Inoue Akiomi, Tsutsumi Akizumi, Eguchi Hisashi, Kawakami Norito
Department of Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0374, Japan.
Department of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Int J Behav Med. 2019 Feb;26(1):76-84. doi: 10.1007/s12529-018-9756-6.
Using a 1-year prospective design, we examined the association of organizational justice (i.e., procedural justice and interactional justice) with refraining from seeking medical care (RSMC) among Japanese employees.
We surveyed 2695 employees (1994 men and 701 women) from two factories of a manufacturing company in Japan. A self-administered questionnaire comprising scales for measuring organizational justice (Organizational Justice Questionnaire) and potential confounders (i.e., demographic and socioeconomic characteristics as well as health-related behaviors) was administered at baseline (from April to June 2011). At 1-year follow-up (from April to June 2012), a single-item question was used to measure RSMC during the follow-up period. Multiple logistic regression analysis was conducted by gender.
After adjusting for potential confounders, low procedural justice and low interactional justice at baseline were found to be significantly associated with higher odds of RSMC during the 1-year follow-up for male employees (odds ratio = 1.33 [95% confidence interval = 1.16-1.52], p < 0.001 and 1.15 [95% confidence interval = 1.02-1.29], p = 0.019, respectively). Similar patterns were observed for female employees (odds ratio = 1.37 [95% confidence interval = 1.08-1.74], p = 0.009 and 1.23 [95% confidence interval = 1.02-1.50], p = 0.035 for low procedural justice and low interactional justice, respectively).
The present study provided evidence that the lack of organizational justice is positively associated with RSMC among Japanese employees, independently of demographic and socioeconomic characteristics as well as of health-related behaviors.
采用为期1年的前瞻性设计，我们研究了日本员工中组织公正（即程序公正和互动公正）与避免寻求医疗护理（RSMC）之间的关联。
我们对日本一家制造公司两家工厂的2695名员工（1994名男性和701名女性）进行了调查。在基线期（2011年4月至6月），发放了一份包含用于测量组织公正（组织公正问卷）和潜在混杂因素（即人口统计学和社会经济特征以及与健康相关的行为）量表的自填式问卷。在1年随访期（2012年4月至6月），使用一个单项问题来测量随访期间的RSMC。按性别进行多因素逻辑回归分析。
在对潜在混杂因素进行调整后，发现基线时低程序公正和低互动公正与男性员工在1年随访期间RSMC的较高几率显著相关（优势比分别为1.33[95%置信区间=1.16 - 1.52]，p < 0.001和1.15[95%置信区间=1.02 - 1.29]，p = 0.019）。女性员工也观察到类似模式（低程序公正和低互动公正的优势比分别为1.37[95%置信区间=1.08 - 1.74]，p = 0.009和1.23[95%置信区间=1.02 - 1.50]，p = 0.035）。
本研究提供了证据表明，在日本员工中，组织公正的缺失与RSMC呈正相关，独立于人口统计学和社会经济特征以及与健康相关的行为。
