Psychosocial working conditions, asthma self-management at work and asthma morbidity: a cross-sectional study.

Asthma Occupational stress Psychosocial working conditions Quality of life Self-management Workplace

Journal

Clinical and translational allergy
ISSN: 2045-7022
Titre abrégé: Clin Transl Allergy
Pays: England
ID NLM: 101576043

Informations de publication

Date de publication:
2019
Historique:
received: 09 01 2019
accepted: 24 04 2019
entrez: 7 6 2019
pubmed: 7 6 2019
medline: 7 6 2019
Statut: epublish

Résumé

Adverse psychosocial working conditions-in particular poor job decision latitude and poor social support at work-may impair the effective implementation of asthma self-management behaviour at work and may be associated with increased asthma morbidity. In this study, we investigate for the first time the association of job decision latitude and social support at work with (1) four asthma-specific self-management behaviours at work (i.e., physical activity, trigger avoidance, acute symptom management, and communication) and with (2) asthma morbidity. A total of 221 employees with asthma recruited through three rehabilitation clinics completed questionnaires (response rate = 29.3%). Job decision latitude and social support were measured using items from the Copenhagen Psychosocial Questionnaire. The four asthma self-management behaviours were mainly assessed by self-developed items. We used the Asthma Control Test and the Marks Asthma Quality of Life Questionnaire to measure asthma morbidity. We dichotomized all variables and conducted logistic regression analyses to calculate odds ratios with 95% CIs. Low job decision latitude and low social support were significantly associated with poorer trigger avoidance (odds ratios ≥ 2.09) and poorer acute symptom management (odds ratios ≥ 2.29); low social support was further related to significantly less communication (odds ratio = 2.82). Low job decision latitude and low social support were also associated with significantly poorer asthma control (odds ratios ≥ 1.95) and poorer asthma-specific quality of life (odds ratios ≥ 2.05). The relationships with asthma morbidity were attenuated after adjustment for the four asthma self-management behaviours (odds ratios ranging from 1.1 to 1.9). Adverse psychosocial working conditions are associated with poorer asthma self-management behaviour at work and with increased asthma morbidity. The latter association may be mediated by asthma self-management behaviour.

Sections du résumé

BACKGROUND BACKGROUND
Adverse psychosocial working conditions-in particular poor job decision latitude and poor social support at work-may impair the effective implementation of asthma self-management behaviour at work and may be associated with increased asthma morbidity. In this study, we investigate for the first time the association of job decision latitude and social support at work with (1) four asthma-specific self-management behaviours at work (i.e., physical activity, trigger avoidance, acute symptom management, and communication) and with (2) asthma morbidity.
METHODS METHODS
A total of 221 employees with asthma recruited through three rehabilitation clinics completed questionnaires (response rate = 29.3%). Job decision latitude and social support were measured using items from the Copenhagen Psychosocial Questionnaire. The four asthma self-management behaviours were mainly assessed by self-developed items. We used the Asthma Control Test and the Marks Asthma Quality of Life Questionnaire to measure asthma morbidity. We dichotomized all variables and conducted logistic regression analyses to calculate odds ratios with 95% CIs.
RESULTS RESULTS
Low job decision latitude and low social support were significantly associated with poorer trigger avoidance (odds ratios ≥ 2.09) and poorer acute symptom management (odds ratios ≥ 2.29); low social support was further related to significantly less communication (odds ratio = 2.82). Low job decision latitude and low social support were also associated with significantly poorer asthma control (odds ratios ≥ 1.95) and poorer asthma-specific quality of life (odds ratios ≥ 2.05). The relationships with asthma morbidity were attenuated after adjustment for the four asthma self-management behaviours (odds ratios ranging from 1.1 to 1.9).
CONCLUSIONS CONCLUSIONS
Adverse psychosocial working conditions are associated with poorer asthma self-management behaviour at work and with increased asthma morbidity. The latter association may be mediated by asthma self-management behaviour.

