Fan Jonathan K, Smith Peter M
Institute for Work & Health, 481 University Avenue, Suite 800, Toronto, ON, M5G 2E9, Canada.
Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.
Can J Public Health. 2018 Jul 9;109(5-6):882-90. doi: 10.17269/s41997-018-0096-8.
To examine changes in self-reported work conditions over a 10-year time period in Canada, as measured using two comparable cross-sectional surveys conducted in 2002 and 2012.
Population-based data were obtained from the Canadian Community Health Survey. Work conditions (psychosocial work conditions, work hours, work demands, job satisfaction) were measured using the same modules across survey cycles. Regression models provided estimates for trends in work conditions, adjusting for differences in socio-demographic and survey administration characteristics over time.
We observed changes in self-reported work conditions across cycles, including higher levels of co-worker/supervisor support and job security; lower levels of psychological demands; and increases in shorter/regular work hours over time. These findings were consistent in both the base and adjusted models. Although skill discretion, decision authority, and job satisfaction improved over time in our base models, these findings were attenuated towards the null in adjusted models. Respondents in 2012 had a greater odds of reporting a physically demanding work environment compared to 2002. Differential time trends were observed by geographic region.
Our study found improvements in some self-reported measures of the psychosocial work environment in Canada over time. These changes were not accounted for by socio-demographic or survey administration differences across survey cycles. Despite these overall trends, absolute levels of some work conditions have not changed. Given the relevance of work conditions as a determinant of health, a continued focus on improving all aspects of the work environment should remain a public health priority to improve the health of working-aged Canadians.
通过对2002年和2012年进行的两项可比横断面调查的测量,考察加拿大10年间自我报告的工作条件变化。
基于人群的数据来自加拿大社区健康调查。工作条件(心理社会工作条件、工作时间、工作需求、工作满意度)在不同调查周期中使用相同模块进行测量。回归模型对工作条件趋势进行估计,并对不同时间的社会人口统计学和调查管理特征差异进行调整。
我们观察到不同周期中自我报告的工作条件存在变化,包括同事/上级支持和工作安全感水平更高;心理需求水平更低;随着时间推移,较短/固定工作时间有所增加。这些发现在基础模型和调整模型中均一致。尽管在我们的基础模型中,技能自主性、决策权和工作满意度随时间有所改善,但在调整模型中这些发现趋于无效。与2002年相比,2012年的受访者报告身体要求高的工作环境的几率更大。按地理区域观察到了不同的时间趋势。
我们的研究发现,随着时间推移,加拿大自我报告的心理社会工作环境的某些测量指标有所改善。这些变化并非由不同调查周期中的社会人口统计学或调查管理差异所导致。尽管有这些总体趋势,但某些工作条件的绝对水平并未改变。鉴于工作条件作为健康决定因素的相关性,持续关注改善工作环境的各个方面应仍然是改善加拿大工作年龄人群健康的公共卫生优先事项。