Department of Public Health Science, Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul, South Korea.
Am J Ind Med. 2020 Aug;63(8):703-712. doi: 10.1002/ajim.23118. Epub 2020 May 17.
Work-life conflict (WLC) has a critical effect on employee mental health. However, research on occupational health has neglected the family domain. Furthermore, although it is reasonable to assume that the effect of WLC on health may differ according to socioeconomic circumstances, there is little empirical evidence for differences in the impact of WLC by socioeconomic status (SES). The purpose of this study was to assess the role of SES as an effect modifier, while examining whether the SES level affects the relationship between WLC and mental health.
We analyzed data from the nationally representative South Korean Working Conditions Survey of 2014, including 49 401 workers. Logistic regression analyses, stratified by sexes, were performed to identify sex differences, and interaction terms including WLC and SES were also incorporated.
WLC (men: OR = 1.24; women: OR = 1.18) and domestic demands (men: OR = 1.16; women: OR = 1.22) were significantly associated with mental health. WLC exhibited a stronger association with mental health for individuals with high SES, both in terms of education (men: OR = 1.61 vs 1.51; women: OR = 1.52 vs 1.24) and income (men: OR = 1.44 vs 1.10; women: OR = 1.48 vs 1.20).
Our data suggest that future efforts for health promotion should consider workers' family demands and SES as important modifying factors of psychological health in the workplace.
工作与生活冲突(WLC)对员工的心理健康有重大影响。然而,职业健康研究忽略了家庭领域。此外,尽管有理由假设 WLC 对健康的影响可能因社会经济状况而异,但几乎没有经验证据表明 WLC 对健康的影响因社会经济地位(SES)而异。本研究旨在评估 SES 作为效应修饰剂的作用,同时研究 SES 水平是否会影响 WLC 与心理健康之间的关系。
我们分析了 2014 年全国代表性的韩国工作条件调查的数据,包括 49401 名工人。进行了按性别分层的逻辑回归分析,以确定性别差异,并纳入了包括 WLC 和 SES 的交互项。
WLC(男性:OR=1.24;女性:OR=1.18)和家庭需求(男性:OR=1.16;女性:OR=1.22)与心理健康显著相关。WLC 与 SES 较高的个体的心理健康关联更强,无论是在教育(男性:OR=1.61 比 1.51;女性:OR=1.52 比 1.24)还是收入(男性:OR=1.44 比 1.10;女性:OR=1.48 比 1.20)方面。
我们的数据表明,未来的健康促进工作应考虑工人的家庭需求和 SES,将其作为工作场所心理健康的重要调节因素。