1. Work Stress and Health in Western European and Post-Communist Countries: an East-West Comparison Study
- Author
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Sofia Malyutina, Mária Kopp, Nico Dragano, Andrzej Pajak, Gyöngyvér Salavecz, M. Marmot, Hynek Pikhart, Tarani Chandola, Raimund Erbel, Ruzena Kubinova, Johannes Siegrist, Karl-Heinz Jöckel, Martin Bobak, Institute of Behavioral Sciences, Semmelweis University, Department of Epidemiology and Public Health, Imperial College London, Department of Medical Sociology, Heinrich-Heine-University, Duesseldorf, Institute for Medical Informatics, Biometry and Epidemiology, University Duisburg-Essen, Clinic of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Department of Epidemiology and Population Studies, Jagiellonian University, Institute of Internal Medicine, Russian Academy of Medical Sciences, Centre for Environmental Health, National Institue of Public Health, and Institute of Behavioral Sciences, Faculty of Medicine, Semmelweis University
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Adult ,Cross-Cultural Comparison ,Male ,medicine.medical_specialty ,Work ,Epidemiology ,Cross-sectional study ,Health Status ,Medizin ,Occupational safety and health ,Article ,self-rated health ,effort-reward imbalance ,03 medical and health sciences ,0302 clinical medicine ,PSYCHOLOGICAL STRESS ,Surveys and Questionnaires ,Medicine ,Humans ,030212 general & internal medicine ,Occupational Health ,Self-rated health ,OCCUPATIONAL STRESS ,030505 public health ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Odds ratio ,Middle Aged ,work stress ,Cross-cultural studies ,3. Good health ,Europe ,Occupational Diseases ,Cross-Sectional Studies ,Female ,psychosocial stress ,PSYCHOSOCIAL FACTORS ,0305 other medical science ,business ,Psychosocial ,Stress, Psychological ,Demography - Abstract
BACKGROUND: There is evidence that psychosocial factors at work influence the risk of poor health in Western societies, but little is known about the effect of work stress in the former communist countries. The aim of this paper is to compare the association of work stress with self-rated health in Western European and post-communist countries. METHODS: Data from four epidemiological studies were used: the HAPIEE study (Poland, Russia and the Czech Republic), the Hungarian Epidemiological Panel (Hungary), the Heinz Nixdorf Recall study (Germany) and the Whitehall II study (UK). The overall sample consisted of 18 494 male and female workers aged 35-65 years. RESULTS: High effort-reward imbalance at work was associated with poor self-rated health. The adjusted odds ratios for the highest versus lowest quartile of the effort-reward ratio were 3.8 (95% CI 1.9 to 7.7) in Hungary, 3.6 (95% CI 2.3 to 5.7) in the Czech Republic, 2.5 (95% CI 1.5 to 4.1) in the UK, 2.3 (95% CI 1.6 to 3.5) in Germany, 1.5 (95% CI 1.0 to 2.1) in Poland and 1.4 (95% CI 1.1 to 1.8) in Russia. The differences in odds ratios between countries were statistically significant (p
- Published
- 2009
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