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Identifying factors associated with good and ill health. Not just opposite sides of the same coin

Olsson, Gabriella (author)
Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)
Hemström, Örjan (author)
Fritzell, Johan (author)
Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)
 (creator_code:org_t)
2009-03-14
2009
English.
In: International Journal of Behavioral Medicine. - : Springer Science and Business Media LLC. - 1070-5503 .- 1532-7558. ; 16:4, s. 323-330
  • Journal article (peer-reviewed)
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  • Background  Work-related health research has traditionally focused on identifying risks rather than determinants of good health. Our knowledge of variation in ill health is thus greater than our understanding of such variations in good health. Purpose  In this study, the associations between work-environment exposures and good health are examined. We are especially interested in contrasting our indices of ill health with a narrow measure of good health. Moreover, the salutary effect of sense of coherence (SOC) is explored, focusing particularly on its moderating role. Method  Data stem from the panel of Swedish level of living surveys for 1991 and 2000. The analysis is based on a sample of 2,334 employed men and women. Logistic regressions are used. Results  Assessed work-environment factors are to a large extent related, in a mirrored way, to good health and ill health. The models' fit are, however, generally better for the latter. Our findings also indicate that SOC has a protective role for individuals exposed to work risks such as stress and high physical demands. Conclusion  To improve our understanding of what promotes good health, research needs to focus on salutary factors. One such salutary factor explored in this paper is sense of coherence.

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