umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Workload and Health in the Swedish Homecare: A test of psychosocial factors derived from the Job Demand-Control-Support (DCS) model.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2018 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: The proportion of elderly receiving assistance from the home care has increased drastically the last couple of years. This has put the home care system in many municipalities under a lot of stress. High workload has in previous studies found to be associated with various negative health outcomes. But there is a lack of studies on how the high workload affects the health workers in the home care. The objective of this study is to examine and describe the health burden of perceived workload among health workers in the home care and to test the association between psychosocial factors and health-related quality of life.

Method: A cross-sectional study, 1162 health workers participated in the study with a response rate around 58%. The psychosocial factors workload, control and social support were measured by QPSnordic and health related quality of life were measured by EQ-5D. Multiple logistic regression was used to measure the association between high workload and health related quality of life and stratified analysis was used to test the buffer hypothesis of the demand-control-support model.

Results: There was a significant risk for poorer HRQoL when exposed to high workload in three of the four included dimensions. Adjusted odds ratio for high workload was for mobility 1.78 (CI: 0.95 -3.33), usual activities 2.67 (CI: 1.44 – 4.93), pain and discomfort 1.53 (CI 1.04 – 2.26) and anxiety and depression 3.11 (CI: 2.13 – 4.55). Control and social support moderated the effect of high workload, but the result was only significant for anxiety and depression.

Conclusions: A high workload was associated with a higher risk for problems with anxiety and depression, pain and discomfort and usual activities. High control and social support at work were found to be moderating the association and were related to a reduced risk for anxiety and depression. Old age among health workers were found to reduce the overall risk for anxiety and depression, but age was also associated with an increased risk for anxiety and depression related to high workload.

Place, publisher, year, edition, pages
2018. , p. 22
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2018:32
Keywords [en]
Swedish Homecare, workload, health, DCS model
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-152739OAI: oai:DiVA.org:umu-152739DiVA, id: diva2:1257521
External cooperation
Kommuner i Västerbotten, Västernorrland och Jämtland
Educational program
Master's Programme in Public Health
Presentation
2018-05-22, Caring Science building, Room B302, Umeå University, Umeå, 09:00 (English)
Supervisors
Examiners
Available from: 2018-10-22 Created: 2018-10-22 Last updated: 2018-10-22Bibliographically approved

Open Access in DiVA

No full text in DiVA

Search in DiVA

By author/editor
Sjöberg, André
By organisation
Epidemiology and Global Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 102 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf