Do Sex Differences in the Association between Work Exposure and Health in the Manufacturing Industry Depend on Work Context? Results from the WOLF-Study

Maria Nordin, Malin Bolin

Department of Psychology, Ume? University, Ume?, Sweden.
Department of Social Sciences, Mid Sweden University, Sundsvall, Sweden.

DOI: 10.4236/psych.2014.58101                

Abstract

The aim of this study is to investigate the associations between work exposure such as psychosocial work factors and work posture, and health in men and women with the same type of occupation in the manufacturing industry. Two follow-ups with a follow-up rate of 67% from the WOrk, Lipids and Fibrinogen (WOLF) cohort from the Northern Sweden were used. The database included 1589 men and 286 women, which is representative of the proportions between men and women in the Swedish manufacturing industry. To be able to understand the importance of work context, the participants were categorized according to work tasks (working with things or symbols). Logistic regression was used for interaction analyses between sex and psychosocial work factors (such as demand, control, social support, role conflict, and work-family conflict) as well as physical work factors (such as work posture), and health outcomes (work overcommitment, fatigue, and neck and back pain). The results showed contextually different patterns of sex different associations between psychosocial work factors and health outcomes. For instance, women were at larger risk of ill-health (in the form of work overcommitment) when working with things, whereas men were at larger risk of both work overcommitment and fatigue when working with symbols. Women working with symbols had a larger risk of neck and back pain due to work-family conflict. The health outcome that was most sensitive to the sex different associations was work overcommitment. In conclusion, the work context matters for sex differences in the association between psychosocial work factors and health and since work overcommitment is a predictor of disease, it should be of interest for the Occupational Health Services and personnel departments to survey.

