Neighbourhood socioeconomic status, health and working conditions of school teachers.
OBJECTIVE
To investigate the associations of workplace neighbourhood socioeconomic status with health behaviours, health and working conditions among school teachers.


METHODS
The survey responses and employer records of 1862 teachers were linked to census data on school neighbourhood socioeconomic status. In the multilevel analysis, adjustments were made for demographics, work factors and the socioeconomic status of the teacher's own residential area.


METHODS
226 public schools in Finland.


RESULTS
Teachers working in schools from neighbourhoods with the lowest socioeconomic status reported heavy alcohol consumption (OR 2.25; 95% CI 1.32 to 3.83) and higher probability of doctor-diagnosed mental disorders (OR 1.47; 95% CI 1.02 to 2.12) more often than teachers working in schools located in the wealthiest neighbourhoods. After controlling for the socioeconomic status of the teacher's own residential area, only heavy alcohol consumption remained statistically significant. Teachers working in schools with lower socioeconomic status also reported lower frequency of workplace meetings, lower participation in occupational training, lower teaching efficacy and higher mental workload.


CONCLUSIONS
School neighbourhood socioeconomic status is associated with working conditions and health of school teachers. The association with health is partially explained by the socioeconomic status of the teachers' own residential neighbourhoods. An independent association was found between low socioeconomic status of school neighbourhoods and heavy alcohol use among teachers.
Virtanen
Marianna
M
Finnish Institute of Occupational Health, Department of Psychology, Topeliuksenkatu 41 aA, FIN-00250 Helsinki, Finland. marianna.virtanen@ttl.fi
Kivimäki
Mika
M
Elovainio
Marko
M
Linna
Anne
A
Pentti
Jaana
J
Vahtera
Jussi
J
D000328:Adult; D017677:Age Distribution; D000428:Alcohol Drinking / Q000453:epidemiology*; D002908:Chronic Disease; D005178:Faculty; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011361:Professional Competence; D011593:Psychology, Social; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D016526:Workload; D017132:Workplace