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Psychosocial work exposures among European employees: explanations for occupational inequalities in mental health.
J Public Health (Oxf) 2015; 37(3):373-88JP

Abstract

BACKGROUND

Social inequalities in mental health have been demonstrated but understanding the mechanisms remains unclear. This study aims at exploring the role of psychosocial work factors in explaining occupational inequalities in mental health among European employees.

METHODS

The study sample covered 33,443 employees coming from the European Working Conditions Survey 2010. Mental health was measured by the WHO-5 well-being index and socioeconomic position by occupation. Twenty-five psychosocial work factors were constructed including job demands, job influence and development, role stressors, social support, quality of leadership, discrimination, violence at work, working hours, job promotion, job insecurity and work-life imbalance. Multilevel linear regressions and bootstrap analyses were performed.

RESULTS

Occupational differences were observed for poor mental health and almost all psychosocial work factors. Factors related to job demands, influence and development at work, social relationships and leadership, working hours and other factors contributed to explain the occupational inequalities in mental health. In particular, factors related to influence and development contributed substantially. Among men, workplace violences were found to contribute little whereas among women these factors did not play a role.

CONCLUSIONS

Future prevention interventions should have a broad and comprehensive focus in order to reduce social inequalities in mental health.

Authors+Show Affiliations

INSERM, U1018, CESP Centre for Research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Villejuif, France Univ Paris-Sud, UMRS 1018, Villejuif, France Université de Versailles St-Quentin, UMRS 1018, Villejuif, France.INSERM, U1018, CESP Centre for Research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Villejuif, France Univ Paris-Sud, UMRS 1018, Villejuif, France Université de Versailles St-Quentin, UMRS 1018, Villejuif, France.European Foundation for the Improvement of Living and Working Conditions, Dublin, Ireland.European Foundation for the Improvement of Living and Working Conditions, Dublin, Ireland.INSERM, U1018, CESP Centre for Research in Epidemiology and Population Health, Epidemiology of Occupational and Social Determinants of Health Team, Villejuif, France Univ Paris-Sud, UMRS 1018, Villejuif, France Université de Versailles St-Quentin, UMRS 1018, Villejuif, France European Foundation for the Improvement of Living and Working Conditions, Dublin, Ireland.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25911619

Citation

Schütte, Stefanie, et al. "Psychosocial Work Exposures Among European Employees: Explanations for Occupational Inequalities in Mental Health." Journal of Public Health (Oxford, England), vol. 37, no. 3, 2015, pp. 373-88.
Schütte S, Chastang JF, Parent-Thirion A, et al. Psychosocial work exposures among European employees: explanations for occupational inequalities in mental health. J Public Health (Oxf). 2015;37(3):373-88.
Schütte, S., Chastang, J. F., Parent-Thirion, A., Vermeylen, G., & Niedhammer, I. (2015). Psychosocial work exposures among European employees: explanations for occupational inequalities in mental health. Journal of Public Health (Oxford, England), 37(3), pp. 373-88. doi:10.1093/pubmed/fdv044.
Schütte S, et al. Psychosocial Work Exposures Among European Employees: Explanations for Occupational Inequalities in Mental Health. J Public Health (Oxf). 2015;37(3):373-88. PubMed PMID: 25911619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial work exposures among European employees: explanations for occupational inequalities in mental health. AU - Schütte,Stefanie, AU - Chastang,Jean-François, AU - Parent-Thirion,Agnès, AU - Vermeylen,Greet, AU - Niedhammer,Isabelle, Y1 - 2015/04/23/ PY - 2015/4/26/entrez PY - 2015/4/26/pubmed PY - 2016/5/28/medline KW - occupational inequalities in mental health KW - psychosocial work factors KW - working conditions survey SP - 373 EP - 88 JF - Journal of public health (Oxford, England) JO - J Public Health (Oxf) VL - 37 IS - 3 N2 - BACKGROUND: Social inequalities in mental health have been demonstrated but understanding the mechanisms remains unclear. This study aims at exploring the role of psychosocial work factors in explaining occupational inequalities in mental health among European employees. METHODS: The study sample covered 33,443 employees coming from the European Working Conditions Survey 2010. Mental health was measured by the WHO-5 well-being index and socioeconomic position by occupation. Twenty-five psychosocial work factors were constructed including job demands, job influence and development, role stressors, social support, quality of leadership, discrimination, violence at work, working hours, job promotion, job insecurity and work-life imbalance. Multilevel linear regressions and bootstrap analyses were performed. RESULTS: Occupational differences were observed for poor mental health and almost all psychosocial work factors. Factors related to job demands, influence and development at work, social relationships and leadership, working hours and other factors contributed to explain the occupational inequalities in mental health. In particular, factors related to influence and development contributed substantially. Among men, workplace violences were found to contribute little whereas among women these factors did not play a role. CONCLUSIONS: Future prevention interventions should have a broad and comprehensive focus in order to reduce social inequalities in mental health. SN - 1741-3850 UR - https://www.unboundmedicine.com/medline/citation/25911619/Psychosocial_work_exposures_among_European_employees:_explanations_for_occupational_inequalities_in_mental_health_ L2 - https://academic.oup.com/jpubhealth/article-lookup/doi/10.1093/pubmed/fdv044 DB - PRIME DP - Unbound Medicine ER -