1. Psychosocial work factors in new or recurrent injuries among hospital workers: a prospective study
- Author
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Lee, Soo-Jeong, You, Doohee, Gillen, Marion, and Blanc, Paul D
- Subjects
Commerce ,Management ,Tourism and Services ,Biomedical and Clinical Sciences ,Human Resources and Industrial Relations ,Health Sciences ,Prevention ,Clinical Research ,Physical Injury - Accidents and Adverse Effects ,Injuries and accidents ,Adult ,Female ,Humans ,Incidence ,Logistic Models ,Male ,Middle Aged ,Occupational Injuries ,Personnel ,Hospital ,Prospective Studies ,Recurrence ,Reward ,Work ,Workload ,Workplace ,Work-related injury ,Injury recurrence ,Psychosocial factors ,Overcommitment ,Job strain ,Effort-reward imbalance ,Hospital workers ,Effort–reward imbalance ,Public Health and Health Services ,Environmental & Occupational Health ,Clinical sciences ,Human resources and industrial relations ,Public health - Abstract
PurposeAccumulating evidence suggests an important role for psychosocial work factors in injury, but little is known about the interaction between psychosocial factors and previous injury experience on subsequent injury risk. We examined the relationships between psychosocial work factors and new or recurrent injury among hospital workers.MethodsWe studied 492 hospital workers including 116 cases with baseline injury and 376 injury-free referents at baseline over follow-up. Job strain, total support, effort-reward imbalance, overcommitment, and musculoskeletal injury at baseline were examined in logistic regression models as predictors of new or recurrent injury experienced during a 2-year follow-up period.ResultsThe overall cumulative incidence of injury over follow-up was 35.6 % (51.7 % for re-injury among baseline injury cases; 30.6 % for new injury among referents). Significantly increased risks with baseline job strain (OR 1.26; 95 % CI 1.02-1.55) and effort-reward imbalance (OR 1.42; 95 % CI 1.12-1.81) were observed for injury only among the referents. Overcommitment was associated with increased risk of injury only among the cases (OR 1.58; 95 % CI 1.05-2.39).ConclusionsThe effects of psychosocial work factors on new or recurrent injury risk appear to differ by previous injury experience, suggesting the need for differing preventive strategies in hospital workers.
- Published
- 2015