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Gender and age differences in the association between work stress and incident depressive symptoms among Korean employees: a cohort study

Title
Gender and age differences in the association between work stress and incident depressive symptoms among Korean employees: a cohort study
Authors
Kim, Sun-YoungShin, Young-ChulOh, Kang-SeobShin, Dong-WonLim, Weon-JeongCho, Sung JoonJeon, Sang-Won
Ewha Authors
임원정김선영
SCOPUS Author ID
임원정scopus
Issue Date
2020
Journal Title
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH
ISSN
0340-0131JCR Link

1432-1246JCR Link
Citation
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH vol. 93, no. 4, pp. 457 - 467
Keywords
Occupational stressDepressionGenderLife span
Publisher
SPRINGER
Indexed
SCI; SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Purpose The aim of this study was to identify gender- and age-specific occupational stress associated with depressive symptoms among Korean employees. Methods Data of 73,014 employees aged 18 and above who had undergone comprehensive health examinations at Kangbuk Samsung Hospital Health Screening Center, South Korea, in January 2012 and who were followed up until December 2017 were collected, and 63,959 (participation rate: 87.59%, men: 50,413, women: 13,546) were finally analyzed. A Cox proportional hazards model was used to estimate the hazard ratios and 95% confidence intervals of the relationship between occupational stress and depressive symptoms. In light of gender and age differences in the association between occupational stress and depressive symptoms, interaction and stratification by gender and age groups were tested. Results During 238,630 person-years of follow-up, case-level depressive symptoms developed in 4227 participants (an incident rate of 1.8%). There were gender differences in the relationship between job stress and incident depressive symptoms. For men, high job demand, job insecurity, lack of reward, and discomfort in their organizational climate were associated with incident depressive symptoms in all age groups. Insufficient job control was associated with the development of depressive symptoms only in midlife and organizational injustice only in early adulthood. For women, the results for high job demand, organizational injustice, and discomfort in an organizational climate were associated with the onset of depressive symptoms from early adulthood to the midlife decade. Conclusion The results suggest gender and age differences in the relationship between occupational stress and incident depressive symptoms.
DOI
10.1007/s00420-019-01487-4
Appears in Collections:
의과대학 > 의학과 > Journal papers
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