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Published in: International Archives of Occupational and Environmental Health 7/2009

01-07-2009 | Original Article

Chronic fatigue of the small enterprise workers participating in an occupational health checkup center in southern Taiwan

Authors: Fu-Wei Wang, Yu-Wen Chiu, Ming-Shium Tu, Ming-Yueh Chou, Chao-Ling Wang, Hung-Yi Chuang

Published in: International Archives of Occupational and Environmental Health | Issue 7/2009

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Abstract

Purpose

There has been increasing interest in the occupational health of workers in small enterprises, especially in developing countries. This study examines the association between psychosocial job characteristics and fatigue, and attempts to identify risk factors for fatigue among workers of small enterprises in southern Taiwan.

Methods

A structured questionnaire was administered to workers receiving regular health examinations between August 2005 and January 2006. The questionnaire collected demographic information and data on working conditions, personal health status and life styles. It also collected information on psychosocial job characteristics, fatigue and psychological distress using three instruments.

Results

A total of 647 workers with mean age of 43.7 were completed. Probable fatigue was found in 34.6% of the sample. Fatigue was found by multiple logistic regressions to be associated with the lack of exercise, working in shifts, depression score and lack of social support at workplace.

Conclusions

This study found associations between life style, psychosocial job characteristics and fatigue. Because the high prevalence of probable fatigue was found in such small enterprises, the authors suggest that a short interview with some quick questionnaires in health checkup for these small enterprise workers are helpful to early detect psychosocial and fatigue problems.
Literature
go back to reference Amick B, Kasl S (2000) Work stress. In: MaDonal C (ed) Epidemiology of work-related diseases. BMJ Publishing Group, London Amick B, Kasl S (2000) Work stress. In: MaDonal C (ed) Epidemiology of work-related diseases. BMJ Publishing Group, London
go back to reference Andrea H, Kant IJ, Beurskens AJ, Metsemakers JF, Van Schayck CP (2003) Associations between fatigue attributions and fatigue, health, and psychosocial work characteristics: a study among employees visiting a physician with fatigue. Occup Environ Med 60(Suppl 1):i99–i104. doi:10.1136/oem.60.suppl_1.i99 PubMedCrossRef Andrea H, Kant IJ, Beurskens AJ, Metsemakers JF, Van Schayck CP (2003) Associations between fatigue attributions and fatigue, health, and psychosocial work characteristics: a study among employees visiting a physician with fatigue. Occup Environ Med 60(Suppl 1):i99–i104. doi:10.​1136/​oem.​60.​suppl_​1.​i99 PubMedCrossRef
go back to reference Bosma H, Marmot MG, Hemingway H, Nicholson AC, Brunner E, Stansfeld SA (1997) Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study. Br Med J 314:558–565 Bosma H, Marmot MG, Hemingway H, Nicholson AC, Brunner E, Stansfeld SA (1997) Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study. Br Med J 314:558–565
go back to reference Bültmann U, de Vries M, Beurskens AJ, Bleijenberg G, Vercoulen JH, Kant I (2000) Measurement of prolonged fatigue in the working population: determination of a cutoff point for the checklist individual strength. J Occup Health Psychol 5:411–416. doi:10.1037/1076-8998.5.4.411 PubMedCrossRef Bültmann U, de Vries M, Beurskens AJ, Bleijenberg G, Vercoulen JH, Kant I (2000) Measurement of prolonged fatigue in the working population: determination of a cutoff point for the checklist individual strength. J Occup Health Psychol 5:411–416. doi:10.​1037/​1076-8998.​5.​4.​411 PubMedCrossRef
go back to reference Bültmann U, Kant IJ, Kasl SV, Schroer KA, Swaen GM, van den Brandt PA (2002c) Lifestyle factors as risk factors for fatigue and psychological distress in the working population: prospective results from the Maastricht Cohort Study. J Occup Environ Med 44:116–124. doi:10.1097/00043764-200202000-00006 PubMedCrossRef Bültmann U, Kant IJ, Kasl SV, Schroer KA, Swaen GM, van den Brandt PA (2002c) Lifestyle factors as risk factors for fatigue and psychological distress in the working population: prospective results from the Maastricht Cohort Study. J Occup Environ Med 44:116–124. doi:10.​1097/​00043764-200202000-00006 PubMedCrossRef
go back to reference Council of Labor Affairs (2005) Labor health protection regulation. Council of Labor Affairs, Executive Yuan, Taiwan, Taipei Council of Labor Affairs (2005) Labor health protection regulation. Council of Labor Affairs, Executive Yuan, Taiwan, Taipei
go back to reference Fuhrer R, Wessely S (1995) The epidemiology of fatigue and depression: a French primary-care study. Psychol Med 25:895–905PubMedCrossRef Fuhrer R, Wessely S (1995) The epidemiology of fatigue and depression: a French primary-care study. Psychol Med 25:895–905PubMedCrossRef
