title: [Psychosocial stress environment and health workers in public health: Differences between primary and hospital care].
abstract: OBJECTIVE
  To describe the psychosocial environment of health professionals in public health in primary and hospital care, and compare it with that of the general Spanish working population, as well as to evaluate the effect of psychosocial risk factors on symptoms related to perceived stress.
  
  
  METHODS
  Cross-sectional study with stratified random sampling.
  
  
  METHODS
  Health care workers in the province of Granada, distributed in 5 hospitals and 4 health districts.
  
  
  METHODS
  A total of 738 employees (medical and nursing staff) of the Andalusian Health Service (SAS) were invited to take part.
  
  
  METHODS
  CopSoQ/Istas21 questionnaire developed for the multidimensional analysis of the psychosocial work environment. Stress symptoms were measured with the Stress Profile questionnaire.
  
  
  RESULTS
  The response rate was 67.5%. Compared with the Spanish workforce, our sample showed high cognitive, emotional, and sensory psychological demands, possibilities for development and sense of direction in their work. Primary care physicians were the group with a worse psychosocial work environment. All the groups studied showed high levels of stress symptoms. Multivariate analysis showed that variables associated with high levels of stress symptom were younger and with possibilities for social relations, role conflict, and higher emotional demands, and insecurity at work.
  
  
  CONCLUSIONS
  Our findings support that the psychosocial work environment of health workers differs from that of the Spanish working population, being more unfavorable in general practitioners.
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad de Málaga, Málaga, España. Electronic address: antoniogr@uma.es.
authors.forename: Antonio
authors.initials: A
authors.lastname: García-Rodríguez
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad de Málaga, Málaga, España.
authors.forename: Mario
authors.initials: M
authors.lastname: Gutiérrez-Bedmar
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad de Málaga, Málaga, España; Centro de Salud El Palo, Distrito Sanitario de Atención Primaria Málaga-Guadalhorce, Servicio Andaluz de Salud (SAS), Red de Investigación en Actividades Preventivas y de Promoción de la Salud (redIAPP), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España.
authors.forename: Juan Ángel
authors.initials: JÁ
authors.lastname: Bellón-Saameño
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad de Málaga, Málaga, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Muñoz-Bravo
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad de Málaga, Málaga, España; Servicio de Medicina Preventiva, Hospital Virgen de la Victoria, Málaga, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Fernández-Crehuet Navajas
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D009784:Occupational Diseases / Q000453:epidemiology*; D011320:Primary Health Care; D011634:Public Health; D013315:Stress, Psychological / Q000453:epidemiology*
keywords: Atención primaria; Estrés; Occupational health; Primary health care; Salud laboral; Stress