Söderfeldt B, Söderfeldt M, Ohlson C G, Warg L E
Department of International Health and Social Medicine, Karolinska Institute, Stockholm, Sweden.
Scand J Soc Med. 1996 Mar;24(1):43-9. doi: 10.1177/140349489602400107.
This study reports on subjective health of personnel in human services and other occupations. A mail questionnaire was sent to 8296 employees in the Social Insurance Organization (SIO) and the Individual and Family Care (IFC) in social welfare agencies. The response rate was 69.1% or 5730 persons. Perceived health was measured by a standard form widely used in occupational health services, FHV004D, here split into four principal components, indicating psycho-vegetative, musculoskeletal, immunological, and gastro-intestinal health. In relation to reference data on other human service personnel (nurses, teachers) and white collar workers (bank and insurance personnel), the studied groups scored much higher on psycho-vegetative symptoms (OR:s about 3), higher on musculo-skeletal symptoms (OR:s about 1.7), but had equal scores on the other symptom types. It is concluded that self-reported psychovegetative and musculoskeletal health is especially problematic in SIO and IFC, indicating stress in human service work. It is hypothesized that an adversary relation to clients can be an aggravating factor in that context.
本研究报告了从事人类服务及其他职业的人员的主观健康状况。向社会保险机构（SIO）和社会福利机构中的个人与家庭护理（IFC）的8296名员工发送了邮件调查问卷。回复率为69.1%，即5730人。感知健康通过职业健康服务中广泛使用的标准表格FHV004D进行测量，在此处分为四个主要组成部分，分别表明心理植物神经、肌肉骨骼、免疫和胃肠道健康状况。与其他人类服务人员（护士、教师）和白领工人（银行及保险人员）的参考数据相比，研究组在心理植物神经症状方面得分高得多（优势比约为3），在肌肉骨骼症状方面得分较高（优势比约为1.7），但在其他症状类型上得分相同。研究得出结论，在SIO和IFC中，自我报告的心理植物神经和肌肉骨骼健康问题尤为突出，这表明人类服务工作中存在压力。据推测，在这种情况下，与客户的敌对关系可能是一个加重因素。
