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- Nedić, O, et al.
(författare)
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[Gender as a key effect modifier of the relationship between physician work stressors and the acquired cardiovascular disorders]
- 2008
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Ingår i: Medicinski pregled. - : National Library of Serbia. - 0025-8105. ; 61:7-8, s. 343-9
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Tidskriftsartikel (refereegranskat)abstract
- Introduction. To assess gender as an effect-modifier vis-?-vis exposure to work stressors and the acquired cardiovascular disorders (ACVD). METHOD The Occupational Stress Index for physicians was used in a case-control study (>90% participation rate) among physicians in Novi Sad (Cases: 50 males and 51 females with ACVD, Referents: 46 males and 61 females without ACVD). RESULTS. Patterns of disease manifestation, sociodemography, risk factors, Minnesota Multiphasic Personality Inventory (MMPI) tendency and exposure to work stressors differed in male compared to female physicians with ACVD. Accounting for these covariates, the males with ACVD had significantly higher general-level threat avoidance vigilance scores (more witnessed accidents at work and expert-witnessing in court (p<0.01)). Female physicians with ACVD had higher general-level underload (more fixed pay) and strictness (more limited decision-making concerning work-schedules and institutional policies) (p<0.05). In stratified analysis, the relationship between working conditions and ACVD was most apparent among the women physicians. Compared to those without ACVD, female physicians with ACVD showed higher extrinsic time-pressure (speed-up (p<0.01)), threat of job loss (p<0.05), and elements of high demand (heterogeneous information, complex and heterogeneous task performance) (p<0.05)), after accounting for covariates. Females in the surgical care specialties with ACVD were exposed to significantly higher demands, speed-up, and need for constant high attention than their female colleagues without ACVD, after accounting for covariates. CONCLUSION. Gender is a key effect-modifier of the relationship between exposure to work stressors and ACVD among physicians. Intervention studies should consider gender-specific work stressors, as well as those specific to physicians.
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- Nedić, O, et al.
(författare)
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[Work stressors among physicians with and without the acquired cardiovascular disorders: assessment using the Occupational Stress Index]
- 2008
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Ingår i: Medicinski pregled. - : National Library of Serbia. - 0025-8105. ; 61:5-6, s. 226-34
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Tidskriftsartikel (refereegranskat)abstract
- The Occupational Stress Index (OSI) questionnaire for physicians was used in a case-control study, with a high participation rate (>90%). The study was carried out among physicians employed at clinical institutions in Novi Sad, receiving their medical care at the health center situated within the Novi Sad clinical center. The cases were physicians with one or more of the acquired (potentially stress-related) cardiovascular disorders (ACVD) (myocardial infarction, angina pectoris, arterial hypertension and certain arrhythmias). The control group included physicians without manifest ACVD. Two OSI dimensions: high demands (p<0.05) and threat avoidance (p<0.05) were dominant in showing significantly higher exposure levels among the cases. The most consistent and significant stressors that distinguished the physicians with ACVD from the referents were long work hours, speed-up and threat of job loss. Personality patterns were not associated with case status. Physicians are a heavily burdened occupational group, and several occupational stressors are significantly associated with case status. Improvements in working conditions as well as early diagnosis are essential for preventing further increases in these disorders among physicians. The next step would be multidisciplinary intervention studies aimed at the work environment, with the goal of identifying scientifically-based strategies that are most effective in preventing ACVD among physicians.
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