Methodological and conceptual issues regarding occupational psychosocial coronary heart disease epidemiology.

Methodological and conceptual issues regarding occupational psychosocial coronary heart disease epidemiology. Scand J Work Environ Health. 2016 Mar 9; Authors: Burr H, Formazin M, Pohrt A Abstract Psychosocial occupational epidemiology has mainly focused on the demand-control and, to a much lesser extent, the effort-reward-imbalance (ERI) models. These models and the strong focus on them raise some conceptual and methodological issues we will address in the following letter. The conceptual issues include the empirical confirmation of the assumptions of these models, the extent to which the focus on the demand-control and ERI models is warranted, and whether the sub-dimensions of the scales in these models have common health effects. We argue that there is a lack empirical approval of (i) the assumptions behind both models, (ii) the focus on these models, and (iii) the construction of the scales used in the models. The methodological issues include how exposure to job strain is categorized, how ERI previously has been measured, and the validity of self-reports of job strain. We argue that (i) a population independent definition of job strain is lacking, (ii) the older measurements of ERI mix exposure and effect, and (iii) we know little regarding the validity of the measurement of psychosocial working environment. Finally we suggest that analyses of monitoring data with a broader focus on the psychosocial working environment can be used to shed light to s...
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Authors: Tags: Scand J Work Environ Health Source Type: research

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