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首页> 外文期刊>Occupational and environmental medicine >Risk of affective and stress related disorders among employees in human service professions.
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Risk of affective and stress related disorders among employees in human service professions.

机译:人类服务行业员工中与情感和压力相关的疾病的风险。

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OBJECTIVES: To examine the risk of affective and stress related disorders among men and women employed in human service professions. METHODS: Population based case-control study using data from national registers. Cases (n = 28 971) were identified in the Danish Psychiatric Central Research Register among all hospitalised patients and outpatients aged 18-65 who received a first time ever diagnosis of affective (ICD-10, F30-39) or stress related (ICD-10, F40-48) disorder from 1 January 1995 to 31 December 1998. Each case was assigned five never admitted referents (n 144 855) of the same gender and age, randomly drawn from a 5% sample of the Danish population obtained from Statistics Denmark's Integrated Database for Labour Market Research. Occupation held the year before matching was classified according to the Danish version of the International Classification of Occupation. Health care, education, social work, and customer services were defined as human service professions and constituted 21% of all employed in the study. Adjusted risks (hazard ratios) relative to all other occupations were calculated for 24 human service occupations. RESULTS: The relative risk of depression in human service professions was 1.35 (95% CI 1.24 to 1.47) for women and 1.49 (95% CI 1.29 to 1.73) for men. The risk of stress was 1.18 (95% CI 1.11 to 1.26) for women and 1.49 (95% CI 1.32 to 1.67) for men. Specific professions contributed differentially to the magnitude of risk, with education and social services displaying the highest risks. No increase in risks was found in customer service occupations. Gender was a significant modifying factor with the highest risk levels in men. CONCLUSIONS: There was a consistent association between employment in human service occupations and the risk of affective and stress related disorders. Risks were highest for men working in these typically female professions. More work is needed to distinguish work hazards from effects attributable to selection mechanisms and personality characteristics.
机译:目的:研究在人类服务行业工作的男女情感和压力相关疾病的风险。方法:使用来自国家登记簿的数据进行基于人口的病例对照研究。在丹麦精神病学中央研究注册中确定的病例(n = 28 971)是在所有住院患者和18-65岁门诊患者中首次接受情感(ICD-10,F30-39)或与压力有关(ICD-从1995年1月1日至1998年12月31日发生F10-F40-48)疾病。每例均分配了5名相同性别和年龄的从未接纳过的被访者(n 144 855),从5%的丹麦人口样本中随机抽取丹麦劳动力市场研究综合数据库。根据国际职业分类的丹麦语版本,对匹配前一年举行的职业进行了分类。卫生保健,教育,社会工作和客户服务被定义为人类服务专业,占该研究工作总数的21%。计算了24种人类服务职业相对于所有其他职业的调整后风险(危险比)。结果:在人类服务职业中,抑郁的相对风险女性为1.35(95%CI 1.24至1.47),男性为1.49(95%CI 1.29至1.73)。女性的压力风险为1.18(95%CI 1.11至1.26),男性为1.49(95%CI 1.32至1.67)。特定行业对风险程度的贡献不同,其中教育和社会服务风险最高。在客户服务职业中未发现风险增加。性别是影响男性最高风险的重要因素。结论:在人类服务性职业中的就业与情感和压力相关疾病的风险之间存在一致的关联。在这些通常从事女性职业的男性中,风险最高。需要更多的工作来将工作危险与选择机制和个性特征所带来的影响区分开。

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