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Association between psychosocial work characteristics and health functioning in American women: prospective study

Cheng, Yawen ; Kawachi, Ichiro ; Coakley, Eugenie H ; Schwartz, Joel ; Colditz, Graham

BMJ, 2000-05, Vol.320 (7247), p.1432-1436 [Periódico revisado por pares]

London: British Medical Journal Publishing Group

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Título:
Association between psychosocial work characteristics and health functioning in American women: prospective study
Autor: Cheng, Yawen ; Kawachi, Ichiro ; Coakley, Eugenie H ; Schwartz, Joel ; Colditz, Graham
Assuntos: Adult ; Biological and medical sciences ; Body mass index ; Cardiovascular diseases ; Cohort Studies ; Employment - psychology ; Female ; Fundamental and applied biological sciences. Psychology ; Health ; Health Status ; Humans ; Longitudinal Studies ; Mental health ; Middle Aged ; Nurses - psychology ; Occupational psychology ; Organization and management. Professional relation ; Professional Competence ; Prospective Studies ; Psychological stress ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Public health ; Quality of Life ; Questionnaires ; Socioeconomic Factors ; Stress ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Surveys and Questionnaires ; United States - epidemiology ; Vitality ; Women ; Womens health ; Working conditions ; Working women
É parte de: BMJ, 2000-05, Vol.320 (7247), p.1432-1436
Notas: Correspondence to: I Kawachi
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Correspondence to: I Kawachi Ichiro.Kawachi@channing.harvard.edu
Contributors: YC participated in the study design, carried out the data analyses, and took primary responsibility for writing the paper. IK formulated the primary study hypotheses, designed the study, and contributed to the interpretation of the findings and the preparation of the manuscript; he will act as guarantor for the paper. EHC provided statistical and programming advice, documented the data, and participated in the preparation of the manuscript. JS provided statistical advice and helped in interpretation of the data and editing the manuscript. GC is the principal investigator of the study. He helped develop the primary study hypotheses, took part in the study design, and contributed to the interpretation of the data and editing of the manuscript.
Descrição: Abstract Objective: To examine prospectively the relation between psychosocial work characteristics and changes in health related quality of life over four years in a cohort of working women in the United States. Design: Longitudinal cohort study. Setting: United States. Participants: 21 290 female registered nurses who completed the Karasek's job content questionnaire and a modified version of the short form 36 questionnaire (SF-36) as used for a survey of health status by the medical outcomes study. Main outcome measures: Seven dimensions of health status: physical functioning, role limitations due to physical health problems, bodily pain, vitality, social functioning, role limitations due to emotional problems, and mental health. Results: Examined separately low job control, high job demands, and low work related social support were associated with poor health status at baseline as well as greater functional declines over the four year follow up period. Examined in combination, women with low job control, high job demands, and low work related social support (“iso-strain” jobs) had the greatest functional declines. These associations could not be explained by age, body mass index, comorbid disease status, alcohol consumption, smoking status, education level, exercise level, employment status, marital status, or presence of a confidant. Conclusions: Adverse psychosocial work conditions are important predictors of poor functional status and its decline over time.
Editor: London: British Medical Journal Publishing Group
Idioma: Inglês

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Association between psychosocial work characteristics and health functioning in American women: prospective study

Cheng, Yawen ; Kawachi, Ichiro ; Coakley, Eugenie H ; Schwartz, Joel ; Colditz, Graham

London: British Medical Journal Publishing Group

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