Table 3 Adjusted odds ratios for health impairment, as indicated by poor self‐rated health, GHQ‐caseness and doctor diagnosed depression, by levels of effort‐reward imbalance and organisational injustice among healthy employees at baseline in the Hospital Personnel study.
| Psychosocial factor | Odds ratio (95% CI) for incident poor self‐rated health | Odds ratio (95% CI) for incident GHQ‐caseness | Odds ratio (95% CI) for incident doctor‐diagnosed depression | |||
|---|---|---|---|---|---|---|
| Model 1* | Model 2† | Model 1* | Model 2† | Model 1* | Model 2† | |
| Effort‐reward imbalance (quartiles) | ||||||
| 1 (lowest) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 2 | 1.23 (10.97 to 1.56) | 1.18 (0.93 to 1.50) | 1.30 (1.02 to 1.65) | 1.23 (0.97 to 1.56) | 1.65 (1.00 to 2.73) | 1.53 (0.93 to 2.54) |
| 3 | 0.92 (0.70 to 1.21) | 0.89 (0.67 to 1.18) | 1.36 (1.04 to 1.77) | 1.26 (0.96 to 1.64) | 1.58 (0.92 to 2.73) | 1.43 (0.82 to 2.47) |
| 4 (highest) | 1.38 (1.08 to 1.78) | 1.29 (0.99 to 1.68) | 1.59 (1.24 to 2.05) | 1.38 (1.06 to 1.80) | 1.93 (1.16 to 3.20) | 1.58 (0.93 to 2.68) |
| Test for trend | p = 0.07 | p = 0.28 | p<0.001 | p<0.001 | p = 0.02 | p = 0.17 |
| Procedural injustice (quartiles) | ||||||
| 1 (lowest) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 2 | 1.58 (1.24 to 2.01) | 1.51 (1.18 to 1.94) | 1.25 (0.97 to 1.61) | 1.17 (0.90 to 1.52) | 1.29 (0.78 to 2.12) | 1.08 (0.65 to 1.80) |
| 3 | 1.19 (0.93 to 1.54) | 1.13 (0.87 to 1.47) | 1.84 (1.44 to 2.34) | 1.67 (1.30 to 2.14) | 1.78 (1.12 to 1.54) | 1.38 (0.85 to 2.24) |
| 4 (highest) | 1.45 (1.13 to 1.87) | 1.31 (1.00 to 1.72) | 1.67 (1.29 to 2.15) | 1.48 (1.13 to 1.94) | 1.46 (0.98 to 2.40) | 1.06 (0.62 to 1.81) |
| Test for trend | p = 0.04 | p = 0.19 | p<0.001 | p<0.001 | p = 0.06 | p = 0.65 |
| Relational injustice (quartiles) | ||||||
| 1 (lowest) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 2 | 0.81 (0.63 to 1.05) | 0.78 (0.61 to 1.01) | 1.41 (1.10 to 1.80) | 1.32 (1.03 to 1.70) | 1.50 (0.87 to 2.59) | 1.40 (0.81 to 2.43) |
| 3 | 1.12 (0.87 to 1.44) | 1.03 (0.80 to 1.33) | 1.60 (1.24 to 2.07) | 1.42 (1.09 to 1.84) | 1.96 (1.14 to 3.36) | 1.77 (1.02 to 3.07) |
| 4 (highest) | 1.14 (0.90 to 1.45) | 1.01 (0.78 to 1.31) | 1.56 (1.21 to 2.02) | 1.27 (0.97 to 1.66) | 2.45 (1.47 to 4.09) | 2.13 (1.24 to 3.64) |
| Test for trend | p = 0.06 | p = 0.27 | p<0.001 | p<0.001 | p<0.001 | p = 0.002 |
*Model 1 is adjusted for age, sex and occupational status.
†Model 2 includes age, sex, occupational status, effort‐reward imbalance and both components of organisational injustice as predictors.