The purpose of this study is to evaluate the association between psychosocial aspects at work and dissatisfaction among health workers in five cities in Bahia, Brazil. The evaluation was based on different models proposed to measuring occupational stress and possible combinations between them: demand-control model (DCM) and effort-reward imbalance (ERI). We conducted a cross-sectional epidemiological study including 3084 health workers. The analysis considered the association between partial/full/partial (combined) occupational stress models (the variable “exposure”) and job dissatisfaction (the variable “outcome”). Dissatisfaction rate was 26%. Full DCM and ERI models were better than partial ones to investigate job dissatisfaction. After adjustments, the combined models presented more robust measures of prevalence ratio than models evaluated separately (PR 2.93; CI 2.26–3.80). The combination of models has shown greater capacity to identify situations of job dissatisfaction and provided more potential information to support actions for workers’ health.

中文翻译：

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职业压力和对卫生工作的不满

这项研究的目的是评估在巴西巴伊亚州的五个城市，工作中的社会心理因素与卫生工作者的不满之间的联系。评估基于提议的用于测量职业压力及其之间可能组合的不同模型：需求控制模型（DCM）和工作酬劳失衡（ERI）。我们进行了包括3084名卫生工作者的横断面流行病学研究。分析考虑了部分/全部/部分（组合）职业压力模型（变量“暴露”）与工作不满（变量“结果”）之间的关联。不满意率为26％。完整的DCM和ERI模型比部分模型更好地调查了工作满意度。调整后，与单独评估的模型相比，组合模型提供了更有效的患病率衡量指标（PR 2.93； CI 2.26–3.80）。这些模型的组合显示出更大的能力来识别工作不满意的情况，并提供了更多的潜在信息来支持为工人的健康采取的行动。