Exploring the relationship between adverse working environments and poor psychological states of Chinese workers: A comprehensive study

作者全名："Cheng, Feifei; Wu, Yuanyuan; Yao, Min; Wang, Xin; Li, Ling'ou"

作者地址："[Cheng, Feifei; Wu, Yuanyuan] Chongqing Med Univ, Hlth Med Ctr, Affiliated Hosp 2, Chongqing, Peoples R China; [Yao, Min] Chongqing Technol & Business Univ, Res Ctr Econ Upper Reaches Yangtze River, Chongqing, Peoples R China; [Wang, Xin; Li, Ling'ou] Peoples Hosp Chong Qing Liang Jiang New Area, Hlth Management Ctr, Chongqing, Peoples R China"

通信作者："Wang, X; Li, LO (通讯作者)，Peoples Hosp Chong Qing Liang Jiang New Area, Hlth Management Ctr, Chongqing, Peoples R China."

来源：JOURNAL OF AFFECTIVE DISORDERS

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:001176859400001

JCR分区：Q1

影响因子：4.9

年份：2024

卷号：351

期号：　

开始页：442

结束页：448

文献类型：Article

关键词：Mental health; Hazardous work environments; Psychological distress; Workplace hazards; China family panel studies (CFPS)

摘要："Background: Employee mental health is linked with job satisfaction and productivity. However, there is a notable lack of empirical evidence regarding the adverse effects of Hazardous Work Environments (HWE) on employee mental health, indicating a significant gap in occupational health research. Methods: Data from the China Family Panel Studies involving 9972 participants were utilized. Mental health was assessed using the Kessler 6 Psychological Distress Scale at baseline and the 8-item Center for Epidemiologic Studies Depression scale at follow-up. Associations between HWE exposure and mental health were explored cross-sectionally at baseline plus mediation analyses for the influence of sleep duration. Cox proportional hazards regression was used to assess the longitudinal implications of HWE exposure. Findings: Participants exposed to HWE showed a higher risk of having serious psychological distress (OR (95%CI): 1.47 (1.29-1.69)) cross-sectionally at baseline, and this risk rose with increased number of HWE elements (1.30 (1.11-1.52) and 2.18 (1.75-2.72) for 1-2 and >= 3 elements, respectively). Longitudinally, HWE exposure was associated with an increased risk of depression (HR (95%CI): 1.10 (1.07-1.14)). Similarly, this risk risen with increased number of HWE elements (1.08 (1.06-1.09) and 1.20 (1.05-1.38) for 1-2 and >= 3 elements, respectively) and longer duration of exposure (1.01 (1.00-1.01)). Short sleep duration emerged as a significant mediator between HWE exposure and psychological distress. Interpretation: This study illuminates a robust association between HWE exposure and psychological distress, especially under prolonged and multiple exposures. We advocate for rigorous mental health monitoring and interventions for workers in adverse working environments. Funding: CSTB2023NSCQ-BHX0042 and cffkyqdj."

基金机构："Natural Science Foundation of Chongqing, China [CSTB2023NSCQ-BHX0042]; Second Affiliated Hospital of Chongqing Medical University [cffkyqdj]"

基金资助正文："This work was sponsored by Natural Science Foundation of Chongqing, China (CSTB2023NSCQ-BHX0042) and by the Second Affiliated Hospital of Chongqing Medical University (NO. cffkyqdj) . We are thankful to all the participants who took part and contributed to this study. We also thank the Institute of Social Science Survey, Peking University, for providing the CFPS data."