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Cross-cultural validity of the demand-control questionnaire: Swedish and Brazilian workers
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2014 (English)In: Revista de Saude Publica, ISSN 0034-8910, E-ISSN 1518-8787, Vol. 48, no 3, 486-496 p.Article in journal (Refereed) Published
Abstract [en]


To evaluate the cross-cultural validity of the Demand-Control Questionnaire, comparing the original Swedish questionnaire with the Brazilian version.


We compared data from 362 Swedish and 399 Brazilian health workers. Confirmatory and exploratory factor analyses were performed to test structural validity, using the robust weighted least squares mean and variance-adjusted (WLSMV) estimator. Construct validity, using hypotheses testing, was evaluated through the inspection of the mean score distribution of the scale dimensions according to sociodemographic and social support at work variables.


The confirmatory and exploratory factor analyses supported the instrument in three dimensions (for Swedish and Brazilians): psychological demands, skill discretion and decision authority. The best-fit model was achieved by including an error correlation between work fast and work intensely (psychological demands) and removing the item repetitive work (skill discretion). Hypotheses testing showed that workers with university degree had higher scores on skill discretion and decision authority and those with high levels of Social Support at Work had lower scores on psychological demands and higher scores on decision authority.


The results supported the equivalent dimensional structures across the two culturally different work contexts. Skill discretion and decision authority formed two distinct dimensions and the item repetitive work should be removed.

Place, publisher, year, edition, pages
2014. Vol. 48, no 3, 486-496 p.
Keyword [en]
Questionnaires, Working Conditions, Stress, Psychological, Cross-Cultural Comparison, Validation Studies, Factor analysis, Statistical
National Category
Other Social Sciences
URN: urn:nbn:se:su:diva-107066DOI: 10.1590/S0034-8910.2014048005126ISI: 000341778900013Local ID: P-3164OAI: diva2:743006
Available from: 2014-09-03 Created: 2014-09-03 Last updated: 2014-10-16Bibliographically approved

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Fritzell, JohanToivanen, SusannaWesterlund, Hugo
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Centre for Health Equity Studies (CHESS)Aging Research Center (ARC), (together with KI)Stress Research Institute
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