Leijten Fenna R M, van den Heuvel Swenne G, van der Beek Allard J, Ybema Jan Fekke, Robroek Suzan J W, Burdorf Alex
Department of Public Health, Erasmus MC, University Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
J Occup Rehabil. 2015 Mar;25(1):86-95. doi: 10.1007/s10926-014-9525-6.
The goals of this study were to determine whether, among older employees, unfavourable physical and psychosocial work-related factors were associated with poorer mental and physical health and whether high work engagement buffered the associations between unfavourable work-related factors and poorer health.
A 1-year longitudinal study with employed persons aged 45-64 was conducted within the Study on Transitions in Employment, Ability and Motivation (n = 8,837). Using an online questionnaire, work-related factors (physical: physical load; psychosocial: psychological job demands, autonomy, and support) and work engagement were measured at baseline and health at baseline and 1-year follow-up. General linear models were used to assess associations of work-related factors and work engagement with health. Tests of interaction terms assessed whether work engagement buffered the work-related factor-health associations.
Unfavourable psychosocial work-related factors at baseline were associated with poorer mental health at follow-up. Higher physical load, higher psychological job demands, and lower autonomy at baseline were associated with poorer physical health at follow-up. Higher work engagement at baseline was related to better physical and especially better mental health during the 1-year follow-up. Work engagement had a small effect on the associations between work-related factors and health.
Among older employees, especially the promotion of a high work engagement and, to a lesser extent, favourable work-related factors can be beneficial for mental health in particular.
本研究的目的是确定在老年员工中,不利的与工作相关的身体和心理社会因素是否与较差的身心健康相关,以及高工作投入是否缓冲了不利的与工作相关因素与较差健康之间的关联。
在就业、能力和动机转变研究(n = 8837)中,对45 - 64岁的在职人员进行了为期1年的纵向研究。使用在线问卷,在基线时测量与工作相关的因素(身体方面:体力负荷;心理社会方面:心理工作需求、自主性和支持)和工作投入,在基线和1年随访时测量健康状况。使用一般线性模型评估与工作相关的因素和工作投入与健康之间的关联。交互项检验评估工作投入是否缓冲了与工作相关因素 - 健康之间的关联。
基线时不利的心理社会工作相关因素与随访时较差的心理健康相关。基线时较高的体力负荷、较高的心理工作需求和较低的自主性与随访时较差的身体健康相关。基线时较高的工作投入与1年随访期间较好的身体尤其是较好的心理健康相关。工作投入对与工作相关因素和健康之间的关联有较小影响。
在老年员工中,特别是促进高工作投入以及在较小程度上促进有利的与工作相关因素,可能尤其有益于心理健康。