Longitudinal Assessment of Effort-Reward Imbalance and Job Strain Across Pregnancy: A Preliminary Study

Details

• Personal Author:
  Meyer, J. D. ; Muntaner C ; O'Campo P ; Warren N
• Description:
  OBJECTIVES: To assess longitudinal changes in occupational effort-reward imbalance (ERI) and demand-control (DC) scores across pregnancy and examine associations with blood pressure (BP) during pregnancy. METHODS: A pilot repeated-measures survey was administered four times to a sample of working women across pregnancy using the ERI and DC instruments. Demographic data and blood pressure measurements were collected at each interval. Growth mixture modeling was used to examine trajectories of change in occupational characteristics. Associations with BP were examined using repeated-measures linear regression models. RESULTS: ERI model components (effort, reward, and overcommitment) all declined across pregnancy while job control remained stable. Increasing ERI trajectory was associated with higher systolic BP (b = 8.8; p < 0.001) as was high overcommitment; declining ERI also showed a lesser association with higher BP. Associations between DC trajectories and BP were much smaller, and non-significant once controlled for overcommitment. CONCLUSIONS: Self-assessed efforts, rewards, and overcommitment at work decline across pregnancy in our participants, while job control remains stable. Replication in a more diverse pregnant working population is warranted to confirm these results. These preliminary data suggest that further investigation into the factors that may be linked with improved work psychosocial climate during pregnancy may be useful in order to improve pregnancy outcomes. [Description provided by NIOSH]
• Subjects:
  Demography Men Mental Health Occupational Health Pregnancy Safety Stress, Psychological Women
• Keywords:
  Author Keywords: Effort-reward Imbalance Blood Pressure Demographic Characteristics Humans Job Stress Longitudinal Assessment In Pregnancy Models Occupational Hazards In Pregnancy Occupational Trajectories Physiology Psychology Stress Workers Work Organization

  More +
• ISSN:
  1092-7875
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; New York ; OSHA Region 1 ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  20
• Issue:
  7
• NIOSHTIC Number:
  nn:20050496
• Citation:
  Matern Child Health J 2016 Jul; 20(7):1366-1374
• Contact Point Address:
  John D. Meyer, Selikoff Centers for Occupational Medicine and the Pediatric Environmental Health Specialty Unit, Department of Preventive Medicine, Icahn-Mount Sinai School of Medicine, 1 Gustave L Levy Place, Box 1057, New York, NY 10029
• Email:
  john.meyer@mssm.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Connecticut
• Peer Reviewed:
  True
• Start Date:
  20050801
• Source Full Name:
  Maternal and Child Health Journal
• End Date:
  20080731
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e1f565b8087dcd20902baa0be0cb5db84baf4a33324130467dcad4799059a5f6eacf35e98eb23d83759659ed9d43268cef7a6c7521d285362ce4e82c45de2e5d
• Download URL:
  https://stacks.cdc.gov/view/cdc/210815/cdc_210815_DS1.pdf
• File Type:
  [PDF - 463.66 KB ]