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. 2000 Mar;54(3):192–199. doi: 10.1136/jech.54.3.192

Common symptoms in middle aged women: their relation to employment status, psychosocial work conditions and social support in a Swedish setting

G Krantz 1, P Ostergren 1
PMCID: PMC1731640  PMID: 10746113

Abstract

STUDY OBJECTIVE—Over the past few decades there has been a growing interest among researchers, in women's overall life circumstances and their relation to women's health status. For example, paid employment has been considered an important part of women's living conditions in Western societies as the number of women entering the labour market has grown constantly over the past decades. When comparing men's and women's health, one of the most consistent findings is a higher rate of symptoms among women. The most commonly reported symptoms in women are depressive symptoms, symptoms of bodily tension and chronic pain from muscles and joints. The aim of this study was to investigate whether socioeconomic factors, employment status, psychosocial work conditions and social network/support are associated with middle aged women's health status in terms of common symptoms.
DESIGN—A mailed questionnaire was used in a cross sectional design assessing socioeconomic factors, employment status, psychosocial work conditions according to the demand/control model, social network/support and an index based on the 15 most frequent symptoms presented by middle aged women when seeking health care.
SETTING—A rural community with 13 200 inhabitants in the western part of Sweden.
PARTICIPANTS—Women were randomly selected from the general population in the study area, 40 to 50 years of age. The response rate was 81.7 per cent.
MAIN RESULTS—Women who were non-employed had a significantly increased odds of a high level of common symptoms (OR=2.82; 95% confidence intervals 1.69, 4.70), as well as women exposed to job strain (OR=3.27; 1.92, 5.57), independently of the level of social network/support. Furthermore, exposure to low social support, low social anchorage or low social participation independently showed significantly increased odds of a high level of common symptoms (OR=2.75; 1.71, 4.42; OR=2.91; 1.81, 4.69 and OR=1.69; 1.10, 2.61, respectively).
CONCLUSIONS—Work related factors, such as non-employment and job strain, and circumstances within the private sphere, such as social network/support, seem equally important for middle aged women's health status. These findings ought to have important policy implications and also to be of major importance in a primary health care setting when meeting women who seek health care because of common symptoms.


Keywords: women's health; common symptoms; job strain; non-employment; social support

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Selected References

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  1. Arber S. Integrating nonemployment into research on health inequalities. Int J Health Serv. 1996;26(3):445–481. doi: 10.2190/MHUJ-U7KB-3W18-QQGH. [DOI] [PubMed] [Google Scholar]
  2. Berkman L. F., Syme S. L. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol. 1979 Feb;109(2):186–204. doi: 10.1093/oxfordjournals.aje.a112674. [DOI] [PubMed] [Google Scholar]
  3. Brage S., Tellnes G. ICPC i allmennpraksis. Tidsskr Nor Laegeforen. 1992 Aug 30;112(20):2656–2659. [PubMed] [Google Scholar]
  4. Cassel J. The contribution of the social environment to host resistance: the Fourth Wade Hampton Frost Lecture. Am J Epidemiol. 1976 Aug;104(2):107–123. doi: 10.1093/oxfordjournals.aje.a112281. [DOI] [PubMed] [Google Scholar]
  5. Hall E. M. Double exposure: the combined impact of the home and work environments on psychosomatic strain in Swedish women and men. Int J Health Serv. 1992;22(2):239–260. doi: 10.2190/7VW4-GE0D-WRKU-Q62V. [DOI] [PubMed] [Google Scholar]
  6. Hanson B. S., Ostergren P. O. Different social network and social support characteristics, nervous problems and insomnia: theoretical and methodological aspects on some results from the population study 'men born in 1914', Malmö, Sweden. Soc Sci Med. 1987;25(7):849–859. doi: 10.1016/0277-9536(87)90043-8. [DOI] [PubMed] [Google Scholar]
  7. Hanson B. S., Ostergren P. O., Elmståhl S., Isacsson S. O., Ranstam J. Reliability and validity assessments of measures of social networks, social support and control--results from the Malmö Shoulder and Neck Study. Scand J Soc Med. 1997 Dec;25(4):249–257. doi: 10.1177/140349489702500407. [DOI] [PubMed] [Google Scholar]
  8. Janzon L., Hanson B. S., Isacsson S. O., Lindell S. E., Steen B. Factors influencing participation in health surveys. Results from prospective population study 'Men born in 1914' in Malmö, Sweden. J Epidemiol Community Health. 1986 Jun;40(2):174–177. doi: 10.1136/jech.40.2.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Leeflang R. L., Klein-Hesselink D. J., Spruit I. P. Health effects of unemployment--II. Men and women. Soc Sci Med. 1992 Feb;34(4):351–363. doi: 10.1016/0277-9536(92)90295-2. [DOI] [PubMed] [Google Scholar]
  10. Malterud K. Illness and disease in female patients. I. Pitfalls and inadequacies of primary health care classification systems--a theoretical review. Scand J Prim Health Care. 1987 Nov;5(4):205–209. doi: 10.3109/02813438709018096. [DOI] [PubMed] [Google Scholar]
  11. Nylenna M. Why do our patients see us? A study of reasons for encounter in general practice. Scand J Prim Health Care. 1985 Sep;3(3):155–162. doi: 10.3109/02813438509013938. [DOI] [PubMed] [Google Scholar]
  12. Ross C. E., Mirowsky J. Does employment affect health? J Health Soc Behav. 1995 Sep;36(3):230–243. [PubMed] [Google Scholar]
  13. Sorensen G., Verbrugge L. M. Women, work, and health. Annu Rev Public Health. 1987;8:235–251. doi: 10.1146/annurev.pu.08.050187.001315. [DOI] [PubMed] [Google Scholar]
  14. Stronks K., van de Mheen H. D., Mackenbach J. P. A higher prevalence of health problems in low income groups: does it reflect relative deprivation? J Epidemiol Community Health. 1998 Sep;52(9):548–557. doi: 10.1136/jech.52.9.548. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Stronks K., van de Mheen H., van den Bos J., Mackenbach J. P. The interrelationship between income, health and employment status. Int J Epidemiol. 1997 Jun;26(3):592–600. doi: 10.1093/ije/26.3.592. [DOI] [PubMed] [Google Scholar]
  16. Theorell T., Karasek R. A. Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol. 1996 Jan;1(1):9–26. doi: 10.1037//1076-8998.1.1.9. [DOI] [PubMed] [Google Scholar]
  17. Tibblin G., Bengtsson C., Furunes B., Lapidus L. Symptoms by age and sex. The population studies of men and women in Gothenburg, Sweden. Scand J Prim Health Care. 1990 Mar;8(1):9–17. doi: 10.3109/02813439008994923. [DOI] [PubMed] [Google Scholar]
  18. Verbrugge L. M. Multiple roles and physical health of women and men. J Health Soc Behav. 1983 Mar;24(1):16–30. [PubMed] [Google Scholar]
  19. Verbrugge L. M., Wingard D. L. Sex differentials in health and mortality. Women Health. 1987;12(2):103–145. doi: 10.1300/J013v12n02_07. [DOI] [PubMed] [Google Scholar]

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