scholarly journals The demand-control model for job strain: a commentary on different ways to operationalize the exposure variable

2015 ◽  
Vol 31 (1) ◽  
pp. 208-212 ◽  
Author(s):  
Márcia Guimarães de Mello Alves ◽  
Vivianne Melo Braga ◽  
Eduardo Faerstein ◽  
Claudia S. Lopes ◽  
Washington Junger
Keyword(s):  
High Strain ◽  
Job Strain ◽  
Cross Sectional Study ◽  
Health Study ◽  
Objective Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exposure Variable ◽  
Definition Of ◽  
Demand Control

Demand-control has been the most widely used model to study job strain in various countries. However, researchers have used the model differently, thus hindering the comparison of results. Such heterogeneity appears in both the study instrument used and in the definition of the main exposure variable - high strain. This cross-sectional study aimed to assess differences between various ways of operationalizing job strain through association with prevalent hypertension in a cohort of workers (Pro-Health Study). No difference in the association between high job strain and hypertension was found according to the different ways of operationalizing exposure, even though prevalence varied widely, according to the adopted form, from 19.6% for quadrants to 42% for subtraction tertile. The authors recommend further studies to define the cutoff for exposure variables using combined subjective and objective data.

Perception of work among managers: a cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Rémi Colin
Keyword(s):  
Women Managers ◽  
Job Strain ◽  
Cross Sectional Study ◽  
Job Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Job Support ◽  
Job Demand ◽  
And Gender ◽  
Demand Control

BACKGROUND The Job-Demand-Control-Support model of Karasek is the gold standard to assess perception of work, however this has been poorly studied among managers. OBJECTIVE We aimed to explore the perception of work (job demand, control and support) in managers, and to quantify their risk of job strain and isostrain. METHODS We conducted a cross-sectional study on workers using the Wittyfit software. Job demand, control, and support were evaluated by self-reported questionnaires, as well as sociodemographic data. RESULTS We included 9257 workers: 8488 employees (median age of 45 years old and median seniority of 10 years, 39.4% of women) and 769 managers (463 with more than 45 years old, 343 with more than 10 years of service, 33.3% of women). Managers had higher levels than employees in job control (79.1±15.9 vs 75.5±17.6) and job support (25.1±5.6 vs 23.9±6.4) (p<0.001). Compared to employees, managers had a 40% decreased risk of job strain (high job demand and low job control) (OR=0.60, 95%CI 0.49 to 0.73), and a 46% decreased risk of isostrain (job strain with low job support) (0.54, 0.42 to 0.71) (p<0.001). Oldest workers (1.32, 1.18 to 1.48, p<0.001) and women (1.12, 1.01 to 1. 24, p=0.03) were at greater risk of job strain. Also, oldest workers (1.77, 1.52 to 2.06), and women (1.15, 1.00 to 1.31) were at greater risk of isostrain, as well as most senior workers (1.25, 1.08 to 1.45). CONCLUSIONS Managers seem to have higher autonomy and social support, and therefore are less at risk of job or isostrain than employees. Other factors such as age, seniority and gender may influence this relationship. CLINICALTRIAL Clinicaltrials.gov: NCT02596737; https://www.clinicaltrials.gov/ct2/show/NCT02596737.

scholarly journals Knowledge and Practice of Health Professionals in the Management of Dysphagia

2021 ◽  
Vol 18 (4) ◽  
pp. 2139
Author(s):  
Eduardo Sánchez-Sánchez ◽  
Ylenia Avellaneda-López ◽  
Esperanza García-Marín ◽  
Guillermo Ramírez-Vargas ◽  
Jara Díaz-Jimenez ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Clinical Settings ◽  
Sectional Study ◽  
Swallowing Disorder ◽  
Cross Sectional ◽  
Anonymous Questionnaire ◽  
Knowledge And Practice ◽  
Definition Of ◽  
Management Of Dysphagia

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.

scholarly journals Caregiver strain and quality of life 6 - 36 Months post stroke

2013 ◽  
Vol 69 (4) ◽  
Author(s):  
J. Hilton ◽  
W. Mudzi ◽  
V. Ntsiea ◽  
S. Olorunju
Keyword(s):  
Quality Of Life ◽  
High Strain ◽  
Well Being ◽  
Cross Sectional Study ◽  
Caregiver Strain ◽  
Sectional Study ◽  
Demographic Information ◽  
Cross Sectional ◽  
Post Stroke

