J Korean Med Assoc.  2010 Jun;53(6):467-473. 10.5124/jkma.2010.53.6.467.

The Work Related Psychosocial Factor and Disease among Health Professional

• Koh SB

• KMID: 1463313
• DOI: http://doi.org/10.5124/jkma.2010.53.6.467

Abstract

The work-related psychosocial factor of health professional includes workload, decision latitude, interpersonal conflict, patient factor, job stress, etc. A total of 12,631 employees nationwide, the number of sample being proportional to the Korean Standard Industrial Classification, were diagnosed. Job demand, organization system, lack of reward, and occupational climate were more significant factors for health professionals than other occupations. The psychosocial factor increased the risk of chronic disease (hypertension, coronary heart disease, and musculoskeletal disease) and psychological diseases (alcoholism, depression, anxiety), shift work, specifically, was associated with an increased risk of cancer. It is required that worksite prevention programs be established in occupational as well as individual levels.

Keyword

Psychosocial factor; Job stress; Prevention; Health professions

MeSH Terms

Chronic Disease
Climate
Coronary Disease
Depression
Health Occupations
Humans
Occupations
Reward
Workplace

Figure

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  Figure 1 Concept of work related psychosocial factor.

Reference

1. Hardy GE, Shapiro DA, Borrill CS. Fatigue in the workforce of national health service trust: Levels of symptomatology and lings with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosomatic Research. 1997. 43:83–92.

2. Wall TD, Bolden RI, Borrill CS, Carter AJ, Golya DA, Hardy GE, Harneys CE, Rick JE, Shapiro DA. Minor psychiatric disorder in NHS trust staff: occupational and general difference. Br J Psychiatry. 1997. 171:519–523.

3. Ko JW, Yom YH. The role of social support in the relationship between job stress and job satisfaction organizational commitment among hospital nurses. J Korean Acad Nurs. 2003. 33:265–274.

4. Conway TL, Ward HW, Vickers RR, Rahe RH. Occupational stress and variation in cigarette, coffee, and alcohol consumption. J Health Soc Behav. 1981. 22:155–165.

5. Baker DB. The study of stress at work. Ann Rev Public Health. 1985. 6:367–381.

6. Landsbergis PA, Schnall PL, Deitz DK, Warren K, Pickering TG, Schwartz JE. Job strain and health behaviors: Results of a prospective study. Am J Health Promot. 1998. 12:237–245.

7. National Institute for Occupational Safety and Health. The changing organization of work and safety and health of working people. 2002. 1–5.

8. Ferrie JE. Is job insecurity harmful to health? J R Soc Med. 2001. 94:71–76.

9. Landsbergis PA, Cahill J, Schnall P. The impact of lean production and related new systems of work organization on worker health. J Occup Health Psychol. 1999. 4:108–130.

10. Chang SJ, Koh SB, Kang MG, Kim SA, Kang MG, Lee CG, Chung JJ. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med. 2005. 17:297–317.

11. Kim HC, Kwon KS, Koh DH, Leem JH, Park SG, Shin JY, Lee YC, Kim YK. The relationship between job stress and psychosocial stress among nurses at a university hospital. Korean J Occup Environ Med. 2006. 18:25–34.

12. Karasek RA. Job demands, job decision latitude, and mental strain : implications for job redesign. Adm Sci Q. 1979. 24:285–308.

13. Kang MK, Kang YS, Kim JR, Jeong BG, Park KS, Kam S, Hong DY. The levels of psychosocial stress, job stress and related factors of medical doctors practicing at local clinics. J Prev Med Public Health. 2007. 40:177–184.

14. Kang YS, Kam S, Lee SW, Chun BY, Yeh MH. Job stress and its related factors in south Korean doctors. Korean J Prev Med. 2001. 34:141–148.

15. Schnall PL, Schwartz JE, Landsbergis PA, Warren K, Pickering TG. The relationship between job strain, alcohol and ambulatory blood pressure. Hypertension. 1992. 19:488–494.

