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Gender and regional differences in perceived job stress across Europe

de Smet, P; Sans, S; Dramaix, M; Boulenguez, C; de Backer, G; Ferrario, M; Cesana, G; Houtman, I; Isacsson, SO and Kittel, F, et al. (2005) In European Journal of Public Health 15(5). p.536-545
Abstract
Background: Over the last 20 years stress at work has been found to be predictive of several conditions such as coronary heart disease, high blood pressure and non- specific sick leave. The Karasek demand/ control/ strain concept has been the most widely used in prospective epidemiological studies. Objectives: To describe distribution in Karasek's demand/ control ( DC) dimensions as well as prevalence of strain in samples from different parts of Europe grouped into three regions ( South, Middle, Sweden), adjusting for occupation. To describe gender differences in Karasek's DC dimensions along with strain prevalence and assess the regional stability of those differences in different occupational groups. Design: The Job stress, Absenteeism... (More)
Background: Over the last 20 years stress at work has been found to be predictive of several conditions such as coronary heart disease, high blood pressure and non- specific sick leave. The Karasek demand/ control/ strain concept has been the most widely used in prospective epidemiological studies. Objectives: To describe distribution in Karasek's demand/ control ( DC) dimensions as well as prevalence of strain in samples from different parts of Europe grouped into three regions ( South, Middle, Sweden), adjusting for occupation. To describe gender differences in Karasek's DC dimensions along with strain prevalence and assess the regional stability of those differences in different occupational groups. Design: The Job stress, Absenteeism and Coronary heart disease in Europe ( JACE) study, a Concerted Action ( Biomed I) of the European Union, is a multicentre prospective cohort epidemiological study: 38,019 subjects at work aged 35 - 59 years were surveyed at baseline. Standardised techniques were used for occupation coding ( International Standardised Classification of Occupations) and for the DC model ( Karasek scale): five items for the psychological demand and nine items for the control or decision latitude dimensions, respectively. Results: A total of 34,972 subjects had a complete data set. There were important regional differences in the Karasek scales and in prevalence of strain even after adjustment for occupational class. Mean demand and control were higher in the Swedish centres when compared to two centres in Milano and Barcelona ( Southern region) and values observed in four centres ( Ghent, Brussels, Lille and Hoofddorp) in Middle Europe were closer to those observed in the Southern cities than to those obtained in the Swedish cities. Clerks ( ISCO 4) and, more specifically, office clerks ( ISCO 41) exhibited the smallest regional variation. In a multivariate model, the factor ` region' explained a small fraction of total variance. In the two Southern centres as well as in the four Middle European centres, men perceived marginally less job- demand as compared to women whereas the reverse was observed in the two Swedish centres. Differences were larger for control: men appeared to perceive more control at work than did women. In a multivariate model, gender explained a small fraction whereas occupational level explained a large fraction of the variance. Conclusions: In this standardised multicentre European study Karasek's DC model showed large gender and occupational differences whereas geographic region explained a small fraction of the total DC variance, notwithstanding large differences in labour market and working conditions as pointed out by the European Commission as recently as 2000. (Less)
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publication status
published
subject
keywords
gender, regional differences, occupation, job stress
in
European Journal of Public Health
volume
15
issue
5
pages
536 - 545
publisher
Oxford University Press
external identifiers
  • wos:000232595200022
  • pmid:16037076
  • scopus:26844454769
ISSN
1101-1262
DOI
10.1093/eurpub/cki028
language
English
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yes
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86848f50-9fdc-4074-91d6-683b45b8a264 (old id 220324)
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2007-08-14 11:05:42
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2017-11-12 03:29:21
@article{86848f50-9fdc-4074-91d6-683b45b8a264,
  abstract     = {Background: Over the last 20 years stress at work has been found to be predictive of several conditions such as coronary heart disease, high blood pressure and non- specific sick leave. The Karasek demand/ control/ strain concept has been the most widely used in prospective epidemiological studies. Objectives: To describe distribution in Karasek's demand/ control ( DC) dimensions as well as prevalence of strain in samples from different parts of Europe grouped into three regions ( South, Middle, Sweden), adjusting for occupation. To describe gender differences in Karasek's DC dimensions along with strain prevalence and assess the regional stability of those differences in different occupational groups. Design: The Job stress, Absenteeism and Coronary heart disease in Europe ( JACE) study, a Concerted Action ( Biomed I) of the European Union, is a multicentre prospective cohort epidemiological study: 38,019 subjects at work aged 35 - 59 years were surveyed at baseline. Standardised techniques were used for occupation coding ( International Standardised Classification of Occupations) and for the DC model ( Karasek scale): five items for the psychological demand and nine items for the control or decision latitude dimensions, respectively. Results: A total of 34,972 subjects had a complete data set. There were important regional differences in the Karasek scales and in prevalence of strain even after adjustment for occupational class. Mean demand and control were higher in the Swedish centres when compared to two centres in Milano and Barcelona ( Southern region) and values observed in four centres ( Ghent, Brussels, Lille and Hoofddorp) in Middle Europe were closer to those observed in the Southern cities than to those obtained in the Swedish cities. Clerks ( ISCO 4) and, more specifically, office clerks ( ISCO 41) exhibited the smallest regional variation. In a multivariate model, the factor ` region' explained a small fraction of total variance. In the two Southern centres as well as in the four Middle European centres, men perceived marginally less job- demand as compared to women whereas the reverse was observed in the two Swedish centres. Differences were larger for control: men appeared to perceive more control at work than did women. In a multivariate model, gender explained a small fraction whereas occupational level explained a large fraction of the variance. Conclusions: In this standardised multicentre European study Karasek's DC model showed large gender and occupational differences whereas geographic region explained a small fraction of the total DC variance, notwithstanding large differences in labour market and working conditions as pointed out by the European Commission as recently as 2000.},
  author       = {de Smet, P and Sans, S and Dramaix, M and Boulenguez, C and de Backer, G and Ferrario, M and Cesana, G and Houtman, I and Isacsson, SO and Kittel, F and Östergren, Per-Olof and Peres, I and Pelfrene, E and Romon, M and Rosengren, A and Wilhelmsen, L and Kornitzer, M},
  issn         = {1101-1262},
  keyword      = {gender,regional differences,occupation,job stress},
  language     = {eng},
  number       = {5},
  pages        = {536--545},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {Gender and regional differences in perceived job stress across Europe},
  url          = {http://dx.doi.org/10.1093/eurpub/cki028},
  volume       = {15},
  year         = {2005},
}