Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Stress Research Institute, Stockholm University, Stockholm, Sweden.
BMJ Open. 2019 Sep 17;9(9):e030918. doi: 10.1136/bmjopen-2019-030918.
Psychosocial work demands and physical workload are important causes of ill health. The dramatic demographic changes in society make it important to understand if such factors change with ageing, but this is presently not known. The purpose of the present study was to investigate whether psychosocial work demands and physical workload change across 8 years of ageing, whether occupational groups show different trajectories of change and if such trajectories are reflected in sleep or fatigue.
A cohort of 5377 participants (mean age: 47.6±11.6 (SD) years, 43.2% males, 40.2% blue-collar workers) was measured through self-report in five biannual waves across 8 years. Mixed model regression analyses was used to investigate change across ageing.
Psychosocial work demands decreased significantly across 8 years (Coeff: -0.016±0.001), with the strongest decrease in the high white-collar group (Coeff=-0.031±0.003) and the oldest group. Physical workload also decreased significantly (Coeff=-0.032±0.002), particularly in the blue-collar group (Coeff=-0.050±0.004) and in the oldest group. Fatigue decreased, and sleep problems increased with ageing, but with similar slopes in the occupational groups. All effect sizes were small, but extrapolation suggests substantial decreases across a working life career.
The decrease in psychosocial work demands and physical workload suggests that the burden of work becomes somewhat lighter over 8 years. The mechanism could be 'pure' ageing and/or increased experience or related factors. The gradual improvement in the work situation should be considered in the discussion of the place of older individuals in the labour market, and of a suitable age for retirement. The results also mean that prospective studies of work and health need to consider the improvement in working life with ageing.
心理社会工作需求和体力工作负荷是导致健康不良的重要原因。社会人口结构的急剧变化使得了解这些因素是否会随着年龄的增长而变化变得尤为重要,但目前尚不清楚这一点。本研究的目的是调查心理社会工作需求和体力工作负荷是否会随着 8 年的衰老而发生变化,不同职业群体的变化轨迹是否不同,以及这些轨迹是否会反映在睡眠或疲劳上。
本研究对 5377 名参与者(平均年龄:47.6±11.6(SD)岁,43.2%为男性,40.2%为蓝领工人)进行了 8 年 5 次的半年度自我报告测量。采用混合模型回归分析来研究随年龄的变化。
心理社会工作需求在 8 年内显著下降(系数:-0.016±0.001),高白领群体(系数:-0.031±0.003)和最年长的群体下降幅度最大。体力工作负荷也显著下降(系数:-0.032±0.002),尤其是在蓝领群体(系数:-0.050±0.004)和最年长的群体中。随着年龄的增长,疲劳感下降,睡眠问题增多,但在不同职业群体中,其斜率相似。所有的效应大小都很小,但推断表明,在整个职业生涯中,工作负担会有实质性的减少。
心理社会工作需求和体力工作负荷的下降表明,在 8 年内,工作负担会有所减轻。这种机制可能是“纯粹”的衰老,以及经验的增加或相关因素。在讨论老年人在劳动力市场中的地位以及合适的退休年龄时,应该考虑到工作环境的逐渐改善。研究结果还意味着,关于工作和健康的前瞻性研究需要考虑到随年龄增长而改善的工作生活。