Institute of Occupational Health, Military Medical Academy, Belgrade, Serbia,
Int J Occup Med Environ Health. 2013 Jun;26(3):373-82. doi: 10.2478/s13382-013-0108-0. Epub 2013 Jul 1.
The present study analyzes job stress in terms of education, age and the presence of cardiovascular and endocrine/metabolic diseases.
A total of 411 workers employed by three public organizations completed the Job Content Questionnaire to classify their jobs based on the job strain model. Data about health condition, education and habits was obtained by the use of medical examinations and an interview.
The analysis of the completed Job Content Questionnaires indicates that workers with high education have significantly higher decision latitude (DL) than low-educated workers (one-way ANOVA, p < 0.0001). DL was also different between age groups (one-way ANOVA, p < 0.0001) - the highest DL values were observed in the oldest group, while the lowest DL mean was found in the youngest group. Psychological job demands (PJD) and social support (SS) were not significantly different between educational and age groups. The frequency of job stress categories was significantly different between low and highly-educated workers (χ(2) test, df = 3, p < 0.0001) and also between different age groups (χ(2) test, df = 6, p < 0.0001). The majority of highly-educated men were exposed to "active" jobs (high PJD and high DL). Most frequently, men older than 45 years experienced jobs with high DL ("active" and "low strain"), men aged 35 to 45 years were exposed to jobs with high PJD ("high strain" and "active") while the majority of men younger than 35 years were exposed to jobs with low DL ("high strain" and "passive"). No association between cardiovascular and endocrine/metabolic disorders and different job stress categories was observed.
"High strain" and "passive" jobs were most frequently identified among low-educated and young men. Despite the absence of association between job stress and cardiovascular and endocrine/metabolic diseases, we recommend prevention of work stress, particularly in the case of low-educated workers and workers younger than 45 years exposed to unfavorable job stress categories.
本研究根据教育程度、年龄以及心血管和内分泌/代谢疾病的存在情况来分析工作压力。
共有来自三家公共机构的 411 名员工完成了工作内容问卷,根据工作紧张模型对其工作进行分类。健康状况、教育程度和习惯的数据通过体检和访谈获得。
对已完成的工作内容问卷的分析表明,高学历工人的决策幅度(DL)明显高于低学历工人(单向方差分析,p<0.0001)。年龄组之间的 DL 也存在差异(单向方差分析,p<0.0001)-最年长组的 DL 值最高,而最年轻组的 DL 均值最低。心理工作要求(PJD)和社会支持(SS)在教育程度和年龄组之间没有显著差异。低学历和高学历工人之间(卡方检验,df=3,p<0.0001)以及不同年龄组之间(卡方检验,df=6,p<0.0001)的工作压力类别频率存在显著差异。高学历男性中“积极”工作的比例较高(高 PJD 和高 DL)。大多数年龄大于 45 岁的男性从事高 DL 工作(“积极”和“低压力”),35 至 45 岁的男性从事高 PJD 工作(“高压力”和“积极”),而大多数 35 岁以下的男性从事低 DL 工作(“高压力”和“被动”)。未观察到心血管和内分泌/代谢疾病与不同工作压力类别之间存在关联。
低学历和年轻男性中,“高压力”和“被动”工作最常见。尽管工作压力与心血管和内分泌/代谢疾病之间没有关联,但我们建议预防工作压力,特别是在面临不利工作压力类别的低学历工人和年龄小于 45 岁的工人中。