Psychosocial work conditions,unemployment,and leisure-time physical activity: A population-based study

Abstract

Objective: To investigate the association between psychosocial work conditions and unemployment, and low leisure-time physical activity. Design/setting/participants/measurements: The 2000 public health survey in Scania is a cross-sectional postal questionnaire study with a 59% participation rate. A total of 5,180 persons aged 18—64 years who belonged to the workforce and the unemployed were included in this study. Logistic regression models were used to investigate the associations between psychosocial factors at work and unemployment, and low leisure-time physical activity. Psychosocial conditions at work were defined according to the Karasek—Theorell demand—control/decision latitudes into relaxed, active, passive, and job strain categories. The multivariate analyses included age, country of birth, education, economic stress, and social participation. Results: In total, 16.1% of men and 14.8% of women had low leisure-time physical activity. The job strain (high demands/low control) and unemployed categories had significantly higher odds ratios of low leisure-time physical activity among both men and women compared with the relaxed (low demands/high control) reference category. However, the significant differences between the job strain, the unemployed, and the relaxed categories disappeared in the multivariate models. Conclusions: Respondents with job strain or unemployment have significantly higher odds ratios of low leisure-time physical activity than the relaxed category. However, after adjustments for education in particular the differences disappear. Nevertheless, the results suggest that the association between psychosocial work conditions, which are often dependent on education, and leisure-time physical activity may be interesting to study in more detail.

Keywords

Economic stress leisure time physical activity psychosocial work conditions social participation

References

Wyatt HR , Peters JC , Reed GW , Barry M. , Hill JO A Colorado statewide survey of walking and its relation to excessive weight . Med Sci Sports Exerc 2005;37:724—30.

Wasserman DH , Zinman B. Exercise in individuals with IDDM (Technical Review). Diabetes Care 1994;17:924—37.

Chandrashekhar Y. , Anand IS Exercise as a coronary protective factor. Am Heart J 1991;122:1723—39.

Helmrich SP , Ragland DR , Paffenbarger RS Prevention of non-insulin-dependent diabetes mellitus with physical activity. Med Sci Sports Exerc 1994;26:824—30.

Braith RW , Pollock ML , Lowenthal DT , Graves JE , Limacher MC Moderate- and high-intensity exercise lowers blood pressure in normotensive subjects 60 to 79 years of age. Am J Cardiol 1994;73:1124—8.

Lynch J. , Helmrich SP , Lakka TA , Kaplan GA , Cohen RD , Salonen R. , Salonen JT Moderately intense physical activities and high levels of cardiorespiratory fitness reduce the risk of non-insulin-dependent diabetes mellitus in middle-aged men. Arch Intern Med 1996;156:1307—14.

Rice B. , Janssen I. , Hudson R. , Ross R. Effects of aerobic or resistance exercise and/or diet on glucose tolerance and plasma insulin levels in obese men. Diabetes Care 1999;22:684—91.

Schneider SH , Ruderman NB Exercise and NIDDM (Technical Review) . Diabetes Care 1990;13:785—9.

Ross R. , Dagnone D. , Jones PJ , Smith H. , Paddags A. , Hudson R. , Janssen I. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men: A randomized, controlled trial . Ann Intern Med 2000;133:92—103.

10.

Dunn AL , Marcus BH , Kampert JB , Garcia ME , Kohl HW III , Blair SN Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. JAMA 1999;281:327—34.

11.

Steenland K. Passive smoking and the risk of heart disease . JAMA 1992;267:94—9.

12.

Wister AV The effects of socioeconomic status on exercise and smoking: Age-related differences. J Aging Health 1996;8:467—88.

13.

Mensink GBM , Losse N. , Oomen CM Physical activity and its association with other lifestyle factors. Eur J Epidemiol 1997 ;13:771—8.

14.

Lindström M. , Hanson BS , Östergren P-O. Socioeconomic differences in leisure-time physical activity: The role of social participation and social capital in shaping health related behaviour. Soc Sci Med 2001;52:441—51.

15.

Eyler AA , Matson-Koffman D. , Vest JR , Evenson KR , Sanderson B. , Thompson JL , et al. Environmental, policy, and cultural factors related to physical activity in a diverse sample of women: The Women's Cardiovascular Health Network Project. Women Health 2002;36:123—34.

16.

Lindström M. , Sundquist J. Immigration and leisure-time physical inactivity: A population-based study. Ethnicity Health 2001;6:77—85.

17.

Currie C. , Hurrelmann K. , Settertobulte W. , Smith R. , Todd J. Health and health behaviour among young people. Geneva : World Health Organization; 2000 .

18.

Karasek R. , Theorell T. Healthy work: Stress, productivity, and the reconstruction of working life . New York: Basic Books; 1990.

19.

Theorell T. , Karasek RA Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol 1996;1:9—26.

20.

Johnson JV , Hall E. Job strain, workplace support, and cardiovascular disease: A cross-sectional study of a random sample of the Swedish working population. Am J Public Health 1988;78:1336—42.

21.

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—9.

22.

Theorell T. Working conditions and health. In: Berkman L , Kawachi I , eds. Social epidemiology. Oxford: Oxford University Press; 2000.

23.

Lindström M. Social participation, social capital and socioeconomic differences in health-related behaviours. Doctoral dissertation, Lund University, 2000.

24.

Carlsson F. , Merlo J. , Lindström M. , Östergren PO , Lithman T. Representativity of a postal questionnaire survey in Sweden, with special reference to ethnic differences in participation. Scand J Public Health, accepted.

25.

Hanson BS , Östergren PO, Elmståhl , et al. Reliability and validity assessments of measures of social network, social support and control: Results from the Malmö Shoulder and Neck Study . Scand J Soc Med 1997;25:249—57.

26.

Kasl SV , Jones BA The impact of job loss and retirement and health. In: Berkman LF , Kawachi I , eds. Social epidemiology. Oxford: Oxford University Press; 2000.

27.

Lindström M. , Moghaddassi M. , Merlo J. Social capital and leisure time physical activity: A population based multilevel analysis in Malmö, Sweden . J Epidemiol Community Health 2003;57:23—8.

28.

Chinn DJ , White M. , Harland J. , et al. Barriers to physical activity and socioeconomic position: implications for health promotion. J Epidemiol Community Health 1999;53:191—2.

29.

National Public Health Report . Stockholm : National Board on Health and Welfares; 2005.

30.

Rosengren A. , Wilhelmsen L. Physical activity protects against coronary death and death from all causes in middle-aged men. Evidence from a 20-year follow-up of the Primary Prevention Study in Göteborg. Ann Epidemiol 1997;7:69—75.