Schütte Stefanie, Chastang Jean-François, Parent-Thirion Agnès, Vermeylen Greet, Niedhammer Isabelle
INSERM, U1018-Team11, CESP Centre for Research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Hôpital Paul Brousse, Bâtiment. 15/16, 16 Avenue Paul Vaillant Couturier, Villejuif 94807, France Université Paris-Sud, UMRS 1018, Villejuif, France Université de Versailles St-Quentin, UMRS 1018, Villejuif, France.
European Foundation for the Improvement of Living and Working Conditions, Dublin, Ireland.
J Public Health (Oxf). 2014 Jun;36(2):194-204. doi: 10.1093/pubmed/fdt050. Epub 2013 May 21.
The aim of this study was to explore the associations between socio-demographic, psychosocial, material and occupational factors and self-reported health (SRH) in the European working population. Another objective was to examine whether these associations varied according to occupation and country.
This study was based on data from the European quality of life survey 2007 including 17,005 workers from 31 European countries. SRH was measured using a single item. Factors were classified into four different groups: socio-demographic, psychosocial, material and occupational factors. The associations between these factors and SRH were examined using multilevel logistic regression analyses including interaction tests.
When all four groups of factors were studied together, age, occupation, urbanization level, origin, trust level, social exclusion, material deprivation, financial and neighbourhood problems, access to medical services, quality of public services, psychological job demands, job reward, work-life imbalance and dangerous/unhealthy working conditions were associated with poor SRH. Almost no differences were found in these associations according to occupation and country.
Various factors were associated with poor SRH. This study gave a first European overview of the associations between socio-demographic, psychosocial, material and occupational factors and SRH in Europe and could provide better advice to policy-makers at a European level.
本研究旨在探讨欧洲工作人群中社会人口学、心理社会、物质和职业因素与自我报告健康状况（SRH）之间的关联。另一个目标是检验这些关联是否因职业和国家而异。
本研究基于2007年欧洲生活质量调查的数据，该调查涵盖了来自31个欧洲国家的17005名工人。SRH通过一个单项指标进行测量。因素被分为四个不同的组：社会人口学、心理社会、物质和职业因素。使用包括交互作用检验的多水平逻辑回归分析来检验这些因素与SRH之间的关联。
当对所有四组因素进行综合研究时，年龄、职业、城市化水平、出身、信任水平、社会排斥、物质匮乏、财务和邻里问题、获得医疗服务的机会、公共服务质量、心理工作需求、工作回报、工作与生活失衡以及危险/不健康的工作条件与较差的SRH相关。根据职业和国家，在这些关联中几乎未发现差异。
多种因素与较差的SRH相关。本研究首次对欧洲社会人口学、心理社会、物质和职业因素与SRH之间的关联进行了欧洲范围内的概述，并可为欧洲层面的政策制定者提供更好的建议。
