Job Strain, Social Support, and Changes in Disability Among Workers After Stroke: Evidence from a Longitudinal Study in Thailand

Details

• Journal Article:
  Global Transitions
• Personal Author:
  Naknoi, Siripan ; Kaewboonchoo, Orawan ; Ramasoota, Pongrama ; Liu, Xinyue ; Guardiano, Megan ; Chen, Liwei ; Lin, Chunqing ; Phuanukoonnon, Suparat ; Soonthornworasiri, Ngamphol ; Li, Jian
• Description:
  Background: Work-related psychosocial factors can affect cardiovascular health; however, their impact on stroke prognosis among young employed workforce remains understudied. This longitudinal study investigated the relationship of work stress, measured by the Demand-Control-Support model, with changes in disability over a year among 103 Thai workers aged 20 to 59 who had a stroke. Methods: The study evaluated job strain (combination of high demand and low control) and social support before discharge at baseline. Disability status, using the Barthel index (BI) and modified Rankin Scale (mRS), was measured at baseline, 6 months, and 12 months after discharge. Generalized estimating equations were used to test the hypothesis that job strain and social support at baseline would have direct effects on disability throughout a year. Results: The results showed that job strain was not significantly associated with disability (both BI and mRS), while low social support was significantly associated with worse disability over a year, particularly mRS (Coefficient 0.10; 95% CI: 0.0063, 0.20). The interaction between job strain and social support was not significant. Conclusion: These findings suggest the potential importance of social support in the recovery process from stroke, particularly in the workplace. Given the rising global burden of stroke in working-age adults, these findings underscore the crucial role of worksite health promotion for stroke management. Description provided by NIOSH
• Subjects:
  • Cardiovascular System
  • Ischemic Stroke
  • Occupational Health
  • Occupational Stress
  • Safety
• Keywords:
  • Longitudinal study; Psychosocial factors; Cardiovascular health; Job stress; Sociological factors; Disabled workers;
  • Author Keywords: Disability; Job strain; Longitudinal study; Social support; Stroke; Workers
• Source:
  Glob Transit 2026 Oct; 8(2):279-285
• ISSN:
  2474-7882
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; San Francisco Region OSHA
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America ; Asia
• Pages in Document:
  7 pdf pages
• Volume:
  8
• NIOSHTIC Number:
  nn:20071707
• Contact Point Address:
  Jian Li, Departments of Environmental Health Sciences and Epidemiology, Fielding School of Public Health, Joe C. Wen School of Nursing, University of California Los Angeles, Los Angeles, 90095, CA, USA
• Email:
  jianli2019@ucla.edu
• Federal Fiscal Year:
  2027
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• End Date:
  20270630
• Download URL:
  https://stacks.cdc.gov/view/cdc/259478/cdc_259478_DS1.pdf
• File Type:
  [PDF - 2.17 MB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fc2f3e5697605f8a6d934090b9aa9ed2cabf5d0b2d15ec7dd29fd6b3e479a805e5b79867a883b133a8f53b17f1b8875b7c8123db1fb6479d7fa3bb29f3dc3d66