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EN
Objective: One of the practical models for assessment of stressful working conditions due to job strain is "job demand and control" or Karasek's job strain model. This model explains how adverse physical and psychological effects including cardiovascular disease risk factors can be established due to high work demand. The aim was to investigate how certain cardiovascular risk factors including body mass index (BMI), heart rate, blood pressure, serum total cholesterol levels, and cigarette smoking are associated with job demand and control in workers. Materials and Methods: In this cohort study, 500 subjects completed "job demand and control" questionnaires. Factor analysis method was used in order to specify the most important "job demand and control" questions. Health check-up records of the workers were applied to extract data about cardiovascular disease risk factors. Ultimately, hypothesis testing, based on Eta, was used to assess the relationship between separated working groups and cardiovascular risk factors (hypertension and serum total cholesterol level). Results: A significant relationship was found between the job demand-control model and cardiovascular risk factors. In terms of chisquared test results, the highest value was assessed for heart rate (Chi² = 145.078). The corresponding results for smoking and BMI were Chi² = 85.652 and Chi² = 30.941, respectively. Subsequently, Eta result for total cholesterol was 0.469, followed by hypertension equaling 0.684. Moreover, there was a significant difference between cardiovascular risk factors and job demand-control profiles among different working groups including the operational group, repairing group and servicing group. Conclusion: Job control and demand are significantly related to heart disease risk factors including hypertension, hyperlipidemia, and cigarette smoking.
EN
Objectives To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods The study population comprised 29 496 vocationally active women and men in the Norwegian Nord-Trøndelag Health Study (HUNT Study) without chronic pain at baseline in 1984–1986. Chronic neck/shoulder pain was assessed during a follow-up in 1995–1997. A generalized linear model (Poisson regression) was used to calculate adjusted relative risks (RRs). Results Work stress was dosedependently associated with the risk of neck/shoulder pain (p trend < 0.001 in both sexes). The women and men who perceived their work as stressful “almost all the time” had multi-adjusted RRs = 1.27 (95% confidence interval (CI): 1.1–1.47) and 1.71 (95% CI: 1.46–2), respectively, referencing those with no stressful work. Work stress interacted with sex (p < 0.001). Poor job control was not associated with the risk of neck/shoulder pain among the women (RR = 1.04, 95% CI: 0.92–1.19) nor the men (RR = 1.09, 95% CI: 0.95–1.26). Combined analyses showed an inverse dose-dependent association between hours of physical exercise/week and the risk of neck/shoulder pain in the men with no stressful work (p trend = 0.05) and among the men who perceived their work as “rarely stressful” (p trend < 0.02). This effect was not statistically significant among the women or among men with more frequent exposure to work stress. Conclusions Work stress is an independent predictor of chronic neck/shoulder pain and the effect is stronger in men than in women. Physical exercise does not substantially reduce the risk among the persons with frequent exposure to work stress.
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EN
Objectives: This paper aims to assess the relationship between the determinants of the psychosocial work environment, as expressed in terms of JDC or ERI models, and all-cause mortality in older individuals. Materials and Methods: The baseline study was conducted on a cohort comprising a random sample of 65-year-old community-dwelling citizens of Kraków, Poland. All of the 727 participants (410 women, 317 men) were interviewed in their households in the period between 2001 and 2003; a structured questionnaire was used regarding their occupational activity history, which included indexes measuring particular dimensions of their psychosocial work environment based on Karasek's Job Demand-Control model and Siegrist's Effort-Reward Imbalance model, as well as health-related quality of life and demographic data. Mortality was ascertained by monitoring City Vital Records for 7 years. Analyses were conducted separately for men and women, with the multivariate Cox proportional hazard model. Results: During a 7-year follow-up period, 59 participants (8.1%) died, including 21 women (5.1% of total women) and 38 men (12%) (p < 0.05). Significant differences in the number of deaths occurred regarding disproportion between physical demands and control in men: those with low physical demands and low control died three times more often than those with high control, regardless of the level of demands. The multivariate Cox proportional hazard model showed that significantly higher risk of death was observed only in men with low physical demands and low control, compared to those with low physical demands and high control (Exp(B) = 4.65, 95% CI: 1.64-13.2). Conclusions: Observed differences in mortality patterns are similar to the patterns of relationships observed in health-related quality of life (HRQoL) level at the beginning of old age; however, the relationship between efforts and rewards or demands and control and mortality was not fully confirmed.
