LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France.
Department of Anesthesiology and Intensive Care, University Hospital of Marseille, Hopital Nord, Assistance Publique Hôpitaux de Marseille, 13015 Marseille, France.
Int J Environ Res Public Health. 2022 Jul 26;19(15):9113. doi: 10.3390/ijerph19159113.
(1) Background: The effects of lockdown repetition on work-related stress, expressed through Effort-Reward Imbalance (ERI), during the COVID-19 pandemic are poorly documented. We investigated the effect of repetitive lockdowns on the ERI in French workers, its difference across occupations, and the change in its influencing factors across time. (2) Methods: Participants were included in a prospective cross-sectional observational study from 30 March 2020 to 28 May 2021. The primary outcome was the ERI score (visual analog scale). The ERI score of the population was examined via Generalized Estimating Equations. For each period, the factors influencing ERI were studied by multivariate linear regression. (3) Results: In 8121 participants, the ERI score decreased in the first 2 lockdowns (53.2 ± 0.3, p < 0.001; 50.5 ± 0.7, p < 0.001) and after lockdown 2 (54.8 ± 0.8, p = 0.004) compared with the pre-pandemic period (59 ± 0.4). ERI was higher in medical than in paramedical professionals in the pre-pandemic and the first 2 lockdowns. Higher workloads were associated with better ERI scores. (4) Conclusions: In a large French sample, Effort-Reward Imbalance worsened during the COVID-19 pandemic until the end of the 2nd lockdown. Paramedical professionals experienced a higher burden of stress compared with medical professionals.
(1) 背景：在 COVID-19 大流行期间，封锁重复对工作相关压力的影响，表现为工作投入与回报失衡（ERI），这方面的文献记载很少。我们研究了重复性封锁对法国劳动者 ERI 的影响、不同职业之间的差异，以及其影响因素随时间的变化。(2) 方法：参与者纳入了一项前瞻性横断面观察性研究，时间为 2020 年 3 月 30 日至 2021 年 5 月 28 日。主要结局是 ERI 评分（视觉模拟量表）。通过广义估计方程评估人群的 ERI 评分。对于每个时期，通过多元线性回归研究影响 ERI 的因素。(3) 结果：在 8121 名参与者中，ERI 评分在头两次封锁期间（53.2±0.3，p<0.001；50.5±0.7，p<0.001）和第二次封锁后（54.8±0.8，p=0.004）均低于大流行前时期（59±0.4）。在大流行前和前两次封锁期间，ERI 在医疗专业人员中高于辅助医疗专业人员。工作量较高与 ERI 评分较好相关。(4) 结论：在一项大型法国样本中，工作投入与回报失衡在 COVID-19 大流行期间恶化，直到第二次封锁结束。辅助医疗专业人员的压力负担比医疗专业人员更高。
