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Work stress and health: Is the association moderated by sense of coherence?
Stockholm University, Faculty of Social Sciences, Department of Sociology.
2007 (English)In: Health Inequalities and Welfare Resources: Continuity and Change in Sweden / [ed] Johan Fritzell and Olle Lundberg, Bristol: Policy Press, 2007, 87-107 p.Chapter in book (Other academic)
Place, publisher, year, edition, pages
Bristol: Policy Press, 2007. 87-107 p.
Series
Health & society series
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:su:diva-24489ISBN: 1-86134-757-X (print)OAI: oai:DiVA.org:su-24489DiVA: diva2:197647
Available from: 2007-10-18 Created: 2007-10-10 Last updated: 2013-07-08Bibliographically approved
In thesis
1. Work-Related Inequalities in Health: Studies of income, work environment, and sense of coherence
Open this publication in new window or tab >>Work-Related Inequalities in Health: Studies of income, work environment, and sense of coherence
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Ill health is unevenly distributed across different groups in society, with the disadvantaged groups displaying higher rates of ill health than the more advantaged groups. The aim of the thesis is to study work-related inequalities in health, and to focus on how income, aspects of the physical and psychosocial work environment, and sense of coherence, individually or jointly, generate inequalities in a number of health outcomes in the Swedish working population. The studies are based on survey data and national registers during the period 1990-2003.

For cardiovascular disease (CVD) prevalence and mortality, the impact of income was stronger than that of work environment factors. The psychosocial work environment (women and men) and income (men only) were associated with psychological distress. Income (women) and the psychosocial work environment (men) were associated with musculoskeletal pain. Thus, both income and work environment are important in generating health inequalities in the working population.

A strong sense of coherence (SOC) moderated the effect of physical demands on musculoskeletal pain in both genders. SOC moderates, yet not consistently, the impact of adverse working conditions on psychological distress and musculoskeletal pain. Hence, the results do not fully support the hypothesis that sense of coherence is a global health-protective factor. However, differential vulnerability in terms of the strength of SOC contributed to work-related inequalities in health.

The risk of stroke was higher for women and men in occupations with low job control than for those with high job control. The risk of intracerebral hemorrhage was highest in women in low job-control occupations, while low job control did not significantly increase the risk of brain infarction in women. Job control was related to mortality from stroke in women, but not in men. The effect of job control on stroke mortality in women was consistent in all classes except for upper non-manuals.

Place, publisher, year, edition, pages
Stockholm: Nätverkscentrum för forskning om ojämlikhet i hälsa (CHESS), (tills med KI), 2007. 95 p.
Series
Health Equity Studies, ISSN 1651-5390 ; 9
Keyword
Sweden, socioeconomic inequalities, income, work environment, sense of coherence, cardiovascular disease, stroke, mental health, musculoskeletal disorder
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:su:diva-7107 (URN)978-91-7155-464-2 (ISBN)
Public defence
2007-11-09, Nordenskiöldsalen, Geovetenskapens hus, Svante Arrhenius väg 8 C, Stockholm, 10:00
Opponent
Supervisors
Available from: 2007-10-18 Created: 2007-10-10Bibliographically approved
2. Working Conditions, Income Differences, and Sense of Coherence in Relation to Ill Health
Open this publication in new window or tab >>Working Conditions, Income Differences, and Sense of Coherence in Relation to Ill Health
2006 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

The licentiate thesis explored the relationship between working conditions and wage income, and the relationship between working conditions and sense of coherence in relation to ill health, focusing on cardiovascular disease, musculoskeletal pain, and psychological distress among the working population in Sweden. The studies were based on cross-sectional and longitudinal survey data (ULF and LNU), and on the Swedish census (FoB90) linked to the national cause of death registry. The samples included employed men and women residing in Sweden, aged 18-64.

The main results show that working conditions contributed to income differences in CVD prevalence as well as CVD mortality irrespective of study design or way of assessing working conditions. Further, sense of coherence moderated, yet not consistently, the impact of working conditions on musculoskeletal pain and psychological distress. The moderating role seemed to vary by work exposure, gender and health outcome. Hence, the results do not support the hypothesis that sense of coherence is a global health-protective factor.

The findings stress that future research into working conditions and employees’ health would benefit from including income in the analyses since wages are closely related to working conditions and to people’s position on the labour market. In addition, focusing on individual resources such as sense of coherence increases our undertanding of how individual differences in coping with adverse working conditions may affect health. Since the results also revealed considerable gender differences, suggesting that the factors that determine future work-related health are different for men and women, it is important to study men and women separately.

Place, publisher, year, edition, pages
Stockholm: Centrum för forskning om ojämlikhet i hälsa (CHESS), 2006. 34 p.
Keyword
working conditions, income, sense of coherence
National Category
Sociology
Identifiers
urn:nbn:se:su:diva-1010 (URN)91-7155-260-X (ISBN)
Supervisors
Available from: 2006-04-28 Created: 2006-04-28 Last updated: 2013-07-08Bibliographically approved

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