Milner Allison, Kavanagh Anne, King Tania, Currier Dianne
1 Centre for Health Equity, The University of Melbourne, Melbourne, Victoria, Australia.
2 Centre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.
Am J Mens Health. 2018 Jul;12(4):696-705. doi: 10.1177/1557988317752607. Epub 2018 Jan 16.
Men employed in male-dominated occupations are at elevated risk of work-related fatalities, injuries, and suicide. Prior research has focused on associations between psychosocial and physical exposures at work and health outcomes. However, masculine norms may also contribute to mental health. We used data from the baseline survey of the Australian Longitudinal Study on Male Health to examine whether: (a) men in male-dominated jobs report greater adherence to masculine norms; (b) being in a male-dominated occupation is associated with poorer mental health; and (c) being in a male-dominated occupation modifies the association between masculine norms and mental health. Masculine norms were measured using the Conformity to Masculine Norms Inventory (CMNI-22). Mental health was assessed using the SF-12. Results of regression analysis (adjusted for covariates) suggest a linear relationship between the extent to which an occupation is male-dominated and endorsement of values on the CMNI-22. Many CMNI-22 subscales were related to poorer mental health. However, the need for self-reliance was identified as the strongest predictor of poorer mental health. The mental health scale did not appear to be patterned by occupational gender composition and we did not find an interaction between the gender ratio of an occupation and the CNMI-22 scale. These findings highlight the need to address harmful aspects of masculinity as a potential cause of mental health problems. More longitudinal research is needed on the social domains in which gender and health are experienced, such as in the workplace.
从事男性主导职业的男性在工作相关的死亡、受伤和自杀方面面临更高风险。先前的研究主要关注工作中的社会心理和身体暴露与健康结果之间的关联。然而,男性规范也可能对心理健康产生影响。我们利用澳大利亚男性健康纵向研究基线调查的数据,来检验:(a) 从事男性主导工作的男性是否报告更严格遵守男性规范;(b) 从事男性主导职业是否与较差的心理健康相关;以及 (c) 从事男性主导职业是否会改变男性规范与心理健康之间的关联。男性规范使用男性规范 conformity 量表(CMNI - 22)进行测量。心理健康使用 SF - 12 进行评估。回归分析结果(对协变量进行了调整)表明,职业的男性主导程度与 CMNI - 22 上的价值观认同之间存在线性关系。许多 CMNI - 22 子量表与较差的心理健康相关。然而,自我依赖的需求被确定为较差心理健康的最强预测因素。心理健康量表似乎并未因职业性别构成而呈现出特定模式,并且我们没有发现职业性别比例与 CNMI - 22 量表之间存在交互作用。这些发现凸显了解决男性气质中有害方面作为心理健康问题潜在原因的必要性。需要对性别与健康体验的社会领域,如职场,进行更多纵向研究。