TY - JOUR
T1 - Gender and age differences in the association between work stress and incident depressive symptoms among Korean employees
T2 - a cohort study
AU - Kim, Sun Young
AU - Shin, Young Chul
AU - Oh, Kang Seob
AU - Shin, Dong Won
AU - Lim, Weon Jeong
AU - Cho, Sung Joon
AU - Jeon, Sang Won
N1 - Publisher Copyright:
© 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2020/5/1
Y1 - 2020/5/1
N2 - 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.
AB - 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.
KW - Depression
KW - Gender
KW - Life span
KW - Occupational stress
UR - http://www.scopus.com/inward/record.url?scp=85076057805&partnerID=8YFLogxK
U2 - 10.1007/s00420-019-01487-4
DO - 10.1007/s00420-019-01487-4
M3 - Article
C2 - 31797050
AN - SCOPUS:85076057805
SN - 0340-0131
VL - 93
SP - 457
EP - 467
JO - International Archives of Occupational and Environmental Health
JF - International Archives of Occupational and Environmental Health
IS - 4
ER -