NDLI: Work stress, family stress and asthma: a cross-sectional study among women in China

Content Provider	Springer Nature Link
Author	Loerbroks, Adrian Ding, Hui Han, Wei Wang, Hong Wu, Jiang Ping Yang, Liu Angerer, Peter Li, Jian
Copyright Year	2017
Abstract	Research addressing links of work stress or family stress with asthma is constrained by (1) inconsistent evidence, (2) failure to consider the combined exposure to work stress and family stress, and (3) its primary focus on Western study populations. We aimed to address these knowledge gaps.We used cross-sectional data collected in 2015 among 7816 women from five professional groups in five Chinese cities. Work stress was measured by the 10-item effort–reward imbalance (ERI) questionnaire. Family stress was assessed by a psychometrically evaluated instrument comprising five items on, e.g., familial conflicts or domestic workload. Asthma was operationalized by self-reports of a physician diagnosis. Associations were examined by multivariable logistic regression estimating odds ratios (ORs) and 95% confidence intervals (CIs).Both high work stress (i.e., ERI score >1) and high family stress (i.e., score above the median) were associated with asthma (OR 1.66, 95% CI 1.22–2.27 and OR 1.48, 95% CI 1.10–1.99, respectively). Women with combined exposure (versus none) had somewhat higher odds of asthma (OR 2.13, 95% CI 1.42–3.19) than those with sole exposure to either work stress (OR 1.89, 95% CI 1.20–2.96) or family stress (OR 1.71, 95% CI 1.03–2.84). Interaction terms were significant for continuous variables (p = 0.046), but not for dichotomized variables (p = 0.199).The present study suggests that both work stress and family stress are positively associated with asthma in women in China. Further, the combined exposure may be associated with a further excess of asthma occurrence. Longitudinal studies are needed to confirm our findings and to explore potential temporal relationships.
Starting Page	349
Ending Page	356
Page Count	8
File Format	PDF
ISSN	03400131
Journal	International Archives of Occupational and Environmental Health
Volume Number	90
Issue Number	4
e-ISSN	14321246
Language	English
Publisher	Springer Berlin Heidelberg
Publisher Date	2017-02-20
Publisher Place	Berlin, Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Asthma China Effort–reward imbalance Family stress Women’s health Work stress Environmental Health Rehabilitation Occupational Medicine/Industrial Medicine
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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