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[工作场所的心理健康——社会经济、性别和移民相关不平等因素发挥着怎样的作用?]

[Mental health in the workplace - What role do socioeconomic-, gender-, and migration-related inequalities play?].

作者信息

Herold Regina, Feißt Manuel, Morawa Eva, Hondong Sinja, Rothermund Eva, Waldmann Tamara, Heming Meike, Weber Jeannette, Hander Nicole R, Mulfinger Nadine, Kröger Christoph, Erim Yesim

机构信息

Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Schwabachanlage 6, 91054, Erlangen, Deutschland.

Institut für Medizinische Biometrie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Jul;67(7):783-795. doi: 10.1007/s00103-024-03902-9. Epub 2024 Jun 19.

Abstract

BACKGROUND

Risk factors for mental health can be found in socio-economic-, gender- and migration-specific inequalities. These factors and the extent of depression, anxiety, and somatization among employees were examined in the present study.

METHODS

As part of the Early Intervention in the Workplace Study (friaa), mentally burdened employees at five locations in Germany were surveyed on socio-demographic-, work-, migration-, and health-related content. Regression analyses were used to examine the relationship between these factors and depression (Patient-Health-Questionnaire-9, PHQ-9), anxiety (Generalized Anxiety Disorder-2, GAD-2), and somatization (Somatic Symptom Scale-8, SSS-8) in the entire sample and in people with migration background (MB). For the latter, acculturation (Frankfurt Acculturation Scale, FRACC) and the perception of burden in terms of demands of immigration (Demands of Immigration Scale, DIS) were also taken into account.

RESULTS

On average, the 550 employees (12% with MB) showed clinically relevant depression (M = 13.0, SD = 5.1) (PHQ-9 ≥ 10), anxiety (M = 3.5, SD = 1.7) (GAD ≥ 3) and somatization (M = 13.0, SD = 5.8) (SSS-8 ≥ 12). Female gender was associated with higher anxiety and somatization. Older age and night shift work were associated with higher somatization.

DISCUSSION

The results confirm the high level of mental burden among this sample of employees in Germany. In order to maintain their mental health, support measures should be offered, especially for vulnerable groups such as women, older employees, and night shift workers.

摘要

背景

心理健康的风险因素存在于社会经济、性别和移民特定的不平等现象中。本研究对这些因素以及员工中抑郁、焦虑和躯体化的程度进行了调查。

方法

作为工作场所早期干预研究(friaa)的一部分,对德国五个地点精神负担较重的员工进行了社会人口统计学、工作、移民和健康相关内容的调查。采用回归分析来检验整个样本以及有移民背景(MB)的人群中这些因素与抑郁(患者健康问卷-9,PHQ-9)、焦虑(广泛性焦虑障碍-2,GAD-2)和躯体化(躯体症状量表-8,SSS-8)之间的关系。对于后者,还考虑了文化适应(法兰克福文化适应量表,FRACC)和对移民需求负担的认知(移民需求量表,DIS)。

结果

平均而言,550名员工(12%有移民背景)表现出具有临床意义的抑郁(M = 13.0,SD = 5.1)(PHQ-9≥10)、焦虑(M = 3.5,SD = 1.7)(GAD≥3)和躯体化(M = 13.0,SD = 5.8)(SSS-8≥12)。女性与更高的焦虑和躯体化相关。年龄较大和从事夜班工作与更高的躯体化相关。

讨论

结果证实了德国这一样本员工的精神负担水平较高。为了维护他们的心理健康,应提供支持措施,特别是针对女性、年长员工和夜班工人等弱势群体。

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