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International Archives of Occupational and Environmental Health

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01-04-2005 | Original Article

Effort–reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study

Authors: Jian Li, Wenjie Yang, Yawen Cheng, Johannes Siegrist, Sung-Il Cho

Published in: International Archives of Occupational and Environmental Health | Issue 3/2005

Abstract

Objective: The aim of this study was to test the reliability and validity of the Chinese version of the 23-item effort–reward imbalance (ERI) questionnaire and to analyze its association with job dissatisfaction in a sample of Chinese healthcare workers. Methods: A self-reported survey was conducted, in university hospitals of China, among 192 male and 608 female healthcare workers. Results: Appropriate internal consistencies of the three scales: effort, reward, and overcommitment, were obtained. Exploratory factor analysis replicated the theoretically assumed structure of the ERI construct in men and women. Evidence of criterion validity was obtained from cross-correlations of the scales and from their correlations with gender, education and job dissatisfaction. Finally, all three scales were associated with an elevated odds ratio of job dissatisfaction, and the effect was strongest for the ERI ratio as predicted by theory. Conclusion: Based on the results of this study the Chinese version of the ERI questionnaire is considered a reliable and valid instrument for measuring psychosocial stress at work. It is applicable to Chinese working populations and, in particular, to the healthcare sector.

Bakker AB, Killmer CH, Siegrist J, Schaufeli WB (2000) Effort–reward imbalance and burnout among nurses. J Adv Nurs 31:884–891

Callaghan P, Tak-Ying SA, Wyatt PA (2000) Factors related to stress and coping among Chinese nurses in Hong Kong. J Adv Nurs 31:1518–1527

Cherniss C (1992) Long-term consequences of burnout: an exploratory study. J Organ Behav 13:1–11

Christiani DC, Tan X, Wang X (2002) Occupational health in China. Occup Med 17:355–370

Cooper CL (1998) Theories of organizational stress. Oxford University Press, Oxford

Dunham J (2001) Stress in the workplace: past, present and future. Whurr, London

Hanson EK, Schaufeli W, Vrijkotte T, Plomp NH, Godaert GL (2000) The validity and reliability of the Dutch effort–reward imbalance questionnaire. J Occup Health Psychol 5:142–155

Karasek R, Theorell T (1990) Healthy work: stress, productivity, and the reconstruction of working life. Basic Books, New York

Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B (1998) The job content questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355CrossRefPubMed

Kawakami N, Haratani T (1999) Epidemiology of job stress and health in Japan: review of current evidence and future direction. Ind Health 37:174–186PubMed

Kivimäki M, Leino-Arjas P, Luukkonen R, Riihimäki H, Vahtera J, Kirjonen J (2002) Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. BMJ 325:857–862

Kuper H, Marmot M (2003) Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study. J Epidemiol Community Health 57:147–153

Kuper H, Singh-Manoux A, Siegrist J, Marmot M (2002) When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study. Occup Environ Med 59:777–784

Landsbergis PA (2003) The changing organization of work and the safety and health of working people: a commentary. J Occup Environ Med 45:61–72

Lee S, Colditz G, Berkman L, Kawachi I (2002) A prospective study of job strain and coronary heart disease in US women. Int J Epidemiol 31:1147–1153

Li J, Eum KD, Lee HE, Kim SS, Paek DM, Cho SI (2003) The reliability and validity of the Korean version of the effort–reward imbalance questionnaire among industrial workers. In: The 55th fall conference of the Korean society of preventive medicine, Pyong Chang, 23–25 October 2003

McLeod J, Smith GD, Heslop P, Metcalfe C, Carroll D, Hart C (2001) Are the effects of psychosocial exposures attributable to confounding? Evidence from a prospective observational study on psychological stress and mortality. J Epidemiol Community Health 55:878–884

Nelson DL, Burke RJ (2002) Gender, work stress, and health. American Psychological Association, Washington

Ostry AS, Kelly S, Demers PA, Mustard C, Hertzman C (2003) A comparison between the effort–reward imbalance and demand control models. BMC Public Health 3:10–19

Perrewe P, Ganster D (2002) Historical and current perspectives on stress and health, vol 2. Elsevier, Oxford

Peter R, Alfredsson L, Hammar N, Siegrist J, Theorell T, Westerholm P (1998) High effort, low reward, and cardiovascular risk factors in employed Swedish men and women: baseline results from the WOLF study. J Epidemiol Community Health 52:540–547PubMed

Peter R, Siegrist J, Hallqvist J, Reuterwall C, Theorell T, SHEEP Study Group (2002) Psychosocial work environment and myocardial infarction: improving risk estimation by combining two alternative job stress models in the SHEEP Study. J Epidemiol Community Health 56:294–300

Pikhart H, Bobak M, Siegrist J, Pajak A, Rywik S, Kyshegyi J, Gostautas A, Skodova Z, Marmot M (2001) Psychosocial work characteristics and self-rated health in four post-communist countries. J Epidemiol Community Health 55:624–630

Schnall P, Belkic K, Landsbergis P, Baker D (2000) The workplace and cardiovascular disease. Occup Med 15:69–106

Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions at work. J Occup Health Psychol 1:27–43CrossRefPubMed

Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I, Peter R (2004) The measurement of effort–reward imbalance at work: European comparisons. Soc Sci Med 58:1483–1499CrossRefPubMed

Stansfeld SA, Bosma H, Hemingway H, Marmot MG (1998) Psychosocial work characteristics and social support as predictors of SF-36 health functioning: the Whitehall II study. Psychosom Med 60:247–255

Stansfeld SA, Fuhrer R, Shipley MJ, Marmot MG (1999) Work characteristics predict psychiatric disorder: prospective results from the Whitehall II study. Occup Environ Med 56:302–307PubMed

Tseng HP, Cheng Y (2002) Reliability and validity of the Chinese demand–control–support model and effort–reward imbalance model questionnaires: a study among employees of the microelectronics industry (in Chinese). Taiwan J Public Health 21:420–432

Tsutsumi A, Ishitake T, Peter R, Siegrist J, Matoba T (2001a) The Japanese version of the effort–reward imbalance questionnaire: a study in dental technicians. Work Stress 15:86–96

Tsutsumi A, Kayaba K, Theorell T, Siegrist J (2001b) Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health 27:146–153PubMed

van Vegchel N, de Jonge J, Meijer T, Hamers JP (2001) Different effort constructs and effort–reward imbalance: effects on employee well-being in ancillary health care workers. J Adv Nurs 34:128–136

Weinberg A, Creed F (2000) Stress and psychiatric disorder in healthcare professionals and hospital staff. Lancet 355:533–537

Xu L, Siegrist J, Cao W, Li L, Tomlinson B, Chan J (2004) Measuring job stress and family stress in Chinese working women: a validation study focusing on blood pressure and psychosomatic symptoms. Women Health 39:31–46

Yu SF (1997) Introduction of instruments for occupational stress from western countries (in Chinese). Ind Health Occup Med 23:126–128

Yu MY, Sarri R (1997) Women’s health status and gender inequality in China. Soc Sci Med 45:1885–1898

Title: Effort–reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study
Authors: Jian Li
Wenjie Yang
Yawen Cheng
Johannes Siegrist
Sung-Il Cho
Publication date: 01-04-2005
Publisher: Springer-Verlag
Published in: International Archives of Occupational and Environmental Health / Issue 3/2005
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-004-0581-7

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Effort–reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study

Abstract

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