Unfair exchange and health: Social bases of stress-related diseases

Siegrist, Johannes

doi:10.1057/sth.2009.17

Cited by 24 publications

(12 citation statements)

References 47 publications

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“…Five additional reports from cohort studies concern significant associations of ERI with depression as disease outcome which is now considered an established cardiovascular risk factor. In these studies elevated depression risks of exposed people varied between 1.4 and 3.6 [24,25]. In the British Whitehall II study, an elevated risk of type 2 diabetes, a further established cardiovascular risk factor, was observed in men, but not in women [26].…”

Section: Discussionmentioning

confidence: 99%

Effort-reward imbalance at work and cardiovascular diseases

Siegrist¹

2010

International Journal of Occupational Medicine and Environmental Health

Self Cite

129

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Working conditions and employment arrangements make a significant contribution to the burden of cardiovascular disease, in particular in modern societies where mental and emotional demands and threats are becoming widespread. Occupational research has identified health-adverse features of modern work with the help of theoretical models. One such model, effort-reward imbalance, has been developed by this author and his group and has been widely tested in epidemiological and experimental studies. The model claims that stressful experience at work is elicited by a lack of reciprocity between efforts spent at work and rewards received in return, where rewards include money, promotion prospects, job security, and esteem. Results demonstrate elevated risks of coronary heart disease among employees exposed to effort-reward imbalance. Moreover, in ambulatory and experimental investigations, elevated heart rate and blood pressure and altered secretion of stress hormones were observed under these conditions. Although additional scientific evidence is needed, available findings call for practical measures towards improving quality of work, most importantly at the level of single companies and organisations. This conclusion is supported by first results from intervention studies that are guided by this theoretical approach. In view of the burden of cardiovascular disease attributable to unfavourable working conditions, such efforts are well justified and need to be extended in order to promote healthy work.

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Section: Discussionmentioning

confidence: 99%

Effort-reward imbalance at work and cardiovascular diseases

Siegrist¹

2010

International Journal of Occupational Medicine and Environmental Health

Self Cite

129

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“…Advocates of a psychosocial approach insist that a credible explanation of health inequalities must incorporate 'psychosocial risk factors' like social support, work autonomy, and what Seigrist (2009) refers to as the balance between efforts and rewards (within and without the workplace). It is an orientation that accents the ramifications of social inequality for how people see, define and evaluate themselves and their projects.…”

Section: Psychosocialmentioning

confidence: 99%

Health inequalities

Scambler¹

2011

Sociology Health & Illness

103

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The evidence bearing on the nature and extent of health inequalities documented globally and in the UK is addressed, twin foci within the UK being (a) associations between socioeconomic classification and health and longevity, and (b) the notion of a 'social gradient'. A consideration of the various 'models' that have been developed by sociologists and their alliesmost conspicuously social epidemiologists -to account for (a) and (b) is offered, drawing on government-sponsored commissions and reviews as well as the peer-reviewed literature. This is followed by a portrayal of specifically sociological theories of health inequalities, featuring those that hold social structures as well as cultural shifts in convention and behaviour to be causally efficacious for health inequalities. The summary and conclusions of the review incorporate an outline of pertinent questions the sociological community has so far been reluctant to address and an agenda for future research.

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“…Zudem wurde aus einer Itembatterie mit insgesamt 12 unterschiedlichen Beschwerden das Item ‚psychische Beschwerden' ausgewählt (5-stufiges Item von ‚keine' bis ‚sehr starke Beschwerden'). Da Gratifikationskrisen in der Erwerbsarbeit auch mit erhöhten kardiovaskulären Risiken assoziiert waren [23], wurde zudem Bluthochdruck als dritter gesundheitlicher Outcome mit folgender Frage erhoben: "Ist bei Ihnen jemals von ärztlicher Seite Bluthochdruck festgestellt worden?" (Antwortkategorien: ‚ja' bzw.…”

Section: Gesundheitunclassified

Gratifikationskrisen in der Haus- und Familienarbeit – Teststatistische Prüfung des Fragebogens an Vätern mit minderjährigen Kindern

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Barre

Otto

2016

Psychother Psych Med

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Recently, the concept of effort-reward imbalance (ERI) developed by Siegrist had been applied to unpaid household and family work (ERI-HF). Evidence suggests that the imbalance between effort spent and reward received in family and domestic labor is associated with poor mental and physical health. However, so far, the adopted questionnaire ERI-HF was exclusively used among women in childcare responsibility. This paper reports on the application of the model to men in childcare responsibility using data from a clinical sample of fathers in rehabilitation clinics (N=415). Analogous to the original version, ERI-HF is divided into 2 components: (i) dysbalance of effort and reward, and (ii) overcommitment. For both components, confirmatory factor analyses revealed good to satisfactory properties. Overall, 13.4% of men in childcare responsibility showed a dysbalance between high effort and low reward of household and family work. High levels of effort were more frequently reported than high levels of low reward. With percentages ranging between 24.3 and 59.6%, a significant proportion of fathers reported difficulties to withdraw from household and family work obligations. Analyses of construct validity revealed significant associations between ERI and socio-demographic factors (number of children, employment status, single fatherhood, work-family-conflict) as well as subjective health. Taken together, our findings suggest that the instrument is applicable to men in childcare responsibility.

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Unfair exchange and health: Social bases of stress-related diseases

Cited by 24 publications

References 47 publications

Effort-reward imbalance at work and cardiovascular diseases

Effort-reward imbalance at work and cardiovascular diseases

Health inequalities

Gratifikationskrisen in der Haus- und Familienarbeit – Teststatistische Prüfung des Fragebogens an Vätern mit minderjährigen Kindern

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