Niedhammer Isabelle, Bertrais Sandrine
INSERM, Univ Angers, Univ Rennes, EHESP, Irset (Institut de recherche en santé, environnement et travail), UMR_S 1085, ESTER Team, Angers, France.
Saf Health Work. 2024 Dec;15(4):496-499. doi: 10.1016/j.shaw.2024.10.002. Epub 2024 Oct 18.
The studies exploring the mechanisms by which organisational changes may impact health outcomes are lacking. The objectives of the study were to examine the prospective associations of organisational changes with the deterioration of psychosocial work factors. The study was based on the prospective data of the national French working conditions survey collected in 2013, 2016, and 2019. The study sample included 5200 employees working in the private sector. A large set of organisational changes and psychosocial work factors were collected from employers and employees respectively. Multilevel mixed-effects robust Poisson regression models were used. Organisational changes were prospectively associated with the deterioration of psychosocial work factors related to job insecurity, role stressors, and job demands. The strongest prospective association was found between downsizing and the increase in job insecurity. The associations between organisational changes and health outcomes may be mediated by psychosocial work factors.
目前尚缺乏关于组织变革可能影响健康结果的机制的研究。本研究的目的是探讨组织变革与心理社会工作因素恶化之间的前瞻性关联。该研究基于2013年、2016年和2019年收集的法国全国工作条件调查的前瞻性数据。研究样本包括5200名在私营部门工作的员工。分别从雇主和员工那里收集了大量的组织变革和心理社会工作因素。使用了多层次混合效应稳健泊松回归模型。组织变革与与工作不安全感、角色压力源和工作需求相关的心理社会工作因素的恶化存在前瞻性关联。在裁员与工作不安全感增加之间发现了最强的前瞻性关联。组织变革与健康结果之间的关联可能由心理社会工作因素介导。
