期刊论文详细信息
BMC Public Health
Workplace gender composition and psychological distress: the importance of the psychosocial work environment
Anne Hammarström1  Klara Johansson1  Sofia Elwér1 
[1] Department of Public Health and Clinical Medicine, Umeå University, SE90187, Umeå, Sweden
关键词: Gender segregation;    Psychosocial work environment;    Psychological distress;    Gender;    Gender composition;    Workplace;   
Others  :  1132196
DOI  :  10.1186/1471-2458-14-241
 received in 2013-06-12, accepted in 2014-03-03,  发布年份 2014
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【 摘 要 】

Background

Health consequences of the gender segregated labour market have previously been demonstrated in the light of gender composition of occupations and workplaces, with somewhat mixed results. Associations between the gender composition and health status have been suggested to be shaped by the psychosocial work environment. The present study aims to analyse how workplace gender composition is related to psychological distress and to explore the importance of the psychosocial work environment for psychological distress at workplaces with different gender compositions.

Methods

The study population consisted of participants from the Northern Swedish Cohort with a registered workplace in 2007 when the participants were 42 years old (N = 795). Questionnaire data were supplemented with register data on the gender composition of the participants’ workplaces divided into three groups: workplaces with more women, mixed workplaces, and workplaces with more men. Associations between psychological distress and gender composition were analysed with multivariate logistic regression analysis adjusting for socioeconomic position, previous psychological distress, psychosocial work environment factors and gender. Logistic regression analyses (including interaction terms for gender composition and each work environment factor) were also used to assess differential associations between psychosocial work factor and psychological distress according to gender composition.

Results

Working at workplaces with a mixed gender composition was related to a higher likelihood of psychological distress compared to workplaces with more men, after adjustments for socioeconomic position, psychological distress at age 21, psychosocial work environment factors and gender. Psychosocial work environment factors did not explain the association between gender composition and psychological distress.

Conclusions

The association between gender composition and psychological distress cannot be explained by differences in the perception of the psychosocial work environment and thus the work environment hypothesis is not supported. Workplaces with a mixed gender composition needs further research attention to explain the negative development of psychological distress during working life for both women and men at these workplaces.