Keywords

Psychosocial Work Factors, Work Overcommitment, Fatigue, Pain, Gender

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Akerstedt, T., Ingre, M., Broman, J. E., & Kecklund, G. (2008). Disturbed Sleep in Shift Workers, Day Workers, and Insomniacs. Chronobiology International, 25, 333-348. http://dx.doi.org/10.1080/07420520802113922
[2]	Akerstedt, T., Kecklund, G., Alfredsson, A., & Selén, J. (2007). Predicting Long-Term Sickness Absence from Sleep and Fatigue. Journal of Sleep Research, 16, 341-345. http://dx.doi.org/10.1111/j.1365-2869.2007.00609.x
[3]	Akerstedt, T., Nordin, M., Alfredsson, L., Westerholm, P., & Kecklund, G. (2012). Predicting Changes in Sleep Complaints from Baseline Values and Changes in Work Demands, Work Control and Work Preoccupation—The WOLF-Project. Sleep Medicine, 13, 73-80. http://dx.doi.org/10.1016/j.sleep.2011.04.015
[4]	Allvin, M., Aronsson, G., Hagstrom, T., Johansson, G., & Lundberg, U. (2011). Work without Boundaries. Psychological Perspectives and the New Working Life. Singapore: Wiley-Blackwell. http://dx.doi.org/10.1002/9781119991236
[5]	Bakker, A. B., Killmer, C. H., Siegrist, J., & Schaufeli, W. B. (2000). Effort-Reward Imbalance and Burnout among Nurses. Journal of Advanced Nursing, 31, 884-891. http://dx.doi.org/10.1046/j.1365-2648.2000.01361.x
[6]	Bekker, M. H. J., Rutte, C. G., & van Rijswijk, K. (2009). Sickness Absence: A Gender-Focused Review. Psychology, Health & Medicine, 14, 405-418. http://dx.doi.org/10.1080/13548500903012830
[7]	Belkic, K. L., Landsbergis, P. A., Schnall, P. L., & Baker, D. (2004). Is Job Strain a Major Source of Cardiovascular Disease Risk? Scandinavian Journal of Work, Environment & Health, 30, 85-128. http://dx.doi.org/10.5271/sjweh.769
[8]	Bildt, C., Backstig, L., & Andersson Hjelm, I.-L. (2006). Work and Health in Gnosjo: A Longitudinal Study. Work, 27, 29-43.
[9]	Burke, R. J. (2002). Work Experiences and Psychological Well-Being of Former Hospital-Based Nurses Now Employed Elsewhere. Psychological Reports, 91, 1059-1064. http://dx.doi.org/10.2466/pr0.2002.91.3f.1059
[10]	Cohen, S., Underwood, L. G., & Gottlieb, B. H. (2000). Social Support Measurement and Intervention. A Guide for Health and Social Scientists. New York: Oxford University Press.
[11]	Dahlberg, R., Karlqvist, L., Bildt, C., & Nykvist, K. (2004). Do Work Technique and Musciloskeletal Symptoms Differ between Men and Women Performing the Same Type of Work Tasks? Applied Ergonomics, 35, 521-529. http://dx.doi.org/10.1016/j.apergo.2004.06.008
[12]	Dragano, N., Ying, H., Moebus, S., Jockel, K.-H., Erbel, R., & Siegrist, J. (2008). Two Models of Job Stress and Depressive Symptoms. Results from a Population-Based Study. Social Psychiatry and Psychiatric Epidemiology, 43, 72-78. http://dx.doi.org/10.1007/s00127-007-0267-z
[13]	Fenlason, K. J., & Beehr, T. A. (1994). Social Support and Occupational Stress: Effects of Talking to Others. Journal of Organizational Behavior, 15, 157-175. http://dx.doi.org/10.1002/job.4030150205
[14]	Forsakringskassan (2011). Sjukskrivningsdiagnoser i olika yrken. Socialforsakringsrapport 2011:17. (Diagnoses for Sick Leave in Different Occupations. The Swedish Social Insurance Agency.)
[15]	Hammig, O., & Bauer, G. F. (2014). Work, Work-Life Conflict and Health in an Industrial Work Environment. Occupational Medicine, 64, 34-38. http://dx.doi.org/10.1093/occmed/kqt127
[16]	Harenstam, A. (1999). MOA-Projektet. Slutrapport 3. Urvalsstrategier, studiegruppen och forskningsprocessen. Stockholm: Rapport frAn Yrkesmedicinska enheten, No. 1999:12.
[17]	Janssen, N., Kant, I. J., Swaen, G. M. H., Janssen, P. P. M., & Schroer, C. A. P. (2003). Fatigue as a Predictor of Sickness Absence: Results from the Maastricht Cohort Study on Fatigue at Work. Occupational and Environmental Medicine, 60, i71-i76.
[18]	Johannessen, H. A., Tynes, T., & Sterud, T. (2013). Effects of Occupational Role Conflict and Emotional Demands on Subsequent Psychological Distress: A 3-Year Follow-Up Study of the General Working Population in Norway. Journal of Occupational and Environmental Medicine, 55, 605-613. http://dx.doi.org/10.1097/JOM.0b013e3182917899
[19]	Johnson, E. O. (2006). Epidemiology of Insomnia: From Adolescence to Old Age. Sleep Medicine Clinics, 1, 305-317. http://dx.doi.org/10.1016/j.jsmc.2006.06.006
[20]	Johnson, J. V., & Hall, E. M. (1988). Job Strain, Work Place Social Support, and Cardiovascular Disease: A Cross-Sectional Study of a Random Sample of the Swedish Working Population. American Journal of Public Health, 78, 1336-1342. http://dx.doi.org/10.2105/AJPH.78.10.1336
[21]	Joksimovic, L., Starke, D., Knesebeck, O. V. D., & Siegrist, J. (2007). Perceived Work Stress, Overcommitment and Self-Reported Musculoskeletal Pain: A Cross-Sectional Investigation. International Journal of Behavioral Medicine, 9, 122-139. http://dx.doi.org/10.1207/S15327558IJBM0902_04
[22]	Karasek, R., & Theorell, T. (1990). Healthy Work: Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books.
[23]	Kasl, S. (1996). The Influence of the Work Environment on Cardiovascular Health: A Historical, Conceptual, and Methodological Perspective. Journal of Occupational Health Psychology, 1, 42-56. http://dx.doi.org/10.1037/1076-8998.1.1.42
