Distribution of Effort-Reward Imbalance in Denmark and Its Prospective Association With a Decline in Self-Rated Health

Objective: To analyze the distribution of effort-reward imbalance (ERI) and investigate its impact on self-rated health in a representative sample of the Dan workforce. Methods: We studied 4977 employees who responded to a questionn in 2000, of which 3470 responded to a follow-up survey in 2005. Res...

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Bibliographic Details
Published in:Journal of occupational and environmental medicine 2009-08, Vol.51 (8), p.870-878
Main Authors: Rugulies, Reiner, Aust, Birgit, Siegrist, Johannes, von dem Knesebeck, Olaf, Bültmann, Ute, Bjorner, Jakob B., Burr, Hermann
Format: Article
Language:English
Subjects:
Biological and medical sciences
Denmark
Employment
Fundamental and applied biological sciences. Psychology
Health Behavior
Health Status
Humans
Medical sciences
Miscellaneous
Occupational Exposure
Occupational health
Occupational medicine
Occupational psychology
ORIGINAL ARTICLES
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Public health. Hygiene-occupational medicine
Questionnaires
Reward
Risk factors
Self Disclosure
Studies
Surveys and Questionnaires
Work condition. Job performance. Stress
Workforce
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Summary:Objective: To analyze the distribution of effort-reward imbalance (ERI) and investigate its impact on self-rated health in a representative sample of the Dan workforce. Methods: We studied 4977 employees who responded to a questionn in 2000, of which 3470 responded to a follow-up survey in 2005. Results: The highest (ie, most unfavorable) ERI ratio was found in executives in the public sector, social workers, managing clerks in the public sector, and medical secretaries. A one standard deviation increase of the ERI ratio predicted a 12% (95% confidence intervals = 1.01 to 1.24) decline in self-rated health after adjustmen for all covariates. Conclusions: This is the first study that identified job groups with a high exposure to ERI in a representative sample of a national workforce. ERI was a risk factor for a decline in self-rated health.
ISSN:1076-2752
1536-5948
DOI:10.1097/JOM.0b013e3181a9086c