【 授权许可】

   
2014 Elwér et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Messing K, Östlin P: Gender equality, work and health: A review of the evidence. In. Geneva: World Health Organisation; 2006.
  • [2]Statistics Sweden: Women and men in Sweden. Örebro: SCB-tryck; 2010.
  • [3]Connell R: Glass ceiling or gendered institutions? Mapping the gender regimes of public sector worksites. Public Adm Rev 2006, 66(6):837-849.
  • [4]Evans O, Steptoe A: The contribution of gender-role orientation, work factors and home stressors to psychological well-being and sickness absence in male- and female-dominated occupational groups. Soc Sci Med 2002, 54:481-492.
  • [5]Hall EM: Gender, work control, and stress: a theoretical discussion and an empirical test. Int J Health Serv 1989, 19(4):725-745.
  • [6]Savikko A, Lanne M, Spak F, Hensing G: No higher risk of problem drinking or mental illness for women in male-dominated occupations. Subst Use Misuse 2008, 43(8–9):1151-1169.
  • [7]Bryngelson A, Bacchus Hertzman J, Fritzell J: The relationship between gender segregation in the workplace and long-term sickness absence in Sweden. Scand J Public Health 2011, 39(6):618-626.
  • [8]Hensing G, Alexanderson K: The association between sex segregation, working conditions, and sickness absence among employed women. Occup Environ Med 2004, 61(2):e7.
  • [9]Svedberg P, Bildt C, Lindelöw M, Alexanderson K: Self-reported health among employees in relation to sex segregation at work sites. J Occup Health 2009, 51(3):223-231.
  • [10]Jonsson R, Lidwall U, Holmgren K: Does unbalanced gender composition at the work place influence the association between psychosocial working conditions and sickness absence? Work 2013, 46(1):59-66.
  • [11]The Swedish Social Insurance Agency: Sick leave diagnosis in different occupations [In Swedish: Sjukskrivningsdiagnoser i olika yrken]. Social Insurance Report 2011:17In: http://www.forsakringskassan.se/wps/wcm/connect/a8df6885-8608-42b9-9483-9e910f88077e/socialforsakringsrapport_2011_17.pdf?MOD=AJPERES webcite
  • [12]Hunt K, Emslie C: Men's work, women's work? Occupational sex ratios and health. In Women, Stress and Heart Disease. edn. Edited by Orth-Gomér K, Chesney M, Wenger NK. Mahwah, NJ: Lawrence Erlbaum Associates; 1998:87-107.
  • [13]Kanter RM: Men and women of the corporation. New York: Basic Books; 1977.
  • [14]Mastekaasa A: Sickness absence in female- and male-dominated occupations and workplaces. Soc Sci Med 2005, 60(10):2261-2272.
  • [15]Fergusson DM, Horwood LJ, Ridder EM, Beautrais AL: Subthreshold depression in adolescence and mental health outcomes in adulthood. Arch Gen Psychiatry 2005, 62(1):66-72.
  • [16]Fichter MM, Kohlboeck G, Quadflieg N, Wyschkon A, Esser G: From childhood to adult age: 18-year longitudinal results and prediction of the course of mental disorders in the community. Soc Psychiatry Psychiatr Epidemiol 2009, 44(9):792-803.
  • [17]Jonsson U, Bohman H, von Knorring L, Olsson G, Paaren A, von Knorring AL: Mental health outcome of long-term and episodic adolescent depression: 15-year follow-up of a community sample. J Affect Disord 2011, 130(3):395-404.
  • [18]Karasek RA, Theorell T: Healthy work: Stress, productivity and reconstruction of working life. New York: Basic Books; 1990.
  • [19]de Lange AH, Taris TW, Kompier MA, Houtman IL, Bongers PM: The very best of the millennium”: longitudinal research and the demand-control-(support) model. J Occup Health Psychol 2003, 8(4):282-305.
  • [20]Van der Doef M, Maes S: The Job Demand-Control (-Support) model and psychological well-being: a review of 20 years of empirical research. Work Stress 1999, 13(2):87-114.
  • [21]Kivimäki M, Nyberg ST, Batty GD, Fransson EI, Heikkilä K, Alfredsson L, Bjorner JB, Borritz M, Burr H, Casini A, Clays E, De Bacquer D, Dragano N, Ferrie JE, Geuskens GA, Goldberg M, Hamer M, Hooftman WE, Houtman IL, Joensuu M, Jokela M, Kittel F, Knutsson A, Koskenvuo M, Koskinen A, Kouvonen A, Kumari M, Madsen IE, Marmot MG, Nielsen ML, et al.: Job strain as a risk factor for coronary heart disease: a collaborative meta-analysis of individual participant data. Lancet 2012, 380(9852):1491-1497.
  • [22]Beehr TA, Farmer SJ, Glazer S, Gudanowski DM, Nair VN: The enigma of social support and occupational stress: source congruence and gender role effects. J Occup Health Psychol 2003, 8(3):220-231.
  • [23]Gadinger MC, Fischer JE, Schneider S, Terris DD, Kruckeberg K, Yamamoto S, Frank G, Kromm W: Gender moderates the health-effects of job strain in managers. Int Arch Occup Environ Health 2010, 83(5):531-541.
  • [24]Connell RW: Gender. Cambridge: Polity Press; 2002.
  • [25]Pearlin LI: The sociological study of stress. J Health Soc Behav 1989, 30(3):241-256.
  • [26]Elwér S, Aléx L, Hammarström A: Health against the odds: experiences of employees in elder care from a gender perspective. Qual Health Res 2010, 20(9):1202-1212.
  • [27]Jahoda M: Employment and unemployment: A social psychological analysis. New York: Cambridge University Press; 1982.
  • [28]Janlert U, Hammarström A: Which theory is best? Explanatory models of the relationship between unemployment and health. BMC Public Health 2009, 9:235. BioMed Central Full Text
  • [29]Statistics Sweden: Women and men in Sweden. Örebro: SCB-tryck; 2012.
  • [30]Hammarström A, Janlert U: Cohort Profile: The Northern Swedish Cohort. Int J Epidemiol 2012, 41(6):1545-1552.
  • [31]Hammarström A: Youth unemployment and ill-health (In Swedish). Karolinska Institute: Stockholm; 1986.
  • [32]Landsbergis P, Theorell T, Schwartz J, Greiner BA, Krause N: Measurement of psychosocial workplace exposure variables. Occup Med 2000, 15(1):163-188.
  • [33]Sweden S: Swedish survey of living conditions. In. Statistics Sweden: Stockholm; 1980.
  • [34]Ringbäck Weitoft G, Rosen M: Is perceived nervousness and anxiety a predictor of premature mortality and severe morbidity? A longitudinal follow up of the Swedish survey of living conditions. J Epidemiol Community Health 2005, 59(9):794-798.
  • [35]Artazcoz L, Borrell C, Cortes I, Escriba-Aguir V, Cascant L: Occupational epidemiology and work related inequalities in health: a gender perspective for two complementary approaches to work and health research. J Epidemiol Community Health 2007, 61(Suppl 2):ii39-ii45.
  • [36]Statistics Sweden: Socioekonomisk indelning (SEI) [Swedish socioeconomic classification]. In Meddelanden i samordningsfrågor. 1982:4 edition. Stockholm: Statistics Sweden; 1982.
  • [37]Härenstam A, Karlqvist L, Bodin L, Nise G, Scheele P: The Moa Research Group: Patterns of working and living conditions: a holistic, multivariate approach to occupational health studies. Work Stress 2003, 17(1):73-92.
  • [38]Elwér S, Harryson L, Bolin M, Hammarström A: Patterns of gender equality at workplaces and psychological distress. PloS one 2013, 8(1):e53246.
  • [39]Messing K, Stock SR, Tissot F: Should studies of risk factors for musculoskeletal disorders be stratified by gender? Lessons from the 1998 Quebec Health and Social Survey. Scand J Work Environ Health 2009, 35(2):96-112.
  • [40]Waldenström K, Härenstam A: Does the job demand-control model correspond to externally assessed demands and control for both women and men? Scand J Public Health 2008, 36(3):242-249.
  • [41]Elwér S: Gender equality and health experience: Workplace patterns in Northern Sweden. Umeå: Umeå University; 2013.
  • [42]Statistics Sweden: Living Conditions Surveys. 2013. In. http://www.scb.se webcite
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