go back to reference Hardy GE, Shapiro DA, Borrill CS (1997) Fatigue in the workforce of National Health Service Trusts: levels of symptomatology and links with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosom Res 43:83–92. doi:10.1016/S0022-3999(97)00019-6 PubMedCrossRef Hardy GE, Shapiro DA, Borrill CS (1997) Fatigue in the workforce of National Health Service Trusts: levels of symptomatology and links with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosom Res 43:83–92. doi:10.​1016/​S0022-3999(97)00019-6 PubMedCrossRef
go back to reference Hickie IB, Hooker AW, Hadzi-Pavlovic D, Bennett BK, Wilson AJ, Lloyd AR (1996) Fatigue in selected primary care settings: sociodemographic and psychiatric correlates. Med J Aust 164:585–588PubMed Hickie IB, Hooker AW, Hadzi-Pavlovic D, Bennett BK, Wilson AJ, Lloyd AR (1996) Fatigue in selected primary care settings: sociodemographic and psychiatric correlates. Med J Aust 164:585–588PubMed
go back to reference Houtman I, Jettinghoff K, Cedillo L (2007) Raising awareness of stress at work in developing countries: a modern hazard in a traditional working environment: advice to employers and worker representatives. WHO Press, Geneva Houtman I, Jettinghoff K, Cedillo L (2007) Raising awareness of stress at work in developing countries: a modern hazard in a traditional working environment: advice to employers and worker representatives. WHO Press, Geneva
go back to reference Karasek R, Theorell T (1990) Healthy work: stress, productivity, and the reconstruction of working life. Basic Books, New York Karasek R, Theorell T (1990) Healthy work: stress, productivity, and the reconstruction of working life. Basic Books, New York
go back to reference Lee Y, Yang MJ, Lai TJ, Chiu NM, Chau TT (2000) Development of the Taiwanese depression questionnaire. Chang Gung Med J 23:688–694PubMed Lee Y, Yang MJ, Lai TJ, Chiu NM, Chau TT (2000) Development of the Taiwanese depression questionnaire. Chang Gung Med J 23:688–694PubMed
go back to reference Lu L, Chen YC, Hsu CH, Li CH, Wu HL, Shih JB (1995) A study on occupational stress index-employees in public corporations in Taiwan as a sample cohort. J Occup Saf Health Res 3:47–72 Lu L, Chen YC, Hsu CH, Li CH, Wu HL, Shih JB (1995) A study on occupational stress index-employees in public corporations in Taiwan as a sample cohort. J Occup Saf Health Res 3:47–72
go back to reference Ministry of Economic Affairs (2006) White Paper on Small and Medium Enterprises in Taiwan 2006. Ministry of Economic Affairs, Taipei Ministry of Economic Affairs (2006) White Paper on Small and Medium Enterprises in Taiwan 2006. Ministry of Economic Affairs, Taipei
go back to reference Pawlikowska T, Chalder T, Hirsch SR, Wallace P, Wright DJ, Wessely SC (1994) Population based study of fatigue and psychological distress. Br Med J 308:763–766 Pawlikowska T, Chalder T, Hirsch SR, Wallace P, Wright DJ, Wessely SC (1994) Population based study of fatigue and psychological distress. Br Med J 308:763–766
go back to reference Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G (1996) Prognosis in chronic fatigue syndrome: a prospective study on the nature course. J Neurol Neurosurg Psychiatry 60:489–494. doi:10.1136/jnnp.60.5.489 PubMedCrossRef Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G (1996) Prognosis in chronic fatigue syndrome: a prospective study on the nature course. J Neurol Neurosurg Psychiatry 60:489–494. doi:10.​1136/​jnnp.​60.​5.​489 PubMedCrossRef
go back to reference Wang CL, Huang JJ, Yang CY, Chuang HY (2000) The evaluation of validity and reliability for the Chinese version of Checklist Individual Strength questionnaire. Taiwan J Fam Med 10:192–201 Wang CL, Huang JJ, Yang CY, Chuang HY (2000) The evaluation of validity and reliability for the Chinese version of Checklist Individual Strength questionnaire. Taiwan J Fam Med 10:192–201
go back to reference Waterhouse JM, Folkard S, Minors DS, Britain G (1992) Shiftwork, health and safety: an overview of the scientific literature, 1978–1990. HMSO, London Waterhouse JM, Folkard S, Minors DS, Britain G (1992) Shiftwork, health and safety: an overview of the scientific literature, 1978–1990. HMSO, London
go back to reference World Health Organization (2001) Occupational health—a manual for primary health care workers. World Health Organization, Geneva World Health Organization (2001) Occupational health—a manual for primary health care workers. World Health Organization, Geneva
go back to reference Yang MJ, Ho CK, Su YC, Yang MS (1997) Job strain, social support and mental health: a study on the male heavy manufacturing workers. Kaohsiung J Med Sci 13:332–341PubMed Yang MJ, Ho CK, Su YC, Yang MS (1997) Job strain, social support and mental health: a study on the male heavy manufacturing workers. Kaohsiung J Med Sci 13:332–341PubMed
Metadata
Title
Chronic fatigue of the small enterprise workers participating in an occupational health checkup center in southern Taiwan
Authors
Fu-Wei Wang
Yu-Wen Chiu
Ming-Shium Tu
Ming-Yueh Chou
Chao-Ling Wang
Hung-Yi Chuang
Publication date
01-07-2009
Publisher
Springer-Verlag
Published in
International Archives of Occupational and Environmental Health / Issue 7/2009
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-009-0429-2

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