BackgroundWorkers in Primary Health Care are often exposed to stressful conditions
at work. This study investigated the association between adverse
psychosocial work conditions and poor quality of life among Primary
Health Care workers.MethodsThis cross-sectional study included all 797 Primary Health Care workers
of a medium-sized city, Brazil: doctors, nurses, nursing technicians and
nursing assistants, dentists, oral health technicians, and auxiliary
oral hygienists, and community health workers. Data were collected by
interviews. Quality of life was assessed using the WHOQOL-BREF; general
quality of life, as well as the physical, psychological, social and
environmental domains were considered, with scores from 0 to 100. Higher
scores indicate a better quality of life. Poor quality of life was
defined by the lowest quartiles of the WHOQOL score distributions for
each of the domains. Adverse psychosocial work conditions were
investigated by the Effort-Reward Imbalance model. Associations
were verified using multiple logistic regression.ResultsPoor quality of life was observed in 117 (15.4%) workers. Workers with
imbalanced effort-reward (high effort/low reward) had an increased
probability of general poor quality of life (OR = 1.91;
1.07–3.42), and in the physical (OR = 1.62;
1.02–2.66), and environmental (OR = 2.39;
1.37–4.16) domains; those with low effort/low reward demonstrated
a greater probability of poor quality of life in the social domain
(OR = 1.82; 1.00–3.30). Workers with overcommitment at
work had an increased likelihood of poor quality of life in the physical
(OR = 1.55, 1.06–2.26) and environmental
(OR = 1.69; 1.08–2.65) domains. These associations
were independent of individual characteristics, job characteristics,
lifestyle, perception of general health, or psychological and biological
functions.ConclusionsThere is an association between adverse psychosocial work conditions and
poor quality of life among Primary Health Care workers.