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Effort--reward imbalance and medically certified absence for mental health problems: a prospective study of white-collar workers.
Occup Environ Med. 2014 Jan; 71(1):40-7.OE

Abstract

OBJECTIVE

Little is known about the effects of psychosocial work factors on objectively assessed mental health problems leading to medically certified absence. Only one study has evaluated the prospective effects of effort-reward imbalance (ERI) at work with regards to this outcome. The present study aimed to evaluate the effects of ERI on the incidence of medically certified absence for mental health problems.

METHODS

The study included 2086 white-collar workers (63.3% women) employed in public organisations in Quebec city. Participants were followed over a 9-year period. Medical absences from work were collected from employers' files and psychosocial factors were measured using the ERI questionnaire. Cox regression models were used to estimate the incidence of certified sickness absence due to mental health problems that lasted 5 workdays or more, while controlling for confounders.

RESULTS

Workers exposed to ERI had a higher risk of a first spell of medically certified absence for mental health problems (HR=1.38, 95% CI 1.08 to 1.76) compared with unexposed workers. Low reward was significantly associated with a high risk among men (HR=2.80, 95% CI 1.34 to 5.89) but not in women. (HR=1.24, 95% CI 0.90 to 1.73). Effort at work had no effect on certified absence. All these effects were adjusted for potential confounders.

CONCLUSIONS

ERI and low reward at work were prospectively associated with medically certified absence for mental health problems. These effects seem to differ by gender. Primary prevention that is aimed at reducing these stressors should be considered to help reduce the incidence of such severe mental health problems.

Authors+Show Affiliations

Groupe interdisciplinaire de recherche sur l'organisation et la santé au travail (GIROST), Québec, Québec, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

24174636

Citation

Ndjaboué, R, et al. "Effort--reward Imbalance and Medically Certified Absence for Mental Health Problems: a Prospective Study of White-collar Workers." Occupational and Environmental Medicine, vol. 71, no. 1, 2014, pp. 40-7.
Ndjaboué R, Brisson C, Vézina M, et al. Effort--reward imbalance and medically certified absence for mental health problems: a prospective study of white-collar workers. Occup Environ Med. 2014;71(1):40-7.
Ndjaboué, R., Brisson, C., Vézina, M., Blanchette, C., & Bourbonnais, R. (2014). Effort--reward imbalance and medically certified absence for mental health problems: a prospective study of white-collar workers. Occupational and Environmental Medicine, 71(1), 40-7. https://doi.org/10.1136/oemed-2013-101375
Ndjaboué R, et al. Effort--reward Imbalance and Medically Certified Absence for Mental Health Problems: a Prospective Study of White-collar Workers. Occup Environ Med. 2014;71(1):40-7. PubMed PMID: 24174636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effort--reward imbalance and medically certified absence for mental health problems: a prospective study of white-collar workers. AU - Ndjaboué,R, AU - Brisson,C, AU - Vézina,M, AU - Blanchette,C, AU - Bourbonnais,R, Y1 - 2013/10/30/ PY - 2013/11/1/entrez PY - 2013/11/1/pubmed PY - 2014/2/4/medline SP - 40 EP - 7 JF - Occupational and environmental medicine JO - Occup Environ Med VL - 71 IS - 1 N2 - OBJECTIVE: Little is known about the effects of psychosocial work factors on objectively assessed mental health problems leading to medically certified absence. Only one study has evaluated the prospective effects of effort-reward imbalance (ERI) at work with regards to this outcome. The present study aimed to evaluate the effects of ERI on the incidence of medically certified absence for mental health problems. METHODS: The study included 2086 white-collar workers (63.3% women) employed in public organisations in Quebec city. Participants were followed over a 9-year period. Medical absences from work were collected from employers' files and psychosocial factors were measured using the ERI questionnaire. Cox regression models were used to estimate the incidence of certified sickness absence due to mental health problems that lasted 5 workdays or more, while controlling for confounders. RESULTS: Workers exposed to ERI had a higher risk of a first spell of medically certified absence for mental health problems (HR=1.38, 95% CI 1.08 to 1.76) compared with unexposed workers. Low reward was significantly associated with a high risk among men (HR=2.80, 95% CI 1.34 to 5.89) but not in women. (HR=1.24, 95% CI 0.90 to 1.73). Effort at work had no effect on certified absence. All these effects were adjusted for potential confounders. CONCLUSIONS: ERI and low reward at work were prospectively associated with medically certified absence for mental health problems. These effects seem to differ by gender. Primary prevention that is aimed at reducing these stressors should be considered to help reduce the incidence of such severe mental health problems. SN - 1470-7926 UR - https://www.unboundmedicine.com/medline/citation/24174636/Effort__reward_imbalance_and_medically_certified_absence_for_mental_health_problems:_a_prospective_study_of_white_collar_workers_ L2 - http://oem.bmj.com/cgi/pmidlookup?view=long&pmid=24174636 DB - PRIME DP - Unbound Medicine ER -