以Karasek模式評估高科技產業男性輪班工作者之工作壓力

Using Karasek's Model to Evaluate Work Related Stress among Male Rotating Shift Workers in the high-tech Industry in Taiwan

黃建元(Chien-Yuan Huang) ； 蘇世斌(Shih-Bin Su) ； 郭浩然(How-Ran Guo) ； 許森彥(Sen-Yen Hsu)

《中華職業醫學雜誌》 16卷2期 (2009/04) Pp. 109-117

https://doi.org/10.30027/CJOM.200904.0003

摘要

Objective: Shiftwork has become a regular mode of working in the high-tech industry, which might lead to the acculmulation of stress and in turn lead to various physical and meatal illnesses. In recent years, there were many reports on the work stress caused by shiftwork, but few were from Taiwan. The aim of this study is to evaluate whether shift workers have higher levels of work stress than non-shift workers, so as to direct prevention strategies.
Methods: We conducted this study in conjuection with the annual health check-up of a company located in the Tainan Technology Indtutrail Park from July 1 to September 30, 2005. On each participant, data on the demographic characterstics, past medical history, and health related behaviours were collected through a questionnaire. The job stress was evaluated by the Chinese edition of Job Content Questionnaire (JCQ) so as to evaluate the associations between shiftwork and job stress.
Results: There were 257 male workers agreed to participate in this study. A negative association with shiftwork was observed for job control (JC), physical demand (PD), and job strain (JS) (p ＜0.05) in the JCQ. In the uni-variate analyse, shiftwork was associated with an odds ratio (OR) of 0.42 (95% confidence interval [CI]=0.23-0.75) for JC, an OR of 0.44 (95%CI=0.27-0.73) for PD, and an OR of 0.44 (95%CI=027-0.73) for JS. Higher education levels (OR=5.83, 95%CI=1.23-2763) and marriage (OR=2.06, 95%CI=1.17-3.65) were positive predictors of work stress. After adjusting other factors using multi-variate logistic regressions, we found shiftwork was an independent significant predictors of the JC (adjusted odds ratio [AOR]=0.41, 95%CI=0.19-0.86). Working in clean rooms (AOR=3.18, 95%CI=1.34-7.58) and higher education levels (university AOR=3.42, 95%CI=1.26-9.23; graduated school AOR=12.96, 95%CI=2.34-71.85) were independent predictors of work stress. Other factors such as shiftwork, amoking, and drinking did not have significant associations with work stress.
Conclusion: Shiftwork was an independent significant predictor of JC. Workers working in clean rooms and with higher education levels had more work stress. The accommodation of shiftwork and life is an important issue in occupational health management.

關鍵字

Karasek's工作壓力問卷 ； 輪班工作 ； 工作壓力

並列摘要

Objective: Shiftwork has become a regular mode of working in the high-tech industry, which might lead to the acculmulation of stress and in turn lead to various physical and meatal illnesses. In recent years, there were many reports on the work stress caused by shiftwork, but few were from Taiwan. The aim of this study is to evaluate whether shift workers have higher levels of work stress than non-shift workers, so as to direct prevention strategies.
Methods: We conducted this study in conjuection with the annual health check-up of a company located in the Tainan Technology Indtutrail Park from July 1 to September 30, 2005. On each participant, data on the demographic characterstics, past medical history, and health related behaviours were collected through a questionnaire. The job stress was evaluated by the Chinese edition of Job Content Questionnaire (JCQ) so as to evaluate the associations between shiftwork and job stress.
Results: There were 257 male workers agreed to participate in this study. A negative association with shiftwork was observed for job control (JC), physical demand (PD), and job strain (JS) (p ＜0.05) in the JCQ. In the uni-variate analyse, shiftwork was associated with an odds ratio (OR) of 0.42 (95% confidence interval [CI]=0.23-0.75) for JC, an OR of 0.44 (95%CI=0.27-0.73) for PD, and an OR of 0.44 (95%CI=027-0.73) for JS. Higher education levels (OR=5.83, 95%CI=1.23-2763) and marriage (OR=2.06, 95%CI=1.17-3.65) were positive predictors of work stress. After adjusting other factors using multi-variate logistic regressions, we found shiftwork was an independent significant predictors of the JC (adjusted odds ratio [AOR]=0.41, 95%CI=0.19-0.86). Working in clean rooms (AOR=3.18, 95%CI=1.34-7.58) and higher education levels (university AOR=3.42, 95%CI=1.26-9.23; graduated school AOR=12.96, 95%CI=2.34-71.85) were independent predictors of work stress. Other factors such as shiftwork, amoking, and drinking did not have significant associations with work stress.
Conclusion: Shiftwork was an independent significant predictor of JC. Workers working in clean rooms and with higher education levels had more work stress. The accommodation of shiftwork and life is an important issue in occupational health management.

並列關鍵字

Karasek's job demand model ； shift work ； work stress