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Characteristics of Workplace Psychosocial Resources and Risk of Diabetes: A Prospective Cohort Study
Diabetes Care ( IF 16.2 ) Pub Date : 2021-11-05 , DOI: 10.2337/dc20-2943
Tianwei Xu 1, 2, 3 , Alice J Clark 2, 4 , Jaana Pentti 5, 6 , Reiner Rugulies 2, 3, 7 , Theis Lange 2 , Jussi Vahtera 6, 8 , Linda L Magnusson Hanson 1 , Hugo Westerlund 1 , Mika Kivimäki 5, 9, 10 , Naja H Rod 2
Affiliation  

OBJECTIVE

To examine whether characteristics of workplace psychosocial resources are associated with the risk of type 2 diabetes among employees.

RESEARCH DESIGN AND METHODS

Participants were 49,835 employees (77% women, aged 40–65 years, and diabetes free at baseline) from the Finnish Public Sector cohort study. Characteristics of horizontal (culture of collaboration and support from colleagues) and vertical (leadership quality and organizational procedural justice) psychosocial resources were self-reported. Incident type 2 diabetes (n = 2,148) was ascertained through linkage to electronic health records from national registers. We used latent class modeling to assess the clustering of resource characteristics. Cox proportional hazards models were used to examine the relationship between the identified clusters and risk of type 2 diabetes during 10.9 years of follow-up, adjusting for age, sex, marital status, educational level, type of employment contract, comorbidity, and diagnosed mental disorders.

RESULTS

We identified four patterns of workplace psychosocial resources: unfavorable, favorable vertical, favorable horizontal, and favorable vertical and horizontal. Compared with unfavorable, favorable vertical (hazard ratio 0.87 [95% CI 0.78; 0.97]), favorable horizontal (0.77 [0.67; 0.88]), and favorable vertical and horizontal (0.77 [0.68; 0.86]) resources were associated with a lower risk of type 2 diabetes, with the strongest associations seen in employees at age ≥55 years (Pinteraction = 0.03). These associations were robust to multivariable adjustments and were not explained by reverse causation.

CONCLUSIONS

A favorable culture of collaboration, support from colleagues, leadership quality, and organizational procedural justice are associated with a lower risk of employees developing type 2 diabetes than in those without such favorable workplace psychosocial resources.



中文翻译:

工作场所社会心理资源特征与糖尿病风险:一项前瞻性队列研究

客观的

旨在检查工作场所社会心理资源的特征是否与员工患 2 型糖尿病的风险相关。

研究设计和方法

参与者是来自芬兰公共部门队列研究的 49,835 名员工(77% 为女性,年龄在 40-65 岁之间,基线时无糖尿病)。自我报告了横向(协作文化和同事支持)和纵向(领导素质和组织程序公正)社会心理资源的特征。事件 2 型糖尿病 ( n= 2,148) 是通过链接到国家登记册中的电子健康记录来确定的。我们使用潜在类建模来评估资源特征的聚类。在 10.9 年的随访期间,使用 Cox 比例风险模型检查确定的聚类与 2 型糖尿病风险之间的关系,调整年龄、性别、婚姻状况、教育水平、雇佣合同类型、合并症和诊断的精神疾病障碍。

结果

我们确定了四种工作场所心理社会资源模式:不利、有利的纵向、有利的横向以及有利的纵向和横向。与不利的相比,有利的垂直(风险比 0.87 [95% CI 0.78; 0.97])、有利的水平(0.77 [0.67; 0.88])和有利的垂直和水平(0.77 [0.68; 0.86])资源与较低的相关2 型糖尿病的风险,与年龄≥55 岁的员工之间的关联最强(P交互= 0.03)。这些关联对多变量调整是稳健的,并且不能用反向因果关系来解释。

结论

与没有这种有利的工作场所社会心理资源的员工相比,良好的协作文化、同事的支持、领导素质和组织程序公正与员工患 2 型糖尿病的风险较低有关。

更新日期:2021-11-07
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