title: [Economic restructuring and impacts on health and mental distress: the case of a state-owned bank in Minas Gerais State, Brazil].
abstract: Restructuring of the Brazilian financial sector was consolidated through the combination of mass lay-offs, automation, and outsourcing, in addition to business re-engineering with leveling of hierarchical echelons, labor casualization, and multi-function jobs. In order to comply and deal with the new demands, bank employees had to increase their schooling, become multi-functional and expert sales attendants, and submit to substandard conditions in the workplace, increased workload, overtime, and low wages. The purpose of the current study was to examine the restructuring process in a state-owned bank in Minas Gerais State, Brazil, and its impacts on workers' health. The study also analyzes absenteeism rates from 1998 to 2003, when there was an increase in diseases such as repetitive stress injury (RSI)/work-related musculoskeletal disorders (WRMD) and mental/behavioral disorders, accounting for 56% and 19% of sick leaves. The process has continued to the present, with a restrictive recruitment policy. Further study is needed to confirm the results.
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Avenida Prof. Alfredo Balena 190, Belo Horizonte, MG 30130, Brazil. luizsergios@yahoo.com.br
authors.forename: Luiz Sérgio
authors.initials: LS
authors.lastname: Silva
authors.forename: Tarcísio Márcio Magalhães
authors.initials: TM
authors.lastname: Pinheiro
authors.forename: Emília
authors.initials: E
authors.lastname: Sakurai
mesh_terms: D000041:Absenteeism; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D012090:Cumulative Trauma Disorders / Q000453:epidemiology / Q000523:psychology; D006804:Ergonomics / Q000523:psychology*; D006801:Humans; D008603:Mental Health / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology; D016272:Occupational Health / Q000706:statistics & numerical data*; D015995:Prevalence; D018582:Sick Leave / Q000706:statistics & numerical data*; D013315:Stress, Psychological / Q000453:epidemiology*; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000523:psychology
vernacular_title: Reestruturação produtiva, impactos na saúde e sofrimento mental: o caso de um banco estatal em Minas Gerais, Brasil.