工作相关因素与疾病现场主义之间的关联:使用法国全国工作条件调查的前性研究
Isabelle Niedhammer1, Elodie Pineau2, Sandrine Bertrais2
1INSERM, Univ Angers, Univ Rennes, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, ESTER Team, Angers, France isabelle.niedhammer@inserm.fr.
Occupational and environmental medicine
|September 9, 2024
概括
工作环境因素,如心理社会和身体压力因素与疾病存在 (SP) 和疾病缺席 (SA) 有关. 改善工作环境可能会减少SP和SA,有些协会在女性中更强.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 心理社会因素 心理社会因素
背景情况:
- 疾病存在主义 (SP),在生病时工作,是一个越来越令人担忧的问题.
- 了解工作环境和SP之间的联系对于员工福祉至关重要.
- 很少有研究前性地检查了预测SP和病缺 (SA) 的工作相关因素.
研究的目的:
- 调查与工作相关的因素 (心理社会,身体,工作时间) 和SP (存在和持续时间) 之间的潜在关联.
- 检查工作因素对单独SP或与SA相结合的综合影响,与单独SA相比.
主要方法:
- 对16129名法国雇员 (2013-2016) 的前性队列研究.
- 在2013年评估的工作因素;SP和SA在2016年评估.
- 权重障碍和多项逻辑回归模型用于分析关联,控制共变量.
主要成果:
- 大多数心理社会和体力工作因素预测了SP存在 (ORs 1.16-2.30).
- 在多次暴露和SP之间观察到的剂量反应关系.
- 工作因素预测单独的SP或与SA结合的SA比单独的SA更强.
- 注意到性别差异,女性的关联更强.
结论:
- 需要对SP和SA进行联合分析.
- 针对心理社会和物理环境的职场干预可以减少SP和SA.
- 预防策略应考虑性别特异性影响.
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