The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey

Bibliographic Details
Title: The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey
Authors: Allison Milner, Katrina Witt, Matthew J. Spittal, Marie Bismark, Melissa Graham, Anthony D. LaMontagne
Source: BMC Health Services Research, Vol 17, Iss 1, Pp 1-10 (2017)
Publisher Information: BMC, 2017.
Publication Year: 2017
Collection: LCC:Public aspects of medicine
Subject Terms: Medical doctors, Job stress, Work, Employment, Medicine, Health, Public aspects of medicine, RA1-1270
More Details: Abstract Background Psychosocial job stressors, such as low control and high demands, have been found to influence the health and wellbeing of doctors. However, past research in this area has relied on cross-sectional data, which limits causal inferences about the influence of psychosocial job stressors on health. In this study, we examine this relationship longitudinally while also assessing whether the relationship between psychosocial job stressors and health is modified by gender. Methods The data source was seven annual waves of the Medicine in Australia: Balancing Employment and Life (MABEL) survey. The outcome was self-rated health (measured using the SF-12), and key exposures reflected job control, job demands, work-life balance variables, employment arrangements, and aggression experienced at work. We used longitudinal fixed and random effects regression models to assess within and between-person changes in health. Results Excessive job demands, low job control, feelings of not being rewarded at work, and work-life imbalance were associated with higher within-person odds of poorer self-rated health. Gender differences were apparent. For female doctors, work arrangements and work-life imbalance were associated with poorer self-rated health whilst task-based job stressors were associated with poorer self-rated health in male doctors. Conclusions These results suggest the importance of addressing adverse working environments among doctors. Trial registration Not applicable.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1472-6963
Relation: http://link.springer.com/article/10.1186/s12913-017-2554-z; https://doaj.org/toc/1472-6963
DOI: 10.1186/s12913-017-2554-z
Access URL: https://doaj.org/article/02b83d904e3d498bbd5e7cc429c44828
Accession Number: edsdoj.02b83d904e3d498bbd5e7cc429c44828
Database: Directory of Open Access Journals
More Details
ISSN:14726963
DOI:10.1186/s12913-017-2554-z
Published in:BMC Health Services Research
Language:English