Coburn D
Int J Health Serv. 1978;8(3):415-35. doi: 10.2190/E02R-LBQR-368M-KRQ2.
This article describes a study of the influence of job factors (e.g. job control, pay, etc.) on job attitudes (satisfaction, alienation, stress) as well as the joint influence of job factors and job attitudes on general psychological and physical well-being. Satisfaction/alienation and felt stress were found to be two different modes of response to work. Prestige, control, variety, and opportunity for promotion were powerful predictors of satisfaction/alienation. Number of deadlines and job overlap with family life were important predictors of stress. The job factors and job attitudes showed substantively important relationships to general well-being. The testing of various alternate hypotheses supported the inference of a causal work-health link. Implications of the findings are that work must be viewed in a wider context than simply as a form of economic activity if the well-being of the population is to be improved and that a focus on individual "life-styles" as causes of lowered well-being leads to neglect of the underlying social structural bases of disease.
本文描述了一项关于工作因素(如工作控制、薪酬等)对工作态度(满意度、疏离感、压力)的影响的研究,以及工作因素和工作态度对总体心理和身体健康的联合影响。研究发现,满意度/疏离感和感受到的压力是对工作的两种不同反应模式。声望、控制、多样性和晋升机会是满意度/疏离感的有力预测因素。截止日期的数量以及工作与家庭生活的重叠程度是压力的重要预测因素。工作因素和工作态度与总体幸福感存在实质性的重要关系。对各种替代假设的检验支持了工作与健康之间存在因果联系的推断。研究结果的启示是,如果要改善民众的福祉,就必须在比单纯将工作视为一种经济活动更广泛的背景下看待工作,并且将个人“生活方式”视为幸福感降低的原因会导致忽视疾病潜在的社会结构基础。