Background: Caregivers of patients with stroke are central in providing for the patient’s needs post stroke. The well-being and quality of life of the caregiver is important in the rehabilitation of the patient with stroke. This study sought to establish the: functional level of patients, level of strain and quality of life of the caregiver, and the factors that influence caregivers’ quality of life six to 36 months post stroke. Methods: This was a cross-sectional study which included 35 patients six to 36 months post stroke and their primary caregiver utilising a sample of convenience from local clinics/hospitals in Johannesburg. Demographic information was obtained from the patient and the caregiver using a questionnaire. The Barthel Index (BI), Caregiver Strain Index (CSI) and the EQ-5D were also administered. Results: On the BI, 60% of the patients were moderately dependent to independent while 77% of the caregivers were strained. Older caregivers were 81% more likely to experience a decrease in quality of life than younger caregivers. Conclusion: A large proportion of patients are discharged from hospital without receving rehabilitation and are still dependent on caregivers six to 36 months post stroke. Caregivers of patients with stroke need more support from health professionals to mitigate against the high strain and low quality of life that they experience when caring for patients six to 36 months post stroke.

scholarly journals Chronic stress, work-related daily challenges and medicolegal investigations: a cross-sectional study among German general practitioners

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine Kersting ◽  
Lena Zimmer ◽  
Anika Thielmann ◽  
Birgitta Weltermann
Keyword(s):  
Regression Model ◽  
General Practitioners ◽  
Chronic Stress ◽  
Medical Records ◽  
High Strain ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related

Abstract Background The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician well-being is associated with poor patient outcomes, targeted strategies are needed. This analysis focuses on work-related factors associated with high chronic stress in GPs. Methods This cross-sectional study measured chronic stress among German GPs using the validated and standardized Trier Inventory for the Assessment of Chronic Stress (TICS-SSCS). Based on the TICS, GPs were categorized as either having low strain (≤ 25th percentile) or high strain (≥ 75th percentile) due to chronic stress. Questions on work-related challenges assessed the frequency and the subjectively perceived strain of single challenges. For exploratory analyses, these items were combined to dichotomous variables reflecting challenges that are common and that cause high strain. Variables significant in bivariate analyses were included in a multivariate logistic regression model analyzing their association with high chronic stress. Results Data of 109 GPs categorized as having low strain (n = 53) or high strain (n = 56) due to chronic stress were analyzed. Based on bivariate analyses, challenges regarding personnel matters, practice software, complexity of patients, difficult patients, care facilities, scheduling of appointments, keeping medical records up-to-date, fee structures, and expectations versus reality of care were included in the regression model. Keeping medical records up-to-date had the strongest association with high chronic stress (odds ratio 4.95, 95% confidence interval 1.29–19.06). A non-significant trend showed that medicolegal investigations were more common among GPs with high chronic stress. Conclusions This exploratory research shows that chronic stress is predominantly associated with administrative challenges. Treatment documentation, which represents a legal safeguard and is closely linked to existential concerns, has the strongest influence.

scholarly journals Psychosocial job exposure and risk of coronary artery calcification

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252192
Author(s):  
Helena Eriksson ◽  
Kjell Torén ◽  
Annika Rosengren ◽  
Eva Andersson ◽  
Mia Söderberg
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Calcium ◽  
Statistical Power ◽  
Cox Regression ◽  
High Strain ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Job Demand ◽  
And Control ◽  
Demand Control

Purpose The aim was to examine potential associations between psychosocial job exposures, evaluated with the Job Demand-Control-model, and presence of coronary artery calcium. Methods We performed a cross-sectional study using the Swedish CArdioPulmonary bioImage Study,(SCAPIS)pilot study. Coronary artery calcium was assessed through computed tomography of the coronary arteries and with coronary artery scoring, CACS. Main outcome was CACS ≥100 compared to CACS 0. Job demand and control was analysed according to the standard categorization of the two variables into: high strain, active, passive and low strain (reference). Associations between these variables and CACS were calculated with prevalence ratios (PR) using Cox regression with robust variance, 95% confidence intervals (CI) and adjusted for age, smoking, education, socioeconomic area and metabolic syndrome. Results In total 777 participants were used in our analyses, for which 20% of the men and 5% of the women had CACS ≥100, respectively. The PR of having CACS ≥100 was non-significantly elevated for men in high strain jobs 1.54 (95% CI 0.88–2.69) and in active jobs 1.67 (95% CI 0.92–3.06), adjusted for covariates. For women there was no association between exposure to high strain and having CACS ≥100 PR 1.02 (95% CI 0.24–4.31). Among women reporting passive job, the PR was non-significantly elevated, 2.40 (95% CI 0.83–6.92), adjusted for covariates. Conclusion The statistical power of the study was limited, but our results suggests the possibility that exposure to a high strain or an active job situation may increase the risk of CACS in men, while in women, it may rather be exposure to passive job.

scholarly journals Dietary patterns according to headache and migraine status: A cross-sectional study

