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Psychosocial factors at work and depression in three countries of Central and Eastern Europe

Pikhart, H; Bobak, M; Pajak, A; Malyutina, S; Kubinova, R; Topor, R; Sebakova, H; ... Marmot, M; + view all (2004) Psychosocial factors at work and depression in three countries of Central and Eastern Europe. SOC SCI MED , 58 (8) 1475 - 1482. 10.1016/S0277-9536(03)00350-2.

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Abstract

Psychosocial factors at work have been found to predict a range of health outcomes but their effect on mental health outcomes has not been extensively studied. This paper explores the relationship between psychosocial factors at work and depression in three countries of Central and Eastern Europe. The data come from a cross-sectional study of working men (n = 645) and women (n = 523) aged 45-64 years, randomly selected from population registers in Novosibirsk (Russia), Krakow (Poland) and Karvina-Havirov (Czech Republic). The questionnaire included questions on the effort and reward at work, job control, the full CES-D scale of depression, and a range of other characteristics. Linear regression was used to estimate the association between depression score and work characteristics: the logarithm of the effort-reward ratio, and continuous job control score. The means of the depression score were 10.5 for men and 14.2 for women. After controlling for age, sex and country, effort-reward ratio (logarithmically transformed) was strongly related to depression score; a 1 SD increase in the log transformed effort-reward ratio was associated with an increase in the depression of 2.0 points (95% CI 1.5; 2.4), and further adjustment did not materially change the effect. Job control was inversely associated with depression score in Poland and the Czech Republic (not in Russia) but the association was largely eliminated by controlling for socioeconomic characteristics. This study suggests that the effort-reward imbalance at work is related to prevalence of depression in these central and eastern European populations. (C) 2003 Elsevier Ltd. All rights reserved.

Type: Article
Title: Psychosocial factors at work and depression in three countries of Central and Eastern Europe
DOI: 10.1016/S0277-9536(03)00350-2
Keywords: depression, job stress, effort-reward model, job control, psychosocial factors, Eastern Europe, CORONARY-ARTERY-DISEASE, BLUE-COLLAR WORKERS, JOB-STRESS MODELS, CARDIOVASCULAR-DISEASE, SICKNESS ABSENCE, SOCIAL SUPPORT, HEART-DISEASE, WHITEHALL II, SWEDISH MEN, HEALTH
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/6797
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