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BMC Health Services Research
Published in: BMC Health Services Research 1/2016

Open Access 01-12-2016 | Research article

Effort-reward imbalance and self-rated health among Gambian healthcare professionals

Authors: Amadou Darboe, I-Feng Lin, Hsien-Wen Kuo

Published in: BMC Health Services Research | Issue 1/2016

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Abstract

Background

The effort-reward imbalance (ERI) model of work stress has been widely applied in investigating association between psychosocial factors at work and health. This study examined associations between perceived psychosocial work stress as measured by the ERI model and self-rated health (SRH) among nurses and environmental health officers (EHOs) working in secondary public healthcare facilities in the Gambia.

Method

A cross-sectional study on a random sample of 287 health care professionals (201 nurses and 86 EHOs). A 22-item ERI questionnaire was used to collect data on the psychosocial factors defined by the ERI model. SRH was assessed using a single item measure.

Results

The distribution of subjective health was not statistically different between nurses and EHOs. However, our study uncovered significant associations between perceived psychosocial work stress and subjective health. Specifically, we found that a perceived high effort-reward imbalance (ER-ratio > 1) is a significant risk factor for poor SRH, in both occupational groups. However, over-commitment was not significantly associated with poor SRH in the two groups. When efforts and rewards were considered as separate variables in the analysis, rewards were inversely associated with poor SRH in both groups.

Conclusion

Because of the high perceived Effort-Reward Imbalance among healthcare professionals at secondary public healthcare facilities, it is necessary to modify working conditions through improvement of psychosocial work environment, such as reasonable allocation of resources to increase pay, incentives or other forms of rewards from government. Interventions that could mitigate and prevent stress at work are worth considering in future healthcare policies.
Appendix
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Literature
1.
Campbell J et al. A universal truth: no health without a workforce. Geneva: World Health Organization, 2013.
2.
Anyangwe SC, Mtonga C. Inequities in the global health workforce: the greatest impediment to health in sub-Saharan Africa. Int J Environ Res Public Health. 2007;4(2):93–100.CrossRefPubMedPubMedCentral
3.
WHO. Working Together for Health. World Health Report 2006. Geneva: World Health Organization; 2006. p. 67.
4.
5.
Weyers S et al. Psychosocial work stress is associated with poor self-rated health in Danish nurses: a test of the effort-reward imbalance model. Scand J Caring Sci. 2006;20(1):26–34.CrossRefPubMed
6.
Van Vegchela N et al. Testing global and specific indicators of rewards in the Effort-Reward Imbalance Model: Does it make any difference? European J Work Organ Psychol. 2002;11(Issue 4):403–21.CrossRef
7.
8.
CIAM. Effect of Incentives on Health Service Providers’ Motivation and Performance in the Public Sector – A National Survey. Gambia: C.P.H.R.D.C.T.; 2010.
9.
MOH. Human Resource for Health: Updated Situation Analysis Report; Second version. The Gambia: Ministry of Health and Social Welfare; 2005.
10.
Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996;1(1):27–41.CrossRefPubMed
11.
12.
Siegrist, J. Effort-reward imbalance at work and health. Bingley, UK: Emerald Group Publishing Limited; 2002(2): p. 261 - 291.
13.
van Vegchel N et al. Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies. Soc Sci Med. 2005;60(5):1117–31.CrossRefPubMed
14.
Siegrist J et al. The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med. 2004;58(8):1483–99.CrossRefPubMed
15.
Niedhammer I et al. Effort-reward imbalance model and self-reported health: cross-sectional and prospective findings from the GAZEL cohort. Soc Sci Med. 2004;58(8):1531–41.CrossRefPubMed
16.
Li J et al. Effort-reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study. Int Arch Occup Environ Health. 2005;78(3):198–204.CrossRefPubMed
17.
Pikhart H et al. Psychosocial work characteristics and self rated health in four post-communist countries. J Epidemiol Community Health. 2001;55(9):624–30.CrossRefPubMedPubMedCentral
18.
Lau B. Effort-reward imbalance and overcommitment in employees in a Norwegian municipality: a cross sectional study. J Occup Med Toxicol. 2008;3(9):1–11.
19.
Peltzer K et al. Job stress, job satisfaction and stress-related illnesses among South African educators. Stress Health. 2009;25(3):247–57.CrossRef
20.
Ojedokun O. Effort-reward imbalance and attitude towards unethical work behaviour among police personnel: emotional intelligence as a moderator. IFE PsychologIA. 2010;18(1):137–55.CrossRef
21.
Siegrist J. Effort-reward imbalance and health in a globalized economy. SJWEH Suppl. 2008;6:163–8.
22.
HMIS. In: H. Unit, editor. Annual Health Services Statistics Report: 2012. Banjul: National Health Management Information System (HMIS); 2012.
23.
Subramanian SV, Huijts T, Avendano M. Self-reported health assessments in the 2002 World Health Survey: how do they correlate with education? Bull World Health Organ. 2010;88(2):131–8.CrossRefPubMed
24.
25.
26.
Kinnunen U, Feldt T, Mäkikangas A. Testing the effort-reward imbalance model among Finnish managers: The role of perceived organizational support. J Occup Health Psychol. 2008;13(2):114.CrossRefPubMed
27.
Baraldi AN, Enders CK. An introduction to modern missing data analyses. J Sch Psychol. 2010;48(1):5–37.CrossRefPubMed
28.
Kuper H et al. When reciprocity fails: effort-reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study. Occup Environ Med. 2002;59(11):777–84.CrossRefPubMedPubMedCentral
29.
Tanzman ES, Manchester RA. Risks to health care workers in developing countries. N Engl J Med. 2001;345(26):1916.CrossRefPubMed
30.
31.
Podsakoff PM et al. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879–903.CrossRefPubMed
Metadata
Title
Effort-reward imbalance and self-rated health among Gambian healthcare professionals
Authors
Amadou Darboe
I-Feng Lin
Hsien-Wen Kuo
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1347-0

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