The mental health effects of multiple work and family demands : A prospective study of psychiatric sickness absence in the French GAZEL study.
Identifieur interne : 000270 ( France/Analysis ); précédent : 000269; suivant : 000271The mental health effects of multiple work and family demands : A prospective study of psychiatric sickness absence in the French GAZEL study.
Auteurs : Maria Melchior [France] ; Lisa Berkman [États-Unis] ; Isabelle Niedhammer [France] ; Marie Zins [France] ; Marcel Goldberg [France]Source :
- Social Psychiatry and Psychiatric Epidemiology [ 0933-7954 ] ; 2007-07.
English descriptors
Abstract
BACKGROUND: Individuals who experience work stress or heavy family demands are at elevated risk of poor mental health. Yet, the cumulative effects of multiple work and family demands are not well known, particularly in men. METHODS: We studied the association between multiple work and family demands and sickness absence due to non-psychotic psychiatric disorders in a longitudinal study conducted among members of the French GAZEL cohort study (8,869 men, 2,671 women) over a period of 9 years (1995-2003). Work stress and family demands were measured by questionnaire. Medically certified psychiatric sickness absence data were obtained directly from the employer. Rate ratios (RRs) of sickness absence were calculated using Poisson regression models, adjusting for age, marital status, social support, stressful life events, alcohol consumption, body mass and depressive symptoms at baseline. RESULTS: Participants simultaneously exposed to high levels of work and family demands (>/=2 work stress factors and >/=4 dependents) had significantly higher rates of sickness absence due to non-psychotic psychiatric disorders than participants with lower levels of demands (compared to participants exposed to 0-1 work stress factors and with 1-3 dependents, age-adjusted rate ratios were 2.37 (95% CI 1.02-5.52) in men and 6.36 (95% CI 3.38-11.94) in women. After adjusting for baseline socio-demographic, behavioral and health characteristics, these RRs were respectively reduced to 1.82 (95% CI 0.86-3.87) in men, 5.04 (95% CI 2.84-8.90) in women. The effect of multiple work and family demands was strongest for sickness absence due to depression: age-adjusted RRs among participants with the highest level of work and family demands were 4.70 (1.96-11.24) in men, 8.57 (4.26-17.22) in women; fully adjusted RRs: 3.55 (95% CI 1.62-7.77) in men, 6.58 (95%CI 3.46-12.50) in women. CONCLUSIONS: Men and women simultaneously exposed to high levels of work stress and family demands are at high risk of experiencing mental health problems, particularly depression.
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DOI: 10.1007/s00127-007-0203-2
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Hal:inserm-00165556Le document en format XML
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75231 Paris Cedex 05</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-92966" type="direct"><org type="institution" xml:id="struct-92966" status="VALID"> <orgName>Université Paris-Sud - Paris 11</orgName> <orgName type="acronym">UP11</orgName> <desc> <address> <addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u-psud.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-99539" type="indirect"><org type="institution" xml:id="struct-99539" status="VALID"> <orgName>École des hautes études en sciences sociales</orgName> <orgName type="acronym">EHESS</orgName> <desc> <address> <addrLine>54, boulevard Raspail 75006 Paris</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ehess.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300068" type="indirect"><org type="regroupinstitution" xml:id="struct-300068" status="VALID"> <orgName>Assistance publique - 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78035 Versailles cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.uvsq.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Versailles</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName></affiliation></author><author><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-3045" status="OLD"> <orgName>Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé</orgName> <date type="end">2009-12-31</date> <desc> <address> <addrLine>Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-2756" type="direct"></relation> <relation active="#struct-7550" type="indirect"></relation> <relation active="#struct-92966" type="direct"></relation> <relation active="#struct-99539" type="indirect"></relation> <relation active="#struct-300068" type="indirect"></relation> <relation active="#struct-301664" type="indirect"></relation> <relation name="IFR69" active="#struct-303623" type="direct"></relation> <relation name="IFR69" active="#struct-441569" type="indirect"></relation> <relation name="U687" active="#struct-303623" type="direct"></relation> <relation active="#struct-81173" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-2756" type="direct"><org type="regrouplaboratory" xml:id="struct-2756" status="OLD"> <orgName>Epidémiologie, sciences sociales, santé publique</orgName> <orgName type="acronym">IFR 69</orgName> <date type="start">2000-01-01</date> <desc> <address> <addrLine>Centre de Recherche Inserm 16, Avenue Paul Vaillant-Couturier 94807 VILLEJUIF CEDEX</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-7550" type="direct"></relation> <relation active="#struct-92966" type="direct"></relation> <relation active="#struct-99539" type="direct"></relation> <relation active="#struct-300068" type="direct"></relation> <relation active="#struct-301664" type="direct"></relation> <relation name="IFR69" active="#struct-303623" type="direct"></relation> <relation name="IFR69" active="#struct-441569" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-7550" type="indirect"><org type="institution" xml:id="struct-7550" status="VALID"> <orgName>Université Panthéon-Sorbonne</orgName> <orgName type="acronym">UP1</orgName> <desc> <address> <addrLine>12 place du Panthéon - 75231 Paris Cedex 05</addrLine> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-92966" type="direct"><org type="institution" xml:id="struct-92966" status="VALID"> <orgName>Université Paris-Sud - Paris 11</orgName> <orgName type="acronym">UP11</orgName> <desc> <address> <addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.u-psud.