EN
Objectives Drawing on the stressor-emotion model, the study aimed to identify some predictors of the active and passive types of counterproductive work behavior (CWB). Specifically, 1) the direct effect of bullying on CWB, 2) the 2-way interaction effects of the Dark Triad (DT) and job control (JC), as well as 3) the 3-way interaction effect (DT×JC) on the bullying-CWB link were investigated. Material and Methods Data were collected from 659 white- and blue-collar workers. The 2- and 3-way interactional effects were analyzed by means of PROCESS macros. Results The analysis showed that high bullying was directly related to high active and passive types of CWB. The 2- and 3-way interactional effects were observed but only in relation to active (not passive) CWB. Bullying was associated with active CWB when the Dark Triad and job control were high. Conclusions The study showed different ways of both types of CWB development. The findings provide further insight into processes leading to an increase in active and passive CWB. Int J Occup Med Environ Health. 2019;32(6):777–95
Medycyna Pracy
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2017
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vol. 68
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issue 3
329-348
EN
Background The Copenhagen Psychosocial Questionniare (COPSOQ) has many advantages as compared to other similar instruments, i.a., it is not related to one single theoretical model and it measures a wide spectrum of psychosocial working conditions that have shown proven impact on health. The aim of the article is to summarize information on psychometric properties of 11 scales in the Polish version: Quantitative Demands, Emotional Demands, Influence at Work, Social Support, Possibilities for Development, Meaning of Work, Role Clarity, Quality of Leadership, Job Insecurity, Job Satisfaction, and General Health. Material and Methods Analyses were based on the results of 4 research projects, in which the Polish version of the COPCOQ scales has been used: on a representative sample of Polish nurses (N = 4354), job insecurity in 2 groups of civil servants (N = 295, N = 724), mobbing among teachers (N = 1037) and psychological consequences of restructuring (N = 1396). The following psychometric characteristics were analysed: internal reliability, theoretical validity, and factorial validity. Results Internal reliability of the following 8 scales was found satisfactory: Quantitative Demands, Influence at Work, Social Support, Possibilities for Development, Meaning of Work, Quality of Leadership, Job Satisfaction, and General Health (Cronbach’s α = 0.7–0.91, depending on the scale). The results of exploratory factor analyses indicated factorial separateness of the above mentioned scales. Theoretical validity of 11 scales was confirmed; they were associated with variables that can be regarded as their validity criteria. Conclusions The 8 COPSOQ scales, in the Polish version, can be recommended for using in the research involving psychosocial job characteristics. Mean scores on these scales and standard deviations given in the article can serve as reference points during an evaluation of received results. Med Pr 2017;68(3):329–348
PL
Wstęp Kopenhaski Kwestionariusz Psychospołeczny (Copenhagen Psychosocial Questionnaire – COPSOQ) ma wiele zalet w porównaniu z innymi podobnymi narzędziami, m.in. nie jest związany z 1 modelem teoretycznym stresu w pracy, lecz odwołuje się do kilku, jest prosty i mierzy szerokie spektrum psychospołecznych warunków pracy o udowodnionym związku ze zdrowiem. Celem artykułu jest podsumowanie informacji o psychometrycznych właściwościach polskiej wersji 11 skal: Wymagań Ilościowych, Wymagań Emocjonalnych, Kontroli w Pracy, Wsparcia Społecznego, Możliwości Rozwoju, Sensu Pracy, Jasności Roli, Przywództwa, Niepewności Pracy, Zadowolenia z Pracy i Ogólnego Stanu Zdrowia. Materiał i metody Analizy oparto na wynikach 4 projektów badawczych, w których stosowano polskie wersje skal COPSOQ – badań w reprezentatywnej próbie polskich pielęgniarek (N = 4354), nad niepewnością pracy w 2 grupach urzędniczych (N = 295, N = 724), nad mobbingiem wśród nauczycieli (N = 1037) i nad psychologicznymi skutkami restrukturyzacji firm (N = 1396). Dokonano analizy następujących parametrów psychometrycznych wybranych skal: spójności wewnętrznej, trafności teoretycznej i trafności czynnikowej. Wyniki Wykazano zadowalającą rzetelność 8 skal (α Cronbacha = 0,7–0,91, zależnie od skali): Wymagań Ilościowych, Kontroli w Pracy, Wsparcia Społecznego, Możliwości Rozwoju, Sensu Pracy, Jakości Przywództwa, Zadowolenia z Pracy i Ogólnego Stanu Zdrowia. Wyniki analiz czynnikowych wskazywały na odrębność czynnikową ww. skal. Potwierdzono trafność teoretyczną 11 skal, wykazując ich związki ze zmiennymi, które na podstawie teorii i badań można było uznać za kryteria trafności skal. Wnioski Osiem skal COPSOQ w polskiej wersji można polecić do stosowania w badaniach uwzględniających psychospołeczne właściwości pracy, ponieważ są rzetelne i trafne. Przytoczone w artykule średnie wyniki na skalach oraz odchylenia standardowe mogą posłużyć jako punkty odniesienia w ocenie uzyskiwanych wyników. Med. Pr. 2017;68(3):329–348
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