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Double exposure. The combined impact of domestic responsibilities and job strain on common symptoms in employed Swedish women.

Artikel i vetenskaplig tidskrift
Författare Gunilla Krantz
P O Ostergren
Publicerad i European journal of public health
Volym 11
Nummer/häfte 4
Sidor 413-9
ISSN 1101-1262
Publiceringsår 2001
Publicerad vid
Sidor 413-9
Språk en
Ämnesord Adult, Employment, psychology, Family Characteristics, Female, Health Status Indicators, Housekeeping, Humans, Marital Status, Middle Aged, Occupational Exposure, Questionnaires, Risk Assessment, Social Class, Socioeconomic Factors, Stress, Psychological, epidemiology, Sweden, epidemiology, Women's Health, Women, Working, psychology
Ämneskategorier Folkhälsomedicinska forskningsområden

Sammanfattning

BACKGROUND: This study investigated the influence of domestic responsibility and job strain, and especially simultaneous exposure to these factors (i.e. 'double exposure') on common physical and mental symptoms in Swedish women. METHODS: A questionnaire containing items on socio-economic factors, domestic responsibilities, and psychosocial working conditions was sent to a random population of women, 40 to 50 years of age, in a rural Swedish community. The response rate was 81.7% (397 women). Multiple logistic regression analyses were used to test for potential confounding factors and effect modification. Attributable risks were computed based on prevalence data. RESULTS: Women shouldering great domestic responsibility or who experienced job strain were at risk of a high level of common symptoms (OR 1.76; 1.04-2.97 and OR 3.48; 2.05-5.92, respectively). 'Double exposure' considerably increased the odds for common symptoms (OR 6.91; 2.58-18.48), with support for synergy noted. The population attributable risk (PAR) of great domestic responsibility was 10.0% and of job strain it was 26.7% in producing a high level of common symptoms. The corresponding figure for the population of women subjected to 'double exposure' was 11.8% and for the population of women subjected to either single or 'double exposure' the PAR was 30.3%. CONCLUSION: Heavy domestic responsibility and/or a job strain situation are factors that seem to make important contributions to the causes of a high level of common symptoms among salaried women 40 to 50 years of age. 'Double exposure' showed a particularly high risk because of synergy.

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