Clustering of job strain, effort−reward imbalance, and organizational injustice and the risk of work
                    disability: a cohort study

Juvani, Anne; Oksanen, Tuula; Virtanen, Marianna; Salo, Paula; Pentti, Jaana; Kivimäki, Mika; Vahtera, Jussi

doi:10.5271/sjweh.3736

Cited by 51 publications

(42 citation statements)

References 39 publications

(92 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because work-related stressors tend to cluster in the same individuals [11], we also created a summary variable indicating the number of work-related stressors (job strain, effort-reward imbalance, work time control, or organizational injustice) the participants were exposed to. The participants were categorized into having had "0," "1," or "2 or more" work-related stressors before retirement.…”

Section: Assessment Of Moderators: Work-related Stressorsmentioning

confidence: 99%

“…However, we are not aware of previous studies on, for example, relief from work-related stressors and changes in sleep loss due to worry during the transition to retirement. Finally, to the best of our knowledge, no previous studies have examined whether changes in sleep depend on whether a person is exposed to multiple different work-related stressors, although this would allow to estimate whether a dose-response relationship exists for the work stress-sleep change association [11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does removal of work stress explain improved sleep following retirement? The Finnish Retirement and Aging study

Myllyntausta

Salo

Kronholm

et al. 2019

Sleep

Self Cite

View full text Add to dashboard Cite

Study Objectives Relief from work stress has been hypothesized to explain improvements in sleep duration and quality following retirement, but this has not been confirmed with longitudinal studies. By using repeat sleep data, we examined the role of removal of work-related stressors in changes in sleep at retirement. Methods The study population consisted of 2,053 participants from the Finnish Retirement and Aging study. Participants’ sleep duration, sleep difficulties (difficulties falling asleep, difficulties maintaining sleep, waking up too early in the morning, nonrestorative sleep), daytime tiredness, and sleep loss due to worry were assessed using surveys conducted once a year before and after retirement (average number of repeat surveys 3.5 [range 2–5] per participant). We used Poisson regression with generalized estimating equations to examine the associations between work-related stressors (job strain, low work time control, effort–reward imbalance, and organizational injustice) and changes in sleep at retirement. Results An increase in sleep duration and decrease in waking up too early in the morning, nonrestorative sleep, daytime tiredness, and sleep loss due to worry were observed shortly after retirement. No systematic associations across the work-related stressors and changes in sleep characteristics were observed. Higher number of work-related stressors before retirement was not associated with a greater magnitude of favorable changes in any of the postretirement sleep characteristics investigated. Conclusions This longitudinal study suggests that perceived sleep improves shortly after retirement and that these changes are mainly driven by factors other than relief from work stress.

show abstract

Section: Assessment Of Moderators: Work-related Stressorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does removal of work stress explain improved sleep following retirement? The Finnish Retirement and Aging study

Myllyntausta

Salo

Kronholm

et al. 2019

Sleep

Self Cite

View full text Add to dashboard Cite

show abstract

“…The studied cohort was limited to public-sector employees in a Scandinavian welfare state. The sex distribution of our study participants (80% women) is the same as in our source population (the Finnish Public Sector cohort) [55] and the whole public sector, with few men in the most common occupations, such as teachers, registered nurses, and practical nurses. No data on workplace adjustments before or after the surgery were available.…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

Are patient-related pre-operative factors influencing return to work after total knee arthroplasty

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background: Osteoarthritis is one of the leading causes of disability in working-age patients. The total number of working-age patients undergoing total-knee arthroplasty (TKA) is continuously increasing. The purpose of this study was to identify predictive factors related to general health, health risk behaviors and socioeconomic status influencing the rate of return to work after a TKA. Methods: Overall there were 151,901 patients included in the Finnish Public Sector (FPS) study. The response rate varied between 65 and 73% during the study period. We used Cox proportional hazard models to examine patient-related predictive factors that may influence the rate of return to work after TKA in a cohort of patients (n = 452; n = 362 female; mean age 56.4 years). Predictive factors were measured on average 3.6 years before the operation. Results: Of the patients, 87% returned to work within one year after TKA at a mean of 116 calendar days. In multivariate analysis, patients at sick-leave ≤30 days during the last year before surgery were 2.2 times (95% confidence interval 1.72-2.92) more likely to return to work compared with those with N30 days of sick-leave. Compared with patients in manual work, those in higher or lower level non-manual work showed a 2.6-fold (1.95-3.52) and 1.5-fold (1.15-1.92) increased probability of returning to work. Age, sex, health risk behaviors, obesity, physical comorbidities, common mental disorders, and other studied health-related factors were not associated with the rate of return to work. Conclusions: Non-manual job, good self-rated general health and preoperative sick leave ≤30 days are associated with a higher rate of return to work.

show abstract

“…In Finland, the two largest categories of the causes of permanent WD are musculoskeletal disorders and mental and behavioural disorders (Social Insurance Institution of Finland 2019; Official Statistics 2018). Also, problems with sleep (Haaramo et al 2012), constant stress (Juvani et al 2018), exhaustion (Ahola et al 2009), and attitudes towards work ability (Kinnunen and Nätti 2018) have predicted SA and/or WD in earlier studies. It seems that using a questionnaire for self-rating of relevant symptoms is a valid way to identify individuals at risk of WD, as the HRs were relatively high in our study.…”

Section: Discussionmentioning

confidence: 91%

Self-reported health problems in a health risk appraisal predict permanent work disability: a prospective cohort study of 22,023 employees from different sectors in Finland with up to 6-year follow-up

Pihlajamäki

Uitti

Arola

et al. 2019

Int Arch Occup Environ Health

View full text Add to dashboard Cite

Purpose Work disability (WD) as a medico-legal concept refers to disability benefits (DB) that are granted due to diseases that permanently reduce work ability. We studied whether an occupational healthcare instrument for the prediction of sickness absence (SA) risk-a health risk appraisal (HRA)-also predicts permanent WD. Methods HRA results were combined with registry data on DB of 22,023 employees from different industry sectors. We analysed how the HRA risk categories predict DB and considered occupational group, gender, age, and prior SA as confounding variables. Cumulative incidence function illustrates the difference between the HRA risk categories, and the Fine-Gray model estimates the predictors of WD during 6-year follow-up. Results The most common primary reasons for permanent WD were musculoskeletal (39%) and mental disorders (21%). Self-reported health problems in the HRA, labelled as "WD risk factors", predicted DB when controlling for age and prior SA. Hazard ratios were 10.9 or over with the lower limit of the 95% confidence interval 3.3 or over among those with two simultaneous WD risk factors. 14% of the females and 17% of the males with three or more simultaneous WD risk factors had received a DB, whereas the respective figures among those without findings were 1.9% and 0.3%. Conclusions Self-reported health problems in the HRA, especially multiple simultaneous WD risk factors, predict permanent WD among both genders across occupational groups. Screening WD risk with a self-administered questionnaire is a potential means for identifying high-risk employees for targeting occupational healthcare actions.

show abstract

Clustering of job strain, effort−reward imbalance, and organizational injustice and the risk of work disability: a cohort study

Cited by 51 publications

References 39 publications

Does removal of work stress explain improved sleep following retirement? The Finnish Retirement and Aging study

Does removal of work stress explain improved sleep following retirement? The Finnish Retirement and Aging study

Are patient-related pre-operative factors influencing return to work after total knee arthroplasty

Self-reported health problems in a health risk appraisal predict permanent work disability: a prospective cohort study of 22,023 employees from different sectors in Finland with up to 6-year follow-up

Contact Info

Product

Resources

About