Liu Xinxia, Zong Ying, Huang Guoxian, Wang Shuyu, Zhou Yuchao, Guo Zhiping, Chen Weiqing
Zhongshan center for disease control and prevention, Zhongshan 528403, China.
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Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2015 Feb;33(2):110-2.
To evaluate the association between occupational stress, social support, and occupational unintentional injuries.
A 1:1 matched case-control study was conducted in 151 cases of occupational unintentional injuries who were admitted to 6 occupational injury-admitted hospitals in Zhongshan City from October 2013 to December 2013 and 151 matched controls without unintentional injuries in the last year who had matched age, sex, and occupation. Their demographic characteristics, occupational stress (by the effort-reward imbalance questionnaire), and social support were investigated with a structured questionnaire.
Analysis of the data showed that there were significant differences in the score of each dimension of occupational stress, the ratio of effort to reward, and the score of superior support between the case group and the control group (P < 0.05). The Cox regression analysis results showed that more extrinsic efforts (OR = 1.47, 95%CI = 1.20∼1.80) and over commitment (OR = 1.30, 95%CI = 1.08∼1.55) were the risk factors for occupational unintentional injuries, while more superior supports (OR = 0.64, 95%CI = 0.48∼0.84) and higher earnings (>3 000 yuan each month) (OR = 0.67, 95%CI = 0.54∼0.84) were protective factors.
Occupational stress and social support have an influence on the occurrence of occupational injuries.
评估职业压力、社会支持与职业意外伤害之间的关联。
采用1:1匹配的病例对照研究,选取2013年10月至2013年12月在中山市6家职业伤害收治医院住院的151例职业意外伤害患者作为病例组,选取151例年龄、性别、职业相匹配且去年无意外伤害的对照者。通过结构化问卷调查他们的人口统计学特征、职业压力(采用付出-回报失衡问卷)和社会支持情况。
数据分析显示,病例组与对照组在职业压力各维度得分、付出与回报比以及上级支持得分方面存在显著差异(P<0.05)。Cox回归分析结果显示,更多的外部付出(OR=1.47,95%CI=1.20∼1.80)和过度投入(OR=1.30,95%CI=1.08∼1.55)是职业意外伤害的危险因素,而更多的上级支持(OR=0.64,95%CI=0.48∼0.84)和较高收入(每月>3000元)(OR=0.67,95%CI=0.54∼0.84)是保护因素。
职业压力和社会支持对职业伤害的发生有影响。