Cephalalgia ◽  
2014 ◽  
Vol 35 (9) ◽  
pp. 767-775 ◽  
Author(s):  
Pamela M Rist ◽  
Julie E Buring ◽  
Tobias Kurth
Keyword(s):  
Migraine Headache ◽  
Cross Sectional Study ◽  
Health Study ◽  
Migraine Aura ◽  
Sectional Study ◽  
Attack Frequency ◽  
Cross Sectional ◽  
Processed Meats ◽  
Total Alcohol ◽  
History Of

Background Several potential dietary trigger factors for migraine have been proposed. However, few studies have examined the intake pattern of these dietary items compared to adequate control populations and whether intake levels may vary by migraine aura status or attack frequency. Methods We conducted a cross-sectional study among participants in the Women’s Health Study. We used logistic regression to evaluate the association between migraine and headache status and low intake of foods commonly reported to affect migraine. Results A total of 25,755 women reported no history of migraine or headache, 5573 reported non-migraine headache and 7042 reported any migraine. Those with non-migraine headache or any migraine were more likely to have low intake of total alcohol (OR = 1.22, 95% CI:1.14–1.29 and OR = 1.17, 95% CI:1.11–1.24, respectively). Migraineurs with aura were more likely to have low intake of chocolate, ice cream, hot dogs, and processed meats. Those who experience migraine at least once per week were more likely to have low intake of skim/low-fat milk and white and red wine. Conclusion Intake of most suggested migraine dietary triggers differs by migraine aura status and attack frequency, a pattern not found for non-migraine headache.

scholarly journals Comparing Different Residential Neighborhood Definitions and the Association Between Density of Restaurants and Home Cooking Among Dutch Adults

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1796 ◽  
Author(s):  
Maria Gabriela M. Pinho ◽  
Joreintje D. Mackenbach ◽  
Hélène Charreire ◽  
Jean-Michel Oppert ◽  
Harry Rutter ◽  
...  
Keyword(s):  
Food Environment ◽  
Residency Education ◽  
Cross Sectional Study ◽  
Effect Modification ◽  
Sectional Study ◽  
Cross Sectional ◽  
Residential Neighborhood ◽  
Home Cooking ◽  
Neighborhood Boundaries ◽  
Definition Of

The definition of neighborhoods as areas of exposure to the food environment is a challenge in food environment research. We aimed to test the association of density of restaurants with home cooking using four different definitions of residential neighborhoods. We also tested effect modification by age, length of residency, education, and income. This innovative cross-sectional study was conducted in the Netherlands (N = 1245 adults). We calculated geographic information system-based measures of restaurant density using residential administrative neighborhood boundaries, 800 m and 1600 m buffers around the home and respondents’ self-defined boundaries (drawn by the respondents on a map of their residential area). We used adjusted Poisson regression to test associations of restaurant density (tertiles) and the outcome ”weekly consumption of home-cooked meals” (six to seven as compared to five days per week (day/week) or fewer). Most respondents reported eating home-cooked meals for at least 6 day/week (74.2%). Regardless of the neighborhood definition used, no association between food environment and home cooking was observed. No effect modification was found. Although exposure in terms of density of restaurants was different according to the four different neighborhood definitions, we found no evidence that the area under study influences the association between density of restaurants and home cooking among Dutch adults.

Health Professionals' Attitude toward Euthanasia: A Cross-Sectional Study from Turkey

2007 ◽  
Vol 54 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Ahmet Turla ◽  
Erdem Özkara ◽  
Çağlar Özkanli ◽  
Nevzat Alkan
Keyword(s):  
Health Professionals ◽  
Cross Sectional Study ◽  
The Other ◽  
The Black Sea ◽  
Medical Doctors ◽  
Sectional Study ◽  
Ongoing Debate ◽  
Cross Sectional ◽  
Black Sea Region ◽  
Definition Of

There is an ongoing debate on the definition of euthanasia and attempts to change laws about euthanasia and its practice in many countries. It is the medical doctors and the other health professionals who will elucidate the issue. Therefore, we performed this study to reveal attitude of Turkish health professionals toward euthanasia. This is an observational and cross-sectional study and data were collected with a questionnaire. The questionnaire was distributed to 545 health professionals in Samsun, a city in the Black Sea Region in Turkey. Data were analyzed with SPSS package programs. Of all health professionals included in the study, 43.5% were medical doctors and 45.5% auxiliary health professionals. Of all participants, 33.6% did not object to euthanasia and 7.9% were asked to perform euthanasia. Eighty point seven percent of the participants noted that euthanasia could be abused even if a euthanasia law were passed. It can be concluded that the health professionals should have a chance to discuss euthanasia and that their attitude toward and their expectations and worries about euthanasia should be taken into account when a euthanasia law is drafted.

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