[24]	Kines, O., Hannerz, H., Mikkelsen, K. L., & Tüchsen, F. (2007). Industrial Sectors with High Risk of Women’s Hospital-Treated Injuries. American Journal of Industrial Medicine, 50, 13-21. http://dx.doi.org/10.1002/ajim.20408
[25]	Kristensen, T. S. (1996). Job Stress and Cardiovascular Disease: A Theoretic Critical Review. Journal of Occupational Health Psychology, 1, 246-260. http://dx.doi.org/10.1037/1076-8998.1.3.246
[26]	Maslach, C., & Jackson, S. E. (1981). The Measurement of Experienced Burnout. Journal of Organizational Behavior, 2, 99-113. http://dx.doi.org/10.1002/job.4030020205
[27]	Melamed, S., Kushnir, T., & Shirom, A. (1992). Burnout and Risk Factors for Cardiovascular Diseases. Behavioral Medicine, 18, 53-60. http://dx.doi.org/10.1080/08964289.1992.9935172
[28]	Melkas, H., & Anker, R. (2001). Occupational Segregation by Sex in Nordic Countries: An Empirical Investigation. In M. Fetherolf Louthi (Ed.), Women, Gender and Work: What Is Equality and How Do We Get There. Geneva: International Labour Office.
[29]	Messing, K., Punnett, L., Bond, M., Alexanderson, K., Pyle, J., Zahm, S., Wegman, D., Stock, S. R., & de Grosbois, S. (2003). Be the Fairest of Them All: Challenges and Recommendations for the Treatment of Gender in Occupational Health Research. American Journal of Industrial Medicine, 43, 618-629. http://dx.doi.org/10.1002/ajim.10225
[30]	Miller, A. E. J., Mac Dougall, J. D., Tarnopolsky, M. A., & Sale, D. G. (1993). Gender Differences in Strength and Muscle Fiber Characteristics. European Journal of Applied Physiology, 66, 913-917.
[31]	Nordander, C., Ohlsson, K., Akesson, I., Arvidsson, I., Balogh, I., Hansson, G. A., Stromberg, U., Rittner, R., & Skerfving, S. (2013). Exposure-Response Relationships in Work-Related Musculoskeletal Disorders in Elbows and Hands—A Synthesis of Group-Level Data on Exposure and Response Obtained Using Uniform Methods of Data Collection. Applied Ergonomics, 44, 241-253. http://dx.doi.org/10.1016/j.apergo.2012.07.009.
[32]	Nordander, C., Ohlsson, K., Balogh, I., Hansson, G. A., Axmon, A., Persson, R., & Skerfving, S. (2008). Gender Differences in Workers with Identical Repetitive Industrial Tasks: Exposure and Musculoskeletal Disorders. International Archives of Occupational and Environmental Health, 81, 939-947. http://dx.doi.org/10.1007/s00420-007-0286-9
[33]	Norlund, S., Reuterwall, C., Hoog, J., Lindahl, B., Janlert, U., & Slunga Birgander, L. (2010). Burnout, Working Conditions and Gender—Results from Northern Sweden MONICA Study. BMC Public Health, 10, 326. http://dx.doi.org/10.1186/1471-2458-10-326
[34]	Petersen, J. H., Kristensen, T. S., Borg, V., & Bjorner, J. B. (2010). The Second Version of the Copenhagen Psychosocial Questionnaire. Scandinavian Journal of Public Health, 38, 8-24. http://dx.doi.org/10.1177/1403494809349858
[35]	Piko, B. F. (2006). Burnout, Role Conflict, Job Satisfaction and Psychosocial Health among Hungarian Health Care Staff: A Questionnaire Survey. International Journal of Nursing Studies, 43, 311-318. http://dx.doi.org/10.1016/j.ijnurstu.2005.05.003
[36]	Siegrist, J. (1996). Adverse Health Effects of High Effort/Low Reward Conditions. Journal of Occupational Health Psychology, 1, 27-41. http://dx.doi.org/10.1037/1076-8998.1.1.27
[37]	Statistics Sweden (2012). Women and Men in Sweden. Facts and Figures. Orebro: Statistics Sweden.
[38]	Statistics Sweden (2014). Kortperiodisk sysselsattningsstatistik (KS). http://www.scb.se/sv_/Hitta-statistik/Statistik-efter-amne/ Arbetsmarknad/Sysselsattning-forvarvsarbete-och-arbetstider/Kortperiodisk- sysselsattningsstatistik-KS/7823/7830/20533/
[39]	Taiwo, O. A., Cantley, L. F., Slade, M. D., Pollack, K. M., Vegso, S., Fiellin, M. G., & Cullen, M. R. (2008). Sex Differences in Injury Patterns among Workers in Heavy Manufacturing. American Journal of Epidemiology, 169, 161-166. http://dx.doi.org/10.1093/aje/kwn304
[40]	Vaananen, A., Kalimo, R., Toppinen-Tanner, S., Mutanen, P., Peiro, J. M., Kivimaki, M., & Vahtera, J. (2004). Role Clarity, Fairness, and Organizational Climate as Predictors of Sickness Absence. Scandinavian Journal of Public Health, 32, 426-434. http://dx.doi.org/10.1080/14034940410028136
[41]	Vaananen, A., Toppinen-Tanner, S., Kalimo, R., Mutanen, P., Vahtera, J., & Peiro, J. M. (2003). Job Characteristics, Physical and Psychological Symptoms, and Social Support as Antecedents of Sickness Absence among Men and Women in the Private Industrial Sector. Social Science & Medicine, 57, 807-824. http://dx.doi.org/10.1016/S0277-9536(02)00450-1
[42]	Wanous, J. P., Reichers, A. E., & Hudy, M. J. (1997). Overall Job Satisfaction: How Good Are Single-Item Measures? Journal of Applied Pyschology, 82, 247-252. http://dx.doi.org/10.1037/0021-9010.82.2.247
[43]	Widanarko, B., Legg, S., Stevenson, M., Devereux, J., Eng, A., Mannetje, A., Cheng, S., Douwes, J., Ellison-Loschmann, L., McLean, D., & Pearces, N. (2011). Prevalence of Musculoskeletal Symptoms in Relation to Gender, Age, and Occupational/Industrial Group. International Journal of Industrial Ergonomics, 41, 561-572. http://dx.doi.org/10.1016/j.ergon.2011.06.002