relationship between job strain and two indicators of mental health, depression and alcohol misuse, among currently employed older adults.

METHOD

Data come from the 2004 and 2006 waves of the Health and Retirement Study (N = 2,902). Multivariable logistic regression modeling was used to determine the association between job strain, indicated by the imbalance of job stress and job satisfaction, with depression and alcohol misuse.

RESULTS

High job strain (indicated by high job stress combined with low job satisfaction) was associated with elevated depressive symptoms (odds ratio [OR] = 2.98, 95% confidence interval [CI]: 1.99-4.45) relative to low job strain after adjusting for sociodemographic characteristics, labor force status, and occupation. High job stress combined with high job satisfaction (OR = 1.93) and low job stress combined with low job satisfaction (OR = 1.94) were also associated with depressive symptoms to a lesser degree. Job strain was unrelated to either moderate or heavy drinking. These associations did not vary by gender or age.

DISCUSSION

Job strain is associated with elevated depressive symptoms among older workers. In contrast to results from investigations of younger workers, job strain was unrelated to alcohol misuse. These findings can inform the development and implementation of workplace health promotion programs that reflect the mental health needs of the aging workforce.

摘要

目的

探讨职业紧张(工作压力与工作满意度不平衡)与心理健康的两个指标——抑郁和酒精滥用之间的关系,研究对象为当前在职的老年人群体。

方法

数据来自 2004 年和 2006 年的“健康与退休研究”(N=2902)。采用多变量逻辑回归模型来确定职业紧张(由工作压力与工作满意度的不平衡表示)与抑郁和酒精滥用之间的关系。

结果

与低职业紧张相比,高职业紧张(表现为高工作压力与低工作满意度)与抑郁症状升高相关(比值比[OR]=2.98,95%置信区间[CI]:1.99-4.45),校正了社会人口统计学特征、劳动力状况和职业因素后。高工作压力与高工作满意度相结合(OR=1.93)和低工作压力与低工作满意度相结合(OR=1.94)也与抑郁症状有一定程度的关联。职业紧张与中度或重度饮酒无关。这些关联在性别或年龄上没有差异。

讨论

职业紧张与老年工人的抑郁症状升高有关。与对年轻工人的研究结果不同,职业紧张与酒精滥用无关。这些发现可以为制定和实施反映老龄化劳动力心理健康需求的工作场所健康促进计划提供信息。

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