Institute for Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Institute of Medical Sociology and Rehabilitation Science, Charité, Universitätsmedizin Berlin, Berlin, Germany.
Int Arch Occup Environ Health. 2017 Nov;90(8):789-797. doi: 10.1007/s00420-017-1242-y. Epub 2017 Jun 28.
The aim of the study was to identify associations between organizational injustice and work ability, disability days, and consultations with general practitioners.
Cross-sectional data of persons previously receiving sickness absence benefits were used for analyses. Organizational injustice was assessed using a German version of the "organizational justice questionnaire". Dependent variables were the Work Ability Index, self-reported disability days, and consultations with general practitioners. Associations were adjusted for sociodemographic characteristics, behavioral health risks, neuroticism, effort-reward imbalance, and overcommitment.
The analysis included 2983 employed persons (54.1% women, mean age: 47.9 years). High organizational injustice was associated with poor work ability (OR = 2.04, 95% CI 1.55-2.69). There were also slight associations with frequent self-reported disability days (OR = 1.34, 95% CI 1.06-1.68). The dependent variables were also associated with the effort-reward ratio and overcommitment.
Organizational injustice is associated with work ability, self-reported disability days, and health-care utilization. Results support the notion of a complementary role of the models of organizational justice and effort-reward imbalance.
本研究旨在确定组织不公正与工作能力、残疾天数和与全科医生的就诊之间的关联。
本研究使用了先前接受病假福利的人群的横断面数据进行分析。组织不公正使用德语版的“组织公正问卷”进行评估。因变量为工作能力指数、自我报告的残疾天数和与全科医生的就诊次数。调整了社会人口特征、行为健康风险、神经质、努力-回报失衡和过度投入等因素的关联。
该分析包括 2983 名在职人员（54.1%为女性，平均年龄：47.9 岁）。高组织不公正与较差的工作能力相关（OR=2.04，95%CI 1.55-2.69）。与频繁自我报告的残疾天数也有轻微关联（OR=1.34，95%CI 1.06-1.68）。这两个因变量也与努力-回报比和过度投入有关。
组织不公正与工作能力、自我报告的残疾天数和医疗保健利用有关。结果支持组织公正和努力-回报失衡模型互补作用的观点。
