Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
J Occup Environ Med. 2018 Apr;60(4):e193-e198. doi: 10.1097/JOM.0000000000001233.
To compare psychosocial work conditions and health status between public and private sector employees and to examine if psychosocial work conditions explained the health differences.
Two thousand four hundred fourty one public and 15,589 private sector employees participated in a cross-sectional survey. Psychosocial work hazards, self-rated health (SRH), and burnout status were assessed by questionnaire.
As compared with private sector employees, public sector employees reported better psychosocial work conditions and better SRH, but higher risk of workplace violence (WPV) and higher levels of client-related burnout. Regression analyses indicated that higher psychosocial job demands, lower workplace justice, and WPV experience were associated with poor SRH and higher burnout. The public-private difference in client-related burnout remained even with adjustment of psychosocial work factors.
Greater risks of WPV and client-related burnout observed in public sector employees warrant further investigation.
比较公共部门和私营部门员工的心理社会工作条件和健康状况,并探讨心理社会工作条件是否解释了健康差异。
2441 名公共部门员工和 15589 名私营部门员工参与了一项横断面调查。通过问卷评估心理社会工作危害、自我报告健康状况(SRH)和倦怠状况。
与私营部门员工相比,公共部门员工报告的心理社会工作条件更好,SRH 更好,但工作场所暴力(WPV)风险更高,与客户相关的倦怠程度更高。回归分析表明,较高的心理社会工作需求、较低的工作场所公正和 WPV 经历与较差的 SRH 和较高的倦怠有关。即使调整了心理社会工作因素,公共部门员工与客户相关的倦怠与私营部门员工之间的差异仍然存在。
公共部门员工中观察到的 WPV 和与客户相关的倦怠风险更高,需要进一步调查。