16. Landsbergis PA, Schnall PL, Schwartz JE, Warren K, Pickering TG. The association of ambulatory blood pressure with alternative formulations of job strain. Scand J Work Environ Health. 1994. 20:349–363.

17. Theorell T, Ahlberg-Hulten G, Jodko M, Sigala F, Soderholm M, del la Torre B. Influence of job strain and emotion on blood pressure in female hospital personnel during work hours. Scand J Work Environ Health. 1993. 19:313–318.

18. Van Egeren LF. The relationship between job strain and blood pressure at work, at home, and during sleep. Psychosom Med. 1992. 54:337–343.

19. Pickering TG, Devereux RB, James GD, Gerin W, Landsbergis P, Schnall PL, Schwartz JE. Environment influences on blood pressure and the role of job strain. J Hypertens Supple. 1996. 14:S179–S185.

20. Mensch BS, Kandel DB. Do job condition influence the use of drugs. J Health Soc Behav. 1988. 29:169–184.

21. Green KL, Johnson JV. The effects of psychosocial work organization on pattern s of cigarette smoking among male chemical plant employee. Am J Public Health. 1990. 80:1368–1371.

22. Georges E, Mueller WH, Wear ML. Body fat distribution in men and women of the Hispainc health and nutrition examination survey of the Unite States: associations with behavioural variables. Ann Hum Biol. 1993. 20:275–291.

23. Alterman T, Shekelle RB, Vernon SW, Burau KD. Decision latitude, psychologic demands, job strain and coronary heart disease in the Western Electric Study. Am J Epidemiol. 1994. 139:620–627.

24. Johnson JV, Hall EM, Theorell T. 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. 1989. 15:271–279.

25. Landsbergis PA, Schnall PL, Deitz DK, Friedman R, Pickering TG. The patterning of Psychological attributes and distress by "job strain" and social support in a sample of working men. J Behav Med. 1992. 15:379–404.

26. Brandt LPA. Job stress and adverse outcome of pregnancy: A causal link or recall bias? Am J Epidemiol. 1992. 135:302–311.

27. Hildebrandt VH. Buckle P, editor. A review of epidemiological research on risk factors of low back pain. Musculoskeletal Disorders at Work: proceedings of a conference held at the University of Surrey, Guildford, 13-15 April 1987 London (etc): Taylor and Francis. 1987. 9–16.

28. Hagberg M, Wegman DH. Prevalence rates and odds ratios of shoulder neck diseases in different occupational groups. Br J Ind Med. 1987. 44:602–610.

29. Riihimaki H. Low-back pain, its origin and risk indicators. Scand J Work Environ Health. 1991. 17:81–90.

30. Bongers PM, Dwinter RR, Kompier MAJ, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease: A review of the literature. Scand J Work Environ Health. 1993. 19:297–312.

31. Pflanz M. Epidemiological and socio-cultural factors in the etiology of duodenal ulcer. Adv Psychosom Med. 1971. 6:121–151.

32. Sturdevant RAL. Epidemiology of peptic ulcer. Am J Epidemiol. 1976. 104:9–14.

33. Henningsen GM, Hurrell JJ, Baker F, Douglas C, MacKenzie BA, Robertson SK, Phipps FC. Measurement of salivary immunoglobuline A as an immunologic biomarker of job stress. Scand J Work Environ Health. 1992. 18:133–136.

34. Schwartzbaum J, Ahlbom A, Feychting M. Cohort study of cancer risk among male and female shift workers. Scand J Work Environ Health. 2007. 33:336–343.

35. Viswanathan AN, Schernhammer ES. Circulating melatonin and the risk of breast and endometrial cancer in women. Cancer Letter. 2009. 281:1–7.

36. Megdal SP, Kroenke CH, Laden F, Pakkalal E, Schernhammer E. Night work and breast cancer risk; a systematic review and meta-analysis. Eur J Cancer. 2005. 41:2023–2032.