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International Archives of Occupational and Environmental Health

Erschienen in:

01.10.2015 | Original Article

Self-rated health amongst male and female employees in Sweden: a nationally representative study

verfasst von: Marina Taloyan, Constanze Leineweber, Martin Hyde, Hugo Westerlund

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 7/2015

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Abstract

Purpose

Self-rated health (SRH) is a well-established measure within social epidemiology. However, most studies on SRH tend to be amongst the general population, where SRH has been found to be lower in women than in men. Few studies have specifically investigated patterns of SRH just within an employed population. The purpose of this study was to (1) investigate whether there are gender differences in reporting suboptimal SRH in an employed Swedish population and (2) study whether these differences could be explained by socio-economic, work-, health- and/or lifestyle-related factors.

Methods

This study is cross-sectional analysis of data from the 2008 wave of Swedish Longitudinal Occupational Survey of Health, a nationally representative cohort of the Swedish working population. This study includes the responses of 9,756 employed individuals. Logistic regression analyses were performed.

Results

After adjusting for age, income and working hours (full vs. part time), men had significantly higher odds of suboptimal SRH than women OR 1.38 (95 % CI 1.22–1.55). With stepwise inclusion of health factors such as long-standing disease, sleep quality and fatigue, the OR for men increased to 1.65 (95 % CI 1.44–1.89). Gender differences in reporting suboptimal SRH were attenuated to 1.29 (95 % CI 1.11–1.51) with the inclusion of lifestyle factors. However, they remained significant after inclusion of all explanatory variables.

Conclusions

In contrast to findings in general population studies, our results show that men in employment have higher odds of suboptimal SRH than their female counterparts. As SRH is an important indicator of health with a strong association with mortality, an excess risk of suboptimal SRH amongst employed men shows that more attention should be paid to men’s health in the workplace.

Ahmad K, Jafar TH et al (2005) Self-rated health in Pakistan: results of a national health survey. BMC public health 5:51CrossRef

Akerstedt T, Knutsson A et al (2002) Sleep disturbances, work stress and work hours: a cross-sectional study. J Psychosom Res 53(3):741–748CrossRef

Akerstedt T, Ingre M et al (2008) Disturbed sleep in shift workers, day workers, and insomniacs. Chronobiol Int 25(2):333–348CrossRef

Alexopoulos EC, Geitona M (2009) Self-rated health: inequalities and potential determinants. Int J Environ Res Public Health 6(9):2456–2469CrossRef

Bailis DS, Segall A et al (2003) Two views of self-rated general health status. Soc Sci Med 56(2):203–217CrossRef

Benyamini Y, Idler EL (1999) Community studies reporting association between self-rated health and mortality: additional studies, 1995 to 1999. Res Aging 21(3):392–401CrossRef

Benyamini Y, Leventhal EA et al (2000) Gender differences in processing information for making self-assessments of health. Psychosom Med 62(3):354–364CrossRef

Benyamini Y, Blumstein T et al (2003) Gender differences in the self-rated health-mortality association: is it poor self-rated health that predicts mortality of excellent self-rated health that predicts survival? Gerontologist 43(3):396–405 discussion 372–395CrossRef

Bogstrand ST, Normann PT et al (2011) Prevalence of alcohol and other substances of abuse among injured patients in a Norwegian emergency department. Drug Alcohol Depend 117(2–3):132–138CrossRef

Darviri C, Artemiadis AK et al (2011) Lifestyle and self-rated health: a cross-sectional study of 3,601 citizens of Athens, Greece. BMC public health 11:619CrossRef

Denton M, Walters V (1999) Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Soc Sci Med 48(9):1221–1235CrossRef

Evans J, Frank B et al (2011) Health, illness, men and masculinities (HIMM): a theoretical framework for understanding men and their health. J Men’s Health 8(1):7–15CrossRef

Fransson EI, Heikkila K et al (2012) Job strain as a risk factor for leisure-time physical inactivity: an individual-participant meta-analysis of up to 170,000 men and women: The IPD-Work Consortium. Am J Epidemiol

Ghali JK, Krause-Steinrauf HJ et al (2003) Gender differences in advanced heart failure: insights from the BEST study. J Am Coll Cardiol 42(12):2128–2134CrossRef

Heikkila K, Nyberg ST et al (2012a) Job strain and alcohol intake: a collaborative meta-analysis of individual-participant data from 140,000 men and women. PLoS One 7(7):e40101CrossRef

