1Stress Research Institute, Stockholm University, Stockholm, Sweden.
2Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Diabetes Care. 2022 Jan 1;45(1):59-66. doi: 10.2337/dc20-2943.
To examine whether characteristics of workplace psychosocial resources are associated with the risk of type 2 diabetes among employees.
Participants were 49,835 employees (77% women, aged 40-65 years, and diabetes free at baseline) from the Finnish Public Sector cohort study. Characteristics of horizontal (culture of collaboration and support from colleagues) and vertical (leadership quality and organizational procedural justice) psychosocial resources were self-reported. Incident type 2 diabetes (n = 2,148) was ascertained through linkage to electronic health records from national registers. We used latent class modeling to assess the clustering of resource characteristics. Cox proportional hazards models were used to examine the relationship between the identified clusters and risk of type 2 diabetes during 10.9 years of follow-up, adjusting for age, sex, marital status, educational level, type of employment contract, comorbidity, and diagnosed mental disorders.
We identified four patterns of workplace psychosocial resources: unfavorable, favorable vertical, favorable horizontal, and favorable vertical and horizontal. Compared with unfavorable, favorable vertical (hazard ratio 0.87 [95% CI 0.78; 0.97]), favorable horizontal (0.77 [0.67; 0.88]), and favorable vertical and horizontal (0.77 [0.68; 0.86]) resources were associated with a lower risk of type 2 diabetes, with the strongest associations seen in employees at age ≥55 years (Pinteraction = 0.03). These associations were robust to multivariable adjustments and were not explained by reverse causation.
A favorable culture of collaboration, support from colleagues, leadership quality, and organizational procedural justice are associated with a lower risk of employees developing type 2 diabetes than in those without such favorable workplace psychosocial resources.
探讨工作场所心理社会资源特征与员工 2 型糖尿病发病风险的关系。
参与者为芬兰公共部门队列研究中的 49835 名员工（77%为女性，年龄 40-65 岁，基线时无糖尿病）。自我报告横向（合作文化和同事支持）和纵向（领导素质和组织程序正义）心理社会资源的特征。通过与国家登记处的电子健康记录相联系，确定 2148 例 2 型糖尿病病例。我们使用潜在类别建模来评估资源特征的聚类情况。使用 Cox 比例风险模型，在校正年龄、性别、婚姻状况、教育程度、雇佣合同类型、合并症和诊断性精神障碍后，在 10.9 年的随访期间，研究了所确定的聚类与 2 型糖尿病发病风险之间的关系。
我们发现了四种工作场所心理社会资源模式：不利、有利的纵向、有利的横向和有利的纵向和横向。与不利的资源相比，有利的纵向（风险比 0.87 [95%CI 0.78;0.97]）、有利的横向（0.77 [0.67;0.88]）和有利的纵向和横向（0.77 [0.68;0.86]）资源与 2 型糖尿病发病风险较低相关，在年龄≥55 岁的员工中相关性最强（P 交互=0.03）。这些关联在多变量调整后仍然稳健，并且不能用反向因果关系来解释。
有利的合作文化、同事支持、领导素质和组织程序正义与员工发生 2 型糖尿病的风险较低相关，而没有这种有利的工作场所心理社会资源的员工风险较高。