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-99539" type="indirect"><org type="institution" xml:id="struct-99539" status="VALID"> <orgName>École des hautes études en sciences sociales</orgName> <orgName type="acronym">EHESS</orgName> <desc> <address> <addrLine>54, boulevard Raspail 75006 Paris</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ehess.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300068" type="indirect"><org type="regroupinstitution" xml:id="struct-300068" status="VALID"> <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName> <orgName type="acronym">APHP</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle><tutelle active="#struct-301664" type="indirect"><org type="institution" xml:id="struct-301664" status="OLD"> <idno type="IdRef">026404788</idno> <idno type="ISNI">0000 0001 2188 0914 </idno> <orgName>Université Paris Descartes - Paris 5</orgName> <orgName type="acronym">UPD5</orgName> <date type="start">1971-01-01</date> <date type="end">2019-12-31</date> <desc> <address> <addrLine>12, rue de l'École de Médecine - 75270 Paris cedex 06</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.parisdescartes.fr/</ref> </desc> </org></tutelle><tutelle name="IFR69" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle><tutelle name="IFR69" active="#struct-441569" type="indirect"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="IdRef">02636817X</idno> <idno type="ISNI">0000000122597504</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc> </org></tutelle><tutelle name="U687" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc> </org></tutelle><tutelle active="#struct-81173" type="direct"><org type="institution" xml:id="struct-81173" status="VALID"> <idno type="IdRef">03082057X</idno> <idno type="ISNI">0000 0001 2323 0229 </idno> <orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName> <orgName type="acronym">UVSQ</orgName> <date type="start">1991-07-22</date> <desc> <address> <addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.uvsq.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Versailles</settlement><region type="region" nuts="2">Île-de-France</region></placeName><orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName></affiliation></author></analytic><idno type="DOI">10.1007/s00127-007-0203-2</idno><series><title level="j">Social Psychiatry and Psychiatric Epidemiology</title><idno type="ISSN">0933-7954</idno><imprint><date type="datePub">2007-07</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>depression</term><term>family demands</term><term>sickness absence</term><term>social disparities</term><term>work stress</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>BACKGROUND: Individuals who experience work stress or heavy family demands are at elevated risk of poor mental health. Yet, the cumulative effects of multiple work and family demands are not well known, particularly in men. METHODS: We studied the association between multiple work and family demands and sickness absence due to non-psychotic psychiatric disorders in a longitudinal study conducted among members of the French GAZEL cohort study (8,869 men, 2,671 women) over a period of 9 years (1995-2003). Work stress and family demands were measured by questionnaire. Medically certified psychiatric sickness absence data were obtained directly from the employer. Rate ratios (RRs) of sickness absence were calculated using Poisson regression models, adjusting for age, marital status, social support, stressful life events, alcohol consumption, body mass and depressive symptoms at baseline. RESULTS: Participants simultaneously exposed to high levels of work and family demands (>/=2 work stress factors and >/=4 dependents) had significantly higher rates of sickness absence due to non-psychotic psychiatric disorders than participants with lower levels of demands (compared to participants exposed to 0-1 work stress factors and with 1-3 dependents, age-adjusted rate ratios were 2.37 (95% CI 1.02-5.52) in men and 6.36 (95% CI 3.38-11.94) in women. After adjusting for baseline socio-demographic, behavioral and health characteristics, these RRs were respectively reduced to 1.82 (95% CI 0.86-3.87) in men, 5.04 (95% CI 2.84-8.90) in women. The effect of multiple work and family demands was strongest for sickness absence due to depression: age-adjusted RRs among participants with the highest level of work and family demands were 4.70 (1.96-11.24) in men, 8.57 (4.26-17.22) in women; fully adjusted RRs: 3.55 (95% CI 1.62-7.77) in men, 6.58 (95%CI 3.46-12.50) in women. CONCLUSIONS: Men and women simultaneously exposed to high levels of work stress and family demands are at high risk of experiencing mental health problems, particularly depression.</p> </div></front></TEI><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Île-de-France</li></region><settlement><li>Versailles</li></settlement><orgName><li>Université de Versailles-Saint-Quentin-en-Yvelines</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Melchior, Maria" sort="Melchior, Maria" uniqKey="Melchior M" first="Maria" last="Melchior">Maria Melchior</name></region><name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name><name sortKey="Niedhammer, Isabelle" sort="Niedhammer, Isabelle" uniqKey="Niedhammer I" first="Isabelle" last="Niedhammer">Isabelle Niedhammer</name><name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name></country><country name="États-Unis"><noRegion><name sortKey="Berkman, Lisa" sort="Berkman, Lisa" uniqKey="Berkman L" first="Lisa" last="Berkman">Lisa Berkman</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Sante
|area= StressCovidV1
|flux= France
|étape= Analysis
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|clé= Hal:inserm-00165556
|texte= The mental health effects of multiple work and family demands : A prospective study of psychiatric sickness absence in the French GAZEL study.
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