Heikkila K, Nyberg ST et al (2012b) Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies. PLoS One 7(7):e35463CrossRef

Idler EL, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 38(1):21–37CrossRef

Johnson JV, Hall EM et al (1989) Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. Scand J Work Environ Health 15(4):271–279CrossRef

Jurges H, Avendano M et al (2008) Are different measures of self-rated health comparable? An assessment in five European countries. Eur J Epidemiol 23(12):773–781CrossRef

Jylha M, Guralnik JM et al (1998) Is self-rated health comparable across cultures and genders? J gerontol Ser B Psychol sci soc sci 53(3):S144–S152CrossRef

Karasek R, Theorell T (1990) Healthy work—stress, productivity and the reconstruction of working life. Basic Books, New York

Kasmel A, Helasoja V et al (2004) Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health 14(1):32–36CrossRef

Kecklund G, Åkerstedt T (1992) The psychometric properties of the Karolinska sleep questionnaire. J Sleep Res 1(Suppl 1):113

Kivimaki M, Nyberg ST et al (2012) Job strain as a risk factor for coronary heart disease: a collaborative meta-analysis of individual participant data. Lancet 380(9852):1491–1497CrossRef

Kunst AE, Bos V et al (2005) Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol 34(2):295–305CrossRef

Leineweber C, Westerlund H et al (2012) Sickness presenteeism is more than an alternative to sickness absence: results from the population-based SLOSH study. Int Arch Occup Environ Health 85(8):905–914CrossRef

Magnusson Hanson LL, Theorell T et al (2008) Demand, control and social climate as predictors of emotional exhaustion symptoms in working Swedish men and women. Scand J Public Health 36(7):737–743CrossRef

Marmot M, Wilkinson RG (2001) Psychosocial and material pathways in the relation between income and health: a response to Lynch et al. BMJ 322(7296):1233–1236CrossRef

Maslach C, Jackson SE et al (1996) Maslach burnout inventory manual. Consulting Psychologists Press Inc, Palo Alto

McFadden E, Luben R et al (2008) Social inequalities in self-rated health by age: cross-sectional study of 22,457 middle-aged men and women. BMC public health 8:230CrossRef

McFadden E, Luben R et al (2009) Self-rated health does not explain the socioeconomic differential in mortality: a prospective study in the EPIC-Norfolk cohort. J Epidemiol Community Health 63(4):329–331CrossRef

Miething A (2013) The relevance of objective and subjective social position for self-rated health: a combined approach for the Swedish context. Soc Indic Res 111(1):161–173CrossRef

Miyakawa M, Magnusson Hanson LL et al (2012) Subjective social status: its determinants and association with health in the Swedish working population (the SLOSH study). Eur J Public Health 22(4):593–597CrossRef

Nolte E, McKee M (2004) Changing health inequalities in east and west Germany since unification. Soc Sci Med 58(1):119–136CrossRef

Okosun IS, Seale JP et al (2005) Poor health is associated with episodic heavy alcohol use: evidence from a National Survey. Public health 119(6):509–517CrossRef

Oksuzyan A, Crimmins E et al (2010) Cross-national comparison of sex differences in health and mortality in Denmark, Japan and the US. Eur J Epidemiol 25(7):471–480CrossRef

Statistics S (2012) The occupational structure in Sweden 2010—occupational statistics based on the Swedish occupational register

Statistics S (2012) Workforce survey in 15–74 years old sample, original data

Sweden S (2012) Workforce surveys in 15–74 year old sample, original data

Unden AL, Elofsson S et al (2008) Gender differences in self-rated health, quality of life, quality of care, and metabolic control in patients with diabetes. Gend Med 5(2):162–180CrossRef

von Bonsdorff MB, Seitsamo J et al (2012) Job strain among blue-collar and white-collar employees as a determinant of total mortality: a 28-year population-based follow-up. BMJ open 2(2):e000860

Westerlund H, Alexanderson K et al (2008) Work-related sleep disturbances and sickness absence in the Swedish population 1993-1999. Sleep

Wu Y, Zhang D et al (2012) Gender-specific patterns in age-related decline in general health among Danish and Chinese: a cross-national comparative study. Geriatr gerontol int 12(3):431–439CrossRef

Titel: Self-rated health amongst male and female employees in Sweden: a nationally representative study
verfasst von: Marina Taloyan
Constanze Leineweber
Martin Hyde
Hugo Westerlund
Publikationsdatum: 01.10.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 7/2015
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-014-1014-x

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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