[A theory-based study on psychosocial workload as an instrument of health promotion in a hospital].
Starting with theory-based assessment of workload as experienced by employees of a hospital we aim at facilitating measures of health promotion. Using the effort-reward-imbalance model of psychosocial stress we look for differences in stress experience as related to objective work stressors and for associations of stress experience and subjective health. Two assessments (in 2000 and in 2002) showed pronounced differences in stress experience between professional groups and between points in time, which were both related to differences in objective workload. The expected associations between psychosocial stress and subjective health (assessed only in 2002) could be demonstrated consistently. As was shown by logistic regression analysis the risk for reduced subjective health was roughly 4 times higher for those in the upper tertile of the effort-reward-imbalance index as compared to all others when controlling for age, sex and professional group. Sources of psychosocial workload could be identified which are modifiable by measures of health promotion.
Siegrist
K
K
Hans-Prinzhorn-Klinik, Westfälische klinik für Psychiatrie und Psychotherapie, Hemer. karin.siegrist@wkp-lwl.org
Rödel
A
A
Siegrist
J
J
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005858:Germany; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009790:Occupations; D010564:Personnel, Hospital / Q000523:psychology; D012307:Risk Factors; D012737:Sex Factors; D013315:Stress, Psychological; D016526:Workload