探讨工作成瘾风险与健康相关结果的关系:基于工作要求-控制模型。
Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model.
机构信息
Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Witty Fit, F-63000 Clermont-Ferrand, France.
Institute of Education, National Research University Higher School of Economics, 101000 Moscow, Russia.
出版信息
Int J Environ Res Public Health. 2020 Oct 19;17(20):7594. doi: 10.3390/ijerph17207594.
: Work addiction risk is a growing public health concern with potential deleterious health-related outcomes. Perception of work (job demands and job control) may play a major role in provoking the risk of work addiction in employees. We aimed to explore the link between work addiction risk and health-related outcomes using the framework of job-demand-control model. : Data were collected from 187 out of 1580 (11.8%) French workers who agreed to participate in a cross-sectional study using the WittyFit software online platform. The self-administered questionnaires were the Job Content Questionnaire by Karasek, the Work Addiction Risk Test, the Hospital Anxiety and Depression scale and socio-demographics. : Statistical analyses were performed using the Stata software (version 13). There were five times more workers with a high risk of work addiction among those with strong job demands than in those with low job demands (29.8% vs. 6.8%, = 0.002). Addiction to work was not linked to job control ( = 0.77), nor with social support ( = 0.22). We demonstrated a high risk of work addiction in 2.6% of low-strain workers, in 15.0% of passive workers, in 28.9% of active workers, and in 33.3% of high-strain workers ( = 0.010). There were twice as many workers with a HAD-Depression score ≥11 compared with workers at low risk (41.5% vs. 17.7%, = 0.009). Sleep quality was lower in workers with a high risk of work addiction compared with workers with a low risk of work addiction (44.0 ± 27.3 vs. 64.4 ± 26.8, < 0.001). Workers with a high risk of work addiction exhibited greater stress at work (68.4 ± 23.2 vs. 47.5 ± 25.1) and lower well-being (69.7 ± 18.3 vs. 49.3 ± 23.0) compared with workers at low risk ( < 0.001). : High job demands are strongly associated with the risk of work addiction. Work addiction risk is associated with greater depression and poor quality of sleep. Preventive strategies should benefit from identifying more vulnerable workers to work addiction risk.
工作成瘾风险是一个日益严重的公共卫生问题,可能会对健康产生有害影响。对工作的认知(工作要求和工作控制)可能在引发员工工作成瘾风险方面发挥重要作用。我们旨在使用工作需求-控制模型框架探讨工作成瘾风险与健康相关结果之间的联系。
数据来自于 1580 名法国工人中的 187 名(11.8%)同意使用 WittyFit 软件在线平台参与横断面研究的工人。自我管理问卷包括 Karasek 的工作内容问卷、工作成瘾风险测试、医院焦虑和抑郁量表以及社会人口统计学。
统计分析使用 Stata 软件(版本 13)进行。在工作要求高的工人中,工作成瘾风险高的人数是工作要求低的工人的五倍(29.8%比 6.8%,= 0.002)。工作成瘾与工作控制无关(= 0.77),也与社会支持无关(= 0.22)。我们在低压力工人中发现 2.6%的工作成瘾风险高,在被动工人中发现 15.0%的工作成瘾风险高,在积极工人中发现 28.9%的工作成瘾风险高,在高压力工人中发现 33.3%的工作成瘾风险高(= 0.010)。与工作成瘾风险低的工人相比,HAD-Depression 评分≥11 的工人人数增加了一倍(41.5%比 17.7%,= 0.009)。与工作成瘾风险低的工人相比,工作成瘾风险高的工人睡眠质量较低(44.0 ± 27.3 比 64.4 ± 26.8,< 0.001)。与工作成瘾风险低的工人相比,工作成瘾风险高的工人工作压力更大(68.4 ± 23.2 比 47.5 ± 25.1),幸福感更低(69.7 ± 18.3 比 49.3 ± 23.0)(< 0.001)。
高工作要求与工作成瘾风险密切相关。工作成瘾风险与更高的抑郁和较差的睡眠质量有关。预防策略应受益于识别更易受工作成瘾风险影响的工人。
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