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Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion.

Miranda H, Gore RJ, Boyer J, Nobrega S, Punnett L - ScientificWorldJournal (2015)

Bottom Line: Current working conditions affected younger workers more than older workers.Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides.Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health.

View Article: PubMed Central - PubMed

Affiliation: Department of Work Environment & Center for the Promotion of Health in the New England Workplace (CPH-NEW), University of Massachusetts Lowell, Lowell, MA 01854, USA ; School of Health Sciences, University of Tampere, 33014 Tampere, Finland.

ABSTRACT

Background: Many worksite health promotion programs ignore the potential influence of working conditions on unhealthy behaviors.

Methods: A study of nursing home employees (56% nursing aides) utilized a standardized questionnaire. We analyzed the cross-sectional associations between workplace stressors and obesity, cigarette smoking, and physical inactivity.

Results: Of 1506 respondents, 20% reported exposure to three or more workplace stressors (physical or organizational), such as lifting heavy loads, low decision latitude, low coworker support, regular night work, and physical assault. For each outcome, the prevalence ratio was between 1.5 and 2 for respondents with four or five job stressors. Individuals under age 40 had stronger associations between workplace stressors and smoking and obesity.

Conclusions: Workplace stressors were strongly associated with smoking, obesity, and physical inactivity, even among the lowest-status workers. Current working conditions affected younger workers more than older workers. Although this study is cross-sectional, it has other strengths, including the broad range of work stressors studied. Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides. Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health.

No MeSH data available.


Related in: MedlinePlus

Physical inactivity among U.S. nursing home employees, as a function of number of workplace stressors in the current job, for all participants and by age group: prevalence ratios with 95% confidence intervals for each level above 0 stressors and P value for test of linear trend. Index = sum of workplace stressors: poor coworker support, low decision latitude, employer toleration of discrimination, work-family imbalance, and work at night. Models adjusted for gender, education, and region; adjusted for age only in model of all workers.
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fig3: Physical inactivity among U.S. nursing home employees, as a function of number of workplace stressors in the current job, for all participants and by age group: prevalence ratios with 95% confidence intervals for each level above 0 stressors and P value for test of linear trend. Index = sum of workplace stressors: poor coworker support, low decision latitude, employer toleration of discrimination, work-family imbalance, and work at night. Models adjusted for gender, education, and region; adjusted for age only in model of all workers.

Mentions: Physical inactivity showed the strongest trend with work stressors, of the three outcomes. The associated exposures were low decision latitude, low coworker support, employer tolerance of discrimination in the workplace, work-family imbalance, and night work. Of all workers, 21% reported 3 or more stressors. The risk of being inactive was approximately 2-fold for workers with 3 or more stressors, compared to none; the linear trend was similar for aides alone and varied little between the two age groups (Figure 3).


Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion.

Miranda H, Gore RJ, Boyer J, Nobrega S, Punnett L - ScientificWorldJournal (2015)

Physical inactivity among U.S. nursing home employees, as a function of number of workplace stressors in the current job, for all participants and by age group: prevalence ratios with 95% confidence intervals for each level above 0 stressors and P value for test of linear trend. Index = sum of workplace stressors: poor coworker support, low decision latitude, employer toleration of discrimination, work-family imbalance, and work at night. Models adjusted for gender, education, and region; adjusted for age only in model of all workers.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4561990&req=5

fig3: Physical inactivity among U.S. nursing home employees, as a function of number of workplace stressors in the current job, for all participants and by age group: prevalence ratios with 95% confidence intervals for each level above 0 stressors and P value for test of linear trend. Index = sum of workplace stressors: poor coworker support, low decision latitude, employer toleration of discrimination, work-family imbalance, and work at night. Models adjusted for gender, education, and region; adjusted for age only in model of all workers.
Mentions: Physical inactivity showed the strongest trend with work stressors, of the three outcomes. The associated exposures were low decision latitude, low coworker support, employer tolerance of discrimination in the workplace, work-family imbalance, and night work. Of all workers, 21% reported 3 or more stressors. The risk of being inactive was approximately 2-fold for workers with 3 or more stressors, compared to none; the linear trend was similar for aides alone and varied little between the two age groups (Figure 3).

Bottom Line: Current working conditions affected younger workers more than older workers.Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides.Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health.

View Article: PubMed Central - PubMed

Affiliation: Department of Work Environment & Center for the Promotion of Health in the New England Workplace (CPH-NEW), University of Massachusetts Lowell, Lowell, MA 01854, USA ; School of Health Sciences, University of Tampere, 33014 Tampere, Finland.

ABSTRACT

Background: Many worksite health promotion programs ignore the potential influence of working conditions on unhealthy behaviors.

Methods: A study of nursing home employees (56% nursing aides) utilized a standardized questionnaire. We analyzed the cross-sectional associations between workplace stressors and obesity, cigarette smoking, and physical inactivity.

Results: Of 1506 respondents, 20% reported exposure to three or more workplace stressors (physical or organizational), such as lifting heavy loads, low decision latitude, low coworker support, regular night work, and physical assault. For each outcome, the prevalence ratio was between 1.5 and 2 for respondents with four or five job stressors. Individuals under age 40 had stronger associations between workplace stressors and smoking and obesity.

Conclusions: Workplace stressors were strongly associated with smoking, obesity, and physical inactivity, even among the lowest-status workers. Current working conditions affected younger workers more than older workers. Although this study is cross-sectional, it has other strengths, including the broad range of work stressors studied. Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides. Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health.

No MeSH data available.


Related in: MedlinePlus