Yamauchi Takashi, Shimazaki Takashi, Suka Machi
Department of Public Health and Environmental Medicine, The Jikei University School of Medicine.
Sangyo Eiseigaku Zasshi. 2024 Nov 25;66(6):281-291. doi: 10.1539/sangyoeisei.2024-012-B. Epub 2024 Jun 2.
This study examined the association between cooperative work climate and business owners' attitudes toward work climate and help-seeking intentions for balancing medical treatment and job (BTJ) by occupation among employees of small companies.
In January 2024, we conducted an online survey of 1,800 full-time employees aged 20-64 years with no work restrictions due to illness working in small companies. After participants were provided a leaflet regarding BTJ, they were asked to indicate their intention to seek help in an imaginary situation where they had been diagnosed with cancer. We conducted a multivariate logistic regression analysis using a combination of cooperative work climate (low or high) and business owners' attitudes toward work climate (low or high) as the primary explanatory variable and help-seeking intentions regarding BTJ as the dependent variable, adjusted for relevant job-related variables. As a subgroup analysis, logistic regression analyses by occupation (i.e., white- or blue-collar workers) were also conducted.
Among the 1,800 participants (602 females and 1,198 males), 1,350 (75.0%) reported an active intention to seek help regarding BTJ. Those who reported higher levels of cooperative work climate and lower levels of business owners' positive attitudes toward work climate (odds ratio (OR) 1.5, 95% confidence interval (CI) 1.07-2.1), as well as those who reported higher levels of work climate and business owners' attitudes (OR 2.0, 95% CI 1.4-2.9), were significantly more likely to reveal help-seeking intentions regarding BTJ than those who reported lower levels of work climate and business owner attitudes. Analyses by occupation also showed that for both occupation categories, those who reported higher levels of cooperative work climate and business owner attitudes toward work climate more frequently revealed help-seeking intentions than those who reported lower levels of work climate and business owner attitudes.
Among participants working for small companies, regardless of occupation, those who reported higher levels of cooperative work climate and business owners' attitudes toward work climate were significantly more likely to reveal help-seeking intentions regarding BTJ. Our findings imply that (1) cooperative work climate has a stronger effect on help-seeking intentions regarding BTJ than business owners' attitudes toward work climate, and (2) both work climate and business owners' attitudes have a synergistic impact on help-seeking intentions regarding BTJ. Enhancing a cooperative work climate may promote help-seeking intentions among employees working for small companies, regardless of occupation.
本研究探讨了小公司员工中合作性工作氛围与企业主对工作氛围的态度以及按职业划分的平衡医疗与工作（BTJ）求助意愿之间的关联。
2024年1月，我们对1800名年龄在20 - 64岁、无因病工作限制的小公司全职员工进行了在线调查。在向参与者提供了一份关于BTJ的传单后，要求他们表明在被诊断患有癌症的假想情况下寻求帮助的意愿。我们进行了多变量逻辑回归分析，将合作性工作氛围（低或高）和企业主对工作氛围的态度（低或高）的组合作为主要解释变量，将关于BTJ的求助意愿作为因变量，并对相关工作相关变量进行了调整。作为亚组分析，还按职业（即白领或蓝领工人）进行了逻辑回归分析。
在1800名参与者（602名女性和1198名男性）中，1350名（75.0%）报告有积极寻求BTJ帮助的意愿。那些报告合作性工作氛围水平较高且企业主对工作氛围的积极态度水平较低的人（优势比（OR）为1.5，95%置信区间（CI）为1.07 - 2.1），以及那些报告工作氛围和企业主态度水平较高的人（OR为2.0，95% CI为1.4 - 2.9），比那些报告工作氛围和企业主态度水平较低的人更有可能表现出关于BTJ的求助意愿。按职业进行的分析还表明对于这两个职业类别，那些报告合作性工作氛围和企业主对工作氛围的态度水平较高的人比那些报告工作氛围和企业主态度水平较低的人更频繁地表现出求助意愿。
在为小公司工作的参与者中，无论职业如何，那些报告合作性工作氛围和企业主对工作氛围的态度水平较高的人更有可能表现出关于BTJ的求助意愿。我们的研究结果表明：（1）合作性工作氛围对BTJ求助意愿的影响比对企业主对工作氛围的态度的影响更强；（2）工作氛围和企业主态度对BTJ求助意愿都有协同影响。增强合作性工作氛围可能会促进为小公司工作的员工（无论职业）的求助意愿。
