Distribution of Effort-Reward Imbalance in Denmark and Its Prospective Association With a Decline in Self-Rated Health

作者：Rugulies Reiner^*; Aust Birgit; Siegrist Johannes; von dem Knesebeck Olaf; Bultmann Ute; Bjorner Jakob B; Burr Hermann

来源：Journal of Occupational and Environmental Medicine, 2009, 51(8): 870-878.

DOI：10.1097/JOM.0b013e3181a9086c

Objective: To analyze the distribution of effort-reward imbalance (ERI) and to investigate its impact on self-rated health in a representative sample of the Danish workforce. Methods: We studied 4977 employees who responded to a questionnaire in 2000, of which 3470 responded to a follow-up survey in 2005. Results: The highest (ie, most unfavorable) ERI ratio was found in executives in the public sector, social workers, managing clerks in the public sector, and medical secretaries. A one standard deviation increase of the ERI ratio predicted a 12% (95% confidence intervals = 1.01 to 1.24) decline in self-rated health after adjustment for all covariates. Conclusions: This is the first study that identified job groups with a high exposure to ERI in a representative sample of a national workforce. ERI was a risk factor for a decline in self-rated health: (J Occup Environ Med. 2009;51:870-878)

• 出版日期2009-8