Milner A, Currier D, LaMontagne A D, Spittal M J, Pirkis J
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia; Work, Health and Wellbeing Unit, Population Health Research Centre, School of Health & Social Development, Deakin University, Melbourne, Australia.
Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Public Health. 2017 Jun;147:72-76. doi: 10.1016/j.puhe.2017.02.003. Epub 2017 Mar 28.
Psychosocial job stressors are known to be associated with poor mental health. This research seeks to assess the relationship between psychosocial working conditions and suicidal ideation using a large dataset of Australian males.
Cross-sectional study.
Data from wave 1 of the Australian Longitudinal Study on Male Health (Ten to Men) was used to assess the association between suicidal ideation in the past two weeks and psychosocial working conditions using logistic regression. The sample included 11,052 working males. The exposures included self-reported low job control, high job demands, job insecurity and low fairness of pay. We controlled for relevant confounders.
In multivariable analysis, persons who were exposed to low job control (odds ratio [OR] 1.15, 95% confidence interval [CI] 1.05-1.26, P = 0.003), job insecurity (OR 1.69, 95% CI 1.44-1.99, P < 0.001) and unfair pay (OR 1.19, 95% CI 1.11-1.27, P < 0.001) reported elevated odds of thoughts about suicide. Males employed casually or on fixed-term contracts reported higher odds of suicidal ideation (OR 1.32, 95% CI 1.09-1.61, P = 0.005).
Psychosocial job stressors are highly prevalent in the working population and workplace suicide prevention efforts should aim to address these as possible risk factors.
已知心理社会工作压力源与心理健康状况不佳有关。本研究旨在利用一个澳大利亚男性的大型数据集，评估心理社会工作条件与自杀意念之间的关系。
横断面研究。
使用澳大利亚男性健康纵向研究（十岁至男性）第一波的数据，通过逻辑回归评估过去两周内自杀意念与心理社会工作条件之间的关联。样本包括11,052名在职男性。暴露因素包括自我报告的低工作控制、高工作要求、工作不安全感和低薪酬公平性。我们对相关混杂因素进行了控制。
在多变量分析中，暴露于低工作控制（比值比[OR] 1.15，95%置信区间[CI] 1.05 - 1.26，P = 0.003）、工作不安全感（OR 1.69，95% CI 1.44 - 1.99，P < 0.001）和不公平薪酬（OR 1.19，95% CI 1.11 - 1.27，P < 0.001）的人报告有自杀念头的几率升高。临时或定期合同雇佣的男性报告有自杀意念的几率更高（OR 1.32，95% CI 1.09 - 1.61，P = 0.005）。
心理社会工作压力源在工作人群中非常普遍，工作场所自杀预防工作应将解决这些因素作为可能的风险因素。
