Department of Preventive Medicine & Community Health, University of Texas Medical Branch, USA.
Occup Med (Lond). 2017 Dec 2;67(8):637-640. doi: 10.1093/occmed/kqx067.
Work-family conflict (WFC) and job insecurity are important determinants of workers' mental health.
To examine the relationship between WFC and psychological distress, and the co-occurring effects of WFC and job insecurity on distress in US working adults.
This study used cross-sectional data from the 2010 National Health Interview Survey (NHIS) for adults aged 18-64 years. The 2010 NHIS included occupational data from the National Institute for Occupational Safety and Health (NIOSH) sponsored Occupational Health Supplement. Logistic regression models were used to examine the independent and co-occurring effects of WFC and job insecurity on distress.
The study group consisted of 12059 participants. In the model fully adjusted for relevant occupational, behavioural, sociodemographic and health covariates, WFC and job insecurity were independently significantly associated with increased odds of psychological distress. Relative to participants reporting WFC only, participants reporting no WFC and no job insecurity had lower odds of moderate and severe distress. Co-occurring WFC and job insecurity was associated with significantly higher odds of both moderate [odds ratio (OR) = 1.55; 95% confidence interval (CI) 1.25-1.9] and severe (OR = 3.57; 95% CI 2.66-4.79) distress.
Rates of WFC and job insecurity were influenced by differing factors in working adults; however, both significantly increased risk of adverse mental health outcomes, particularly when experienced jointly. Future studies should explore the temporal association between co-occurring WFC and job insecurity and psychological distress.
工作家庭冲突（WFC）和工作不安全感是影响劳动者心理健康的重要因素。
研究 WFC 与心理困扰之间的关系，以及 WFC 和工作不安全感对美国成年劳动者困扰的共同影响。
本研究使用了 2010 年全国健康访谈调查（NHIS）中年龄在 18-64 岁的成年人的横断面数据。2010 年 NHIS 包括了由美国国家职业安全与健康研究所（NIOSH）赞助的职业健康补充调查的职业数据。使用逻辑回归模型来检验 WFC 和工作不安全感对困扰的独立和共同影响。
研究组包括 12059 名参与者。在对相关职业、行为、社会人口学和健康协变量进行完全调整的模型中，WFC 和工作不安全感与心理困扰的几率增加独立且显著相关。与仅报告 WFC 的参与者相比，报告没有 WFC 和没有工作不安全感的参与者报告中度和重度困扰的几率较低。同时报告 WFC 和工作不安全感与中度（比值比[OR] = 1.55；95%置信区间[CI] 1.25-1.9）和重度（OR = 3.57；95% CI 2.66-4.79）困扰的几率显著增加有关。
工作成年人中 WFC 和工作不安全感的发生率受不同因素的影响；然而，这两种情况都显著增加了不良心理健康结果的风险，特别是当同时发生时。未来的研究应探讨同时发生的 WFC 和工作不安全感与心理困扰之间的时间关联。
