Evaluation of the correlation between effort-reward imbalance and sleep quality among community health workers

Abstract

Background A chronic state of imbalance between effort and reward can affect sleep quality. However, few studies have explored the relationship between variables in the work-related stress (the effort-reward imbalance model, ERI model) and sleep quality in community health workers in mainland China. We investigated the relationship between ERI and sleep quality in community health workers. Methods This cross-sectional study was conducted from September to November 2018 and involved 249 registered doctors and 223 registered nurses. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep problems status of the participants. The ERI questionnaire was administered to evaluate job-related stress. Multivariate logistic regression was performed to evaluate the factors related to sleep quality. Results The ERI ratio of the 472 health workers was 1.17 ± 0.22, and 273 health workers (57.84%) had PSQI scores > 7.There were statistically significant differences in the effort scores, overcommitment scores and ERI ratio between the health workers with and without sleep problems. The ERI ratio was an independent risk factor for sleep quality; sleep quality, race, type of work, shift work,job title, and personal monthly income were related to the ERI ratio among community health workers. Conclusions We found that sleep problems were prevalent, work effort was greater than reward and a positive correlation between effort-reward and sleep quality among community health workers in China. Managers should focus on the factors that influence sleep problems among community health workers, balance the efforts and rewards of work, and reduce the incidence of sleep problems.

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China

“…ERI is one of the more mature tools for evaluating occupational stress. Its content covers job responsibilities, workload, salary, development prospects, social recognition, sustainable job composition, and initiative and has good reliability and validity in previous studies on occupational stress of medical staff [ 37 , 38 ]. In China, occupational health research focused only on civil servants, administrative personnel, and teachers in the past [ 39 , 40 ].…”

Analysis on the relationship between effort-reward imbalance and job satisfaction among family doctors in China: a cross-sectional study

“…A survey carried out in Shanghai demonstrates that 190 (61.7%) family doctors experienced excessive occupational stress [ 11 ]. Similarly, an investigation conducted in in southwestern China showed that 78.39% primary health workers had occupational stress [ 12 ]. Occupational stress also significant impact on staff mental and psychological well-being.…”

“…If an ERR value greater than 1.0 indicated a high level of ERI. The prevalence of ERR value of > 1.0 among worker is widely prevailing, with a prevalence rate from 22.3% to 78.39% [ 12 , 16 , 17 ]. The ERI model is built on an imbalance between effort and reward caused a state of emotional distress from emotional and psycho-physiological stress reactions, which leads to a decrease in job satisfaction [ 18 , 19 ] and an increase in burnout [ 20 – 22 ] and turnover [ 23 ], and subsequently results an enormous variety of adverse health outcomes [ 24 – 30 ].…”

Insomnia Partially Mediates the Relationship of Occupational Stress with Mental Health Among Shift Working Nurses and Midwives in Polish Hospitals

“…Our data, showing that the ratio between effort and reward at work of above the value of 1.0 was present among 97 (82.9%) participants, is consistent with previous research. 43,44 A recent study among doctors and nurses by Deng et al 45 shows that 78.4% had a high ERI ratio and that the sleep quality worsened as the ERI ratio increased.…”