Document Detail


Occupational stressors, biological stress and workers' health.
MedLine Citation:
PMID:  2672225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The evidence that occupational physical stressors can cause disease--in the sense that exposure, avoidance or manipulation of them increases, decreases, or removes the risk of becoming ill, or reverses ill health when it occurs--is established for a large number of stressors and diseases. The role of occupational psychosocial stressors is not so clear. Such stressors originate in work-related social structures and processes. They affect the human organism through psychological processes. They influence workers' health and well-being through four types of closely interrelated mechanisms--emotional, cognitive, behavioral, and physiologic. The outcome is modified by situational factors (e. g., social support) and individual ones (e. g., personality characteristics and coping repertoire). The work environment-stress-health system is a dynamic one with many feedback loops. The author reviews complementary epidemiological and experimental evidence of patho- and salutogenic interactions within this system, emphasizing the importance of neuroendocrine mechanisms as well as work stress and health related behaviors. There is little direct evidence of a causal relationship between work-related social structures and processes and their change (or lack of change), and the incidence and prevalence of stress-related occupational morbidity and mortality. But, a substantial body of indirect evidence strongly suggests that such associations exist and emphasizes the need to better understand their role. Accordingly, the research approach should aim at being: systems-oriented; interdisciplinary; problem-solving oriented; health-(and not only disease-) oriented; and participative. Among those interventions for which preliminary evidence suggests the value of research are: Increasing a worker's control of the work arrangements; Providing mechanisms for worker participation in decision making on the organization of work; Avoiding monotonous, machine-paced, and short but frequent work actions; Optimizing automation; Helping workers see their specific task in relation to the total product; Avoiding quantitative work over- and underload; and Facilitating communication and support systems among work mates and others.
Authors:
L Levi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of UOEH     Volume:  11     ISSN:  0387-821X     ISO Abbreviation:  J. UOEH     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-10-12     Completed Date:  1989-10-12     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7909645     Medline TA:  J UOEH     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  229-45     Citation Subset:  IM    
Affiliation:
Department of Stress Research, Karolinska Institute, Stockholm, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Health Promotion
Humans
Japan
Occupational Diseases / etiology,  prevention & control
Occupational Medicine* / organization & administration,  trends
Research
Stress, Physiological* / ethnology,  physiopathology
Stress, Psychological

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