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Work-Related Inequalities in Health: Studies of income, work environment, and sense of coherence
Stockholm University, Faculty of Social Sciences, Department of Sociology.
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 [en]
Sweden, socioeconomic inequalities, income, work environment, sense of coherence, cardiovascular disease, stroke, mental health, musculoskeletal disorder
National Category
Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-7107ISBN: 978-91-7155-464-2 (print)OAI: oai:DiVA.org:su-7107DiVA: diva2:197650
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
List of papers
1. Income differences in cardiovascular disease: Is the contribution from work similar in prevalence versus mortality outcomes?
Open this publication in new window or tab >>Income differences in cardiovascular disease: Is the contribution from work similar in prevalence versus mortality outcomes?
2006 In: International Journal of Behavioral Medicine, Vol. 13, no 1, 89-100 p.Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-24487 (URN)
Note
Part of urn:nbn:se:su:diva-7107Available from: 2007-10-18 Created: 2007-10-10Bibliographically approved
2. Work stress and wages in relation to psychological distress and musculoskeletal pain: Results from the Swedish Level of Living Survey
Open this publication in new window or tab >>Work stress and wages in relation to psychological distress and musculoskeletal pain: Results from the Swedish Level of Living Survey
Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:su:diva-24488 (URN)
Note
Part of urn:nbn:se:su:diva-7107Available from: 2007-10-18 Created: 2007-10-10Bibliographically approved
3. Work stress and health: Is the association moderated by sense of coherence?
Open this publication in new window or tab >>Work stress and health: Is the association moderated by sense of coherence?
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
Series
Health & society series
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:su:diva-24489 (URN)1-86134-757-X (ISBN)
Available from: 2007-10-18 Created: 2007-10-10 Last updated: 2013-07-08Bibliographically approved
4. Job control and risk of incident stroke in the working population in Sweden
Open this publication in new window or tab >>Job control and risk of incident stroke in the working population in Sweden
2008 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, Vol. 34, no 1, 40-47 p.Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-24490 (URN)000255142800005 ()
Note
Part of urn:nbn:se:su:diva-7107Available from: 2007-10-18 Created: 2007-10-10 Last updated: 2010-01-17Bibliographically approved
5. Is the impact of job control on stroke independent from socioeconomic status? A large-scale study of the Swedish working population
Open this publication in new window or tab >>Is the impact of job control on stroke independent from socioeconomic status? A large-scale study of the Swedish working population
In: StrokeArticle in journal (Refereed) Accepted
Identifiers
urn:nbn:se:su:diva-24491 (URN)
Note
Part of urn:nbn:se:su:diva-7107Available from: 2007-10-18 Created: 2007-10-10Bibliographically approved

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Citation style
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