Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, New Zealand.
Am J Ind Med. 2011 May;54(5):405-9. doi: 10.1002/ajim.20927. Epub 2011 Jan 25.
A combined measure of two common psychosocial stressors, called job pressure has previously been shown to be strongly associated with poor mental health in high status workers. This study tests the generalizability of this association to lower status workers.
A national random sample of cleaners and clerical workers was obtained from the New Zealand (NZ) electoral roll by occupational title (n = 596). Cross-sectional data on job stressors, demographics, and mental health (GHQ-12) was collected by computer-assisted telephone interviews.
Combined exposure to low job control, high job demands, and job insecurity (high job pressure) was associated with markedly elevated odds (13-fold or higher) of poor mental health after adjustment for age, sex, occupation, and education.
Combined with previous findings this suggests simultaneous exposure to more than one occupational psychosocial stressor may greatly increase the risk of poor mental health among both lower and higher status workers. This report adds to the larger literature in this area, supporting the need for expanded policy and practice intervention to reduce job stressors across the working population.
先前的研究表明，将两种常见的社会心理压力源（称为工作压力）综合起来进行衡量，与高地位工作者的心理健康状况不佳密切相关。本研究旨在检验这种关联在低地位工作者中的普遍性。
通过职业名称（n=596）从新西兰（NZ）选举名单中获得了全国范围内随机抽取的清洁工和办事员样本。通过计算机辅助电话访谈收集了关于工作压力源、人口统计学和心理健康（GHQ-12）的横断面数据。
在调整年龄、性别、职业和教育程度后，同时暴露于低工作控制、高工作要求和工作不安全（高工作压力）与心理健康状况不佳的显著较高几率（13 倍或更高）相关。
结合先前的发现，这表明同时暴露于多种职业社会心理压力源可能会大大增加低地位和高地位工作者心理健康状况不佳的风险。本报告为该领域的更广泛文献增添了内容，支持在整个劳动力群体中扩大政策和实践干预措施以减少工作压力源的必要性。
