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. 1999 Aug;53(8):465–475. doi: 10.1136/jech.53.8.465

Gender differences in minor morbidity among full time employees of a British university

C Emslie, K Hunt, S Macintyre
PMCID: PMC1756947  PMID: 10562864

Abstract

STUDY OBJECTIVE: To examine gender differences in minor morbidity among men and women working in similar circumstances, and to test whether the relation between reported working conditions and health is similar for men and women. DESIGN: Multivariate analysis of data collected from a postal questionnaire distributed to full time employees in white collar jobs within a single organisation. SETTING: A British university. PARTICIPANTS: 1641 employees (1009 men and 632 women) working full time in white collar occupations in the university. MAIN RESULTS: Overall, female university employees reported more "physical" symptoms (2.0 v 1.7, p < 0.001) and more "malaise" symptoms (1.4 v 1.1, p < 0.001) than male employees, but mean scores on a measure of minor psychiatric morbidity did not differ by gender. Poor perceived working conditions (and particularly lack of job stimulation, job drain and poor physical conditions) were consistently related to all three measures of minor morbidity, and these variables accounted for most of the variance in these health measures in this sample. When the analysis controlled for occupational grade, perceived working conditions and orientation to gender roles, there was no difference between men and women for any of the health measures. The relations for the predictor variables were generally the same for men and women (and there were no interactions with gender for any of the work related variables). CONCLUSIONS: Although small gender differences in recent experience of malaise and physical symptoms remain when examining men and women in as similar working circumstances as possible, these differences are cumulatively eroded by taking account of occupational grade, reported working conditions and orientation to gender. These results lend support to a differential exposure, rather than a differential vulnerability, model of gender differences in health.

 

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Selected References

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  1. Arber S. Class, paid employment and family roles: making sense of structural disadvantage, gender and health status. Soc Sci Med. 1991;32(4):425–436. doi: 10.1016/0277-9536(91)90344-c. [DOI] [PubMed] [Google Scholar]
  2. Cahill J., Landsbergis P. A. Job strain among post office mailhandlers. Int J Health Serv. 1996;26(4):731–750. doi: 10.2190/PUHN-DLH6-C33X-EFLF. [DOI] [PubMed] [Google Scholar]
  3. Emslie C., Hunt K., Macintyre S. Problematizing gender, work and health: the relationship between gender, occupational grade, working conditions and minor morbidity in full-time bank employees. Soc Sci Med. 1999 Jan;48(1):33–48. doi: 10.1016/s0277-9536(98)00287-1. [DOI] [PubMed] [Google Scholar]
  4. Gove W. R. Gender differences in mental and physical illness: the effects of fixed roles and nurturant roles. Soc Sci Med. 1984;19(2):77–91. doi: 10.1016/0277-9536(84)90273-9. [DOI] [PubMed] [Google Scholar]
  5. Hibbard J. H., Pope C. R. Employment characteristics and health status among men and women. Women Health. 1987;12(2):85–102. doi: 10.1300/J013v12n02_06. [DOI] [PubMed] [Google Scholar]
  6. Jenkins R. Sex differences in minor psychiatric morbidity: a survey of a homogeneous population. Soc Sci Med. 1985;20(9):887–899. doi: 10.1016/0277-9536(85)90345-4. [DOI] [PubMed] [Google Scholar]
  7. Kandrack M. A., Grant K. R., Segall A. Gender differences in health related behaviour: some unanswered questions. Soc Sci Med. 1991;32(5):579–590. doi: 10.1016/0277-9536(91)90293-l. [DOI] [PubMed] [Google Scholar]
  8. Lennon M. C. Sex differences in distress: the impact of gender and work roles. J Health Soc Behav. 1987 Sep;28(3):290–305. [PubMed] [Google Scholar]
  9. Lennon M. C. Work conditions as explanations for the relation between socioeconomic status, gender, and psychological disorders. Epidemiol Rev. 1995;17(1):120–127. doi: 10.1093/oxfordjournals.epirev.a036167. [DOI] [PubMed] [Google Scholar]
  10. Loscocco K. A., Spitze G. Working conditions, social support, and the well-being of female and male factory workers. J Health Soc Behav. 1990 Dec;31(4):313–327. [PubMed] [Google Scholar]
  11. Macintyre S., Hunt K., Sweeting H. Gender differences in health: are things really as simple as they seem? Soc Sci Med. 1996 Feb;42(4):617–624. doi: 10.1016/0277-9536(95)00335-5. [DOI] [PubMed] [Google Scholar]
  12. Marmot M. G., Smith G. D., Stansfeld S., Patel C., North F., Head J., White I., Brunner E., Feeney A. Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991 Jun 8;337(8754):1387–1393. doi: 10.1016/0140-6736(91)93068-k. [DOI] [PubMed] [Google Scholar]
  13. Nathanson C. A. Illness and the feminine role: a theoretical review. Soc Sci Med. 1975 Feb;9(2):57–62. doi: 10.1016/0037-7856(75)90094-3. [DOI] [PubMed] [Google Scholar]
  14. Niedhammer I., Goldberg M., Leclerc A., David S., Bugel I., Landre M. F. Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France. J Epidemiol Community Health. 1998 Feb;52(2):93–100. doi: 10.1136/jech.52.2.93. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Popay J., Bartley M., Owen C. Gender inequalities in health: social position, affective disorders and minor physical morbidity. Soc Sci Med. 1993 Jan;36(1):21–32. doi: 10.1016/0277-9536(93)90302-k. [DOI] [PubMed] [Google Scholar]
  16. Roxburgh S. Gender differences in work and well-being: effects of exposure and vulnerability. J Health Soc Behav. 1996 Sep;37(3):265–277. [PubMed] [Google Scholar]
  17. Sorensen G., Pirie P., Folsom A., Luepker R., Jacobs D., Gillum R. Sex differences in the relationship between work and health: the Minnesota Heart Survey. J Health Soc Behav. 1985 Dec;26(4):379–394. [PubMed] [Google Scholar]
  18. Stansfeld S. A., Fuhrer R., Head J., Ferrie J., Shipley M. Work and psychiatric disorder in the Whitehall II Study. J Psychosom Res. 1997 Jul;43(1):73–81. doi: 10.1016/s0022-3999(97)00001-9. [DOI] [PubMed] [Google Scholar]
  19. Tomiak M., Gentleman J. F., Jetté M. Health and gender differences between middle and senior managers in the Canadian Public Service. Soc Sci Med. 1997 Nov;45(10):1589–1596. doi: 10.1016/s0277-9536(97)00096-8. [DOI] [PubMed] [Google Scholar]
  20. Verbrugge L. M. Gender and health: an update on hypotheses and evidence. J Health Soc Behav. 1985 Sep;26(3):156–182. [PubMed] [Google Scholar]
  21. Verbrugge L. M. The twain meet: empirical explanations of sex differences in health and mortality. J Health Soc Behav. 1989 Sep;30(3):282–304. [PubMed] [Google Scholar]
  22. 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]
  23. Waldron I. Why do women live longer than men? Soc Sci Med. 1976 Jul-Aug;10(7-8):349–362. doi: 10.1016/0037-7856(76)90090-1. [DOI] [PubMed] [Google Scholar]

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