INSERM, U1018, CESP Centre for research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Villejuif, France.
Occup Med (Lond). 2012 Apr;62(3):196-202. doi: 10.1093/occmed/kqs020. Epub 2012 Mar 6.
Although psychosocial work factors are recognized as major occupational risk factors, little information is available regarding the prevalence of exposure to these factors and the differences in exposure between countries.
To explore the differences in various psychosocial work exposures between 31 European countries.
The study was based on a sample of 14,881 male and 14,799 female workers from the 2005 European Working Conditions Survey. Eighteen psychosocial work factors were studied: low decision latitude (skill discretion and decision authority), high psychological demands, job strain, low social support, iso-strain, physical violence, sexual harassment, bullying, discrimination, work-family imbalance, long working hours, high effort, job insecurity, low job promotion, low reward and effort-reward imbalance. Covariates were age, number of workers in household, occupation, economic activity, self-employed/employee, public/private sector and part/full time work. Statistical analysis was performed using multilevel logistic regression analysis.
Significant differences in all psychosocial work factors were observed between countries. The rank of the countries varied according to the exposure considered. However, some countries, especially Denmark, Netherlands and Norway, displayed a significantly lower prevalence of exposure to four factors or more, while some Southern and Eastern countries, especially Czech Republic, Greece, Lithuania and Turkey, had a higher prevalence.
Differences in psychosocial work exposures were found between countries. This study is the first to compare a large set of psychosocial work exposures between 31 European countries. These findings may be useful to guide prevention policies at European level.
尽管心理社会工作因素被认为是主要的职业风险因素,但关于这些因素的暴露率以及国家之间的暴露差异的信息却很少。
探讨 31 个欧洲国家之间各种心理社会工作暴露的差异。
本研究基于 2005 年欧洲工作条件调查中 14881 名男性和 14799 名女性工人的样本。研究了 18 种心理社会工作因素:低决策自由度(技能判断和决策权限)、高心理需求、工作压力、低社会支持、同应压力、身体暴力、性骚扰、欺凌、歧视、工作与家庭失衡、工作时间长、高努力程度、工作不安全感、晋升机会低、低薪酬和努力-回报失衡。协变量为年龄、家庭工人数量、职业、经济活动、个体经营者/雇员、公共/私营部门和兼职/全职工作。使用多水平逻辑回归分析进行统计分析。
在所有心理社会工作因素方面,国家之间存在显著差异。根据所考虑的暴露情况,国家的排名有所不同。然而,一些国家,尤其是丹麦、荷兰和挪威,显示出明显较低的暴露于四个或更多因素的比例,而一些南部和东部国家,尤其是捷克共和国、希腊、立陶宛和土耳其,暴露率较高。
国家之间存在心理社会工作暴露的差异。本研究首次比较了 31 个欧洲国家之间的一整套心理社会工作暴露情况。这些发现可能有助于指导欧洲层面的预防政策。