Veille documentaire MTPH

Auteur     Marianna Virtanen
Auteur     Jussi Vahtera
Auteur     G David Batty
Auteur     Katinka Tuisku
Auteur     Tuula Oksanen
Auteur     Marko Elovainio
Auteur     Kirsi Ahola
Auteur     Jaana Pentti
Auteur     Paula Salo
Auteur     Anne-Marie Vartti
Auteur     Mika Kivimäki
Résumé     OBJECTIVE: This study examined whether indicators of poor health and health risk behaviors among hospital staff differ between the ward specialties.
METHODS: Across 21 hospitals in Finland, 8003 employees (mean age 42 years, 87% women, 86% nurses) working in internal medicine, surgery, obstetrics and gynecology, pediatrics, intensive care, and psychiatry responded to a baseline survey on health and health risk behaviors (response rate 70%). Responses were linked to records of sickness absence and medication over the following 12 months.
RESULTS: Psychiatric staff had higher odds of smoking [odds ratio (OR) 2.58, 95% confidence interval (95% CI) 2.14-3.12], high alcohol use (OR 1.55, 95% CI 1.21-1.99), physical inactivity (OR 1.30, 95% CI 1.11-1.53), chronic physical disease (OR 1.19, 95% CI 1.04-1.36), current or past mental disorders (OR 1.81, 95% CI 1.50-2.17), and co-occurring poor health indicators (OR 2.65, 95% CI 2.08-3.37) as compared to those working in other specialties. They also had higher odds of sickness absence due to mental disorders (OR 1.40, 95% CI 1.02-1.92) and depression (OR 1.61, 95% CI 1.02-2.55) at follow-up after adjustment for baseline health and covariates. Personnel in surgery had the lowest probability of morbidity. No major differences between specialties were found in the use of psychotropic medication.
CONCLUSION: The prevalence of hospital employees with an adverse health risk profile is higher in psychiatric wards than other specialties.
Publication     Scandinavian Journal of Work, Environment & Health
Date     2011-12-15