Identifiants

DOI: 10.1186/s13601-019-0264-9 PMID: 31168356 PMC: PMC6509772
pubmed: 31168356
doi: 10.1186/s13601-019-0264-9
pii: 264
pmc: PMC6509772
doi:

Types de publication

Journal Article

Langues

eng

Pagination

25

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

Références

J Occup Health Psychol. 2003 Oct;8(4):282-305
pubmed: 14570524
J Allergy Clin Immunol. 2004 Jan;113(1):59-65
pubmed: 14713908
J Clin Epidemiol. 1992 May;45(5):461-72
pubmed: 1588352
Prev Med. 2005 Aug;41(2):532-9
pubmed: 15917049
Scand J Work Environ Health. 2005 Dec;31(6):438-49
pubmed: 16425585
J Asthma. 2006 Jan-Feb;43(1):75-80
pubmed: 16448970
J Allergy Clin Immunol. 2006 Mar;117(3):549-56
pubmed: 16522452
Occup Environ Med. 2007 Aug;64(8):562-8
pubmed: 17053019
Allergy. 2007 Jun;62(6):668-74
pubmed: 17508972
Int Arch Occup Environ Health. 2009 Aug;82(8):1005-13
pubmed: 19018554
J Occup Rehabil. 2009 Sep;19(3):284-92
pubmed: 19507010
Respir Med. 2009 Dec;103(12):1807-15
pubmed: 19695859
Psychosoc Med. 2006 Oct 18;3:Doc05
pubmed: 19742072
J Allergy Clin Immunol. 2010 Mar;125(3):550-8
pubmed: 20153032
Int J Occup Med Environ Health. 2010;23(3):239-53
pubmed: 20934957
Eur Respir J. 2011 May;37(5):986-90
pubmed: 21532014
J Asthma. 2011 Oct;48(8):783-9
pubmed: 21864097
Occup Environ Med. 2013 Jan;70(1):3-8
pubmed: 23014593
Pediatr Allergy Immunol Pulmonol. 2012 Dec;25(4):180-189
pubmed: 23285426
Occup Environ Med. 2013 Sep;70(9):603-10
pubmed: 23759534
Sports Med. 2013 Nov;43(11):1157-70
pubmed: 23846823
Cochrane Database Syst Rev. 2013 Sep 30;(9):CD001116
pubmed: 24085631
Psychol Rep. 2014 Apr;114(2):377-89
pubmed: 24897896
NPJ Prim Care Respir Med. 2014 Jun 12;24:14009
pubmed: 24921985
Int Arch Occup Environ Health. 2015 Apr;88(3):351-8
pubmed: 25064121
J Asthma. 2016;53(4):427-37
pubmed: 26786054
J Asthma. 2017 Mar;54(2):210-216
pubmed: 27328314
Int Arch Occup Environ Health. 2017 May;90(4):349-356
pubmed: 28220243
J Asthma. 2018 Aug;55(8):859-867
pubmed: 28858530
J Asthma. 2018 Oct;55(10):1095-1104
pubmed: 29200315
BMJ Open. 2018 Aug 29;8(8):e022126
pubmed: 30158229

Auteurs

Katherina Heinrichs (K)

1Institute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany.
ORCID: 0000-0003-0775-0528

Stefan Hummel (S)

MEDIAN Klinik Heiligendamm, Kinderstrand 1, 18209 Bad Doberan, Germany.

Jalal Gholami (J)

Nordseeklinik Borkum der DRV Rheinland, Bubertstraße 4, 26757 Borkum, Germany.

Konrad Schultz (K)

4Klinik Bad Reichenhall der DRV Bayern Süd, Salzburger Str. 8, 83435 Bad Reichenhall, Germany.

Jian Li (J)

1Institute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany.
5Department of Environmental Health Sciences, Fielding School of Public Health, Los Angeles, CA 90095-1772 USA.
6School of Nursing, University of California Los Angeles, Los Angeles, CA 90095-1772 USA.

Aziz Sheikh (A)

7Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG UK.

Adrian Loerbroks (A)

1Institute of Occupational, Social, and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany.

Classifications MeSH