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Evaluation of job stress models for predicting health at work
Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Behavioural Sciences and Learning, Learning in Working Life and Educational Settings. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Behavioural Sciences and Learning, Work and Working Life.
Linköping University, HELIX Vinn Excellence Centre. Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-8031-7651
2011 (English)In: WORK: A Journal of Prevention, Assessment and Rehabilitation, ISSN 1051-9815, Vol. 40, no 2, 229-237 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: Few workplace health promotion (WHP) interventions are designed to improve work conditions. Methods for measurement of work conditions are often developed from a risk factor perspective rather than a WHP perspective. More knowledge is needed on the work conditions that promote health in order to develop a good work environment. The purpose of the present study was to investigate if the Demand Control Support model, the Effort Reward Imbalance model and the Job Characteristic Inventory are correlated, if the subscales predict health and to analyze which combination of subscales is the most useful predictor of health longitudinally. <br> <br>Participants: The study used questionnaire data from 662 civil servants at baseline and at follow-up 2 years later. <br> <br>Method: The data were analysed by multiple regressions. <br> <br>Results: A new model; effort, reward, and variety, was found having a higher predictive power to predict health than the original models. <br> <br>Conclusions: To promote health at work, social relations and health-mediating work conditions are important because these conditions may buffer health. Health can be assumed to be a resource that is created in everyday activities and interactions in workplaces, and there is a need to develop health measure instruments based on holistic health theories.

Place, publisher, year, edition, pages
IOS Press , 2011. Vol. 40, no 2, 229-237 p.
Keyword [en]
Work conditions, job stress models, health, workplace health promotion
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-57254DOI: 10.3233/WOR-2011-1223ISI: 000294446900012OAI: diva2:324388
Available from: 2010-06-15 Created: 2010-06-15 Last updated: 2013-09-03
In thesis
1. Psychosocial Work Conditions and Aspects of Health
Open this publication in new window or tab >>Psychosocial Work Conditions and Aspects of Health
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Today’s working life has led to new requirements and conditions at the workplace, and additional factors may be of importance for employees’ health. Most earlier research has taken place in stable organizations, and has not taken changes in organizations into account. The way in which psychosocial work conditions affect employees’ health and well-being has been the topic of several studies but mental ill health is still one of the most common causes of sick leave in Sweden. Little attention is given to the importance of the workplace and organizational context for employees’ health. The overall aim of this thesis is to investigate how different aspects of health are associated with psychosocial work conditions in today’s working life.

This thesis comprises two empirical studies. The first study is a longitudinal study, based on questionnaire data from 1010 employees at the Swedish Labour Market Administration. The second study is designed as a prospective cohort study, based on questionnaire data from 8430 employees in ten organizations, participating in the LOHP project. Linear and logistic regressions were performed to investigate associations between psychosocial work conditions and different aspects of health. Multilevel analysis was performed in one paper.

The main findings in Paper I are that traditional job stress models are better for predicting ill health than good health. Different psychosocial work conditions may however, be useful for measuring different aspects of health, depending on whether the purpose is to prevent ill health or to promote health. In Paper II, psychosocial work conditions and symptoms of burnout were found to differ between different hierarchical levels, and different psychosocial work conditions were associated with symptoms of burnout at different hieratical levels. Paper III showed that psychosocial work conditions predict voluntary job mobility, and this may be due to two forces for job mobility: job dissatisfaction and career development. In Paper IV, a strong association between high work ability and better performance was found. Clear goals and expectations may result in improved psychosocial work conditions and work ability, which in turn affects employees’ performance.

This thesis has provided knowledge regarding different aspects of health and psychosocial work conditions. Conditions at the organizational and workplace level set the prerequisites for if and how employees use their resources and their ability to act. Access to resources and the capacity to use them may vary depending on the employees’ hierarchal position. Occupational health research needs to focus on differences in psychosocial work conditions at different hierarchical levels. Organizations with clear goals and expectations may create more favourable conditions at work, supporting employees’ room for manoeuver, social capital and their ability to cope with working life, hence promoting health. Health promotion has a holistic approach and considers the work environment, the individual and the interplay between them. However, most health interventions at workplaces are directed to employees’ health behaviour rather than improvements in organizational and work conditions. To develop a good work environment it is necessary to identify conditions at work that promote different aspects of health. These conditions need to be tackled at the organizational, workplace and individual level, as good health is shaped by the interplay between the employee and the conditions for work.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2013. 52 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1366
National Category
Medical and Health Sciences
urn:nbn:se:liu:diva-95578 (URN)978-91-7519-599-5 (print) (ISBN)
Public defence
2013-08-30, Aulan, Hälsans Hus, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Available from: 2013-07-09 Created: 2013-07-09 Last updated: 2013-09-03Bibliographically approved

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Reineholm, CathrineGustavsson, MariaEkberg, Kerstin
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