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International Archives of Occupational and Environmental Health

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25.09.2020 | Original Article

Physical and psychosocial work factors as explanations for social inequalities in self-rated health

verfasst von: Rasmus Luca Lyager Brønholt, Matilde Bøgelund Hansen, Sabrina Islamoska, Ulla Christensen, Matias Brødsgaard Grynderup, Kirsten Nabe-Nielsen

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2021

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Abstract

Objective

We investigated the contribution of physical and psychosocial work factors to social inequalities in self-rated health (SRH) in a sample of Danish 40 and 50 years old occupationally active women and men.

Methods

In this longitudinal study, the study population consisted of 3338 Danish women and men. Data were collected by postal questionnaires in 2000 (baseline) and 2006 (follow-up). The independent variable, socioeconomic position (SEP), was assessed by the highest achieved educational level at baseline. We conducted gender-stratified parallel multiple mediation analyses. In the mediation analyses, SEP was categorised as SEP I, II, III, VI and V among men. Among women, SEP was dichotomised into SEP I–IV and V. The outcome, SRH, was assessed at baseline and follow-up. A wide range of physical and psychosocial work factors were included as potential mediators.

Results

We found a social gradient in SRH across all levels of SEP among men. Among women, we only found a poorer SRH among those with the lowest SEP. Mediation analyses showed that work factors together accounted for 56% of the social inequalities in SRH among men and 44% among women. In both genders, ergonomic exposures and job insecurity seemed to play the major role for social inequalities in SRH. For women only, we also found noise to contribute to the social inequalities in SRH.

Conclusion

Physical and psychosocial work factors partially explained social inequalities in SRH among both genders. Improvement of the working environment can potentially contribute to the reduction of social inequalities in health.

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Titel: Physical and psychosocial work factors as explanations for social inequalities in self-rated health
verfasst von: Rasmus Luca Lyager Brønholt
Matilde Bøgelund Hansen
Sabrina Islamoska
Ulla Christensen
Matias Brødsgaard Grynderup
Kirsten Nabe-Nielsen
Publikationsdatum: 25.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 2/2021
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-020-01582-x

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Physical and psychosocial work factors as explanations for social inequalities in self-rated health

Abstract

Objective

Methods

Results

Conclusion

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

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