Table 5.
Psychosocial job stressors and self-rated health, male doctors, random and fixed effect regression models, adjusted for all variables, MABEL, 2001 to 2008
Random effects model | Fixed effect model | |||||
---|---|---|---|---|---|---|
Obs = 12,123, ppl = 5130. | Obs = 854, ppl = 239. | |||||
OR | 95% CI | p value | OR | 95% CI | p value | |
Job demands | 1 | 1 | ||||
(1-low to 4-high) | 1.58 | 1.33, 1.87 | < 0.001 | 1.38 | 1.08, 1.78 | 0.009 |
Lack of social support | 1 | 1 | ||||
(1-low to 4-high) | 1.05 | 0.92, 1.19 | 0.508 | 1.01 | 0.84, 1.22 | 0.882 |
Job insecurity | 1 | 1 | ||||
(1-low to 4-high) | 1.06 | 0.90, 1.25 | 0.454 | 0.92 | 0.71, 1.20 | 0.547 |
Job control | 1 | 1 | ||||
(1-low to 4-high) | 1.48 | 1.27, 1.72 | < 0.001 | 1.31 | 1.05, 1.64 | 0.016 |
Rewards at work | 1 | 1 | ||||
(1-low to 4-high) | 1.29 | 1.10, 1.51 | 0.002 | 1.04 | 0.82, 1.32 | 0.748 |
Work-life imbalance | 1 | 1 | ||||
(1-low to 4-high) | 2.26 | 1.78, 1.70 | < 0.001 | 1.75 | 1.27, 2.41 | 0.001 |
Family restrictions | 1 | 1 | ||||
(1-low to 4-high) | 1.41 | 1.17, 1.71 | < 0.001 | 1.09 | 0.82, 1.44 | 0.566 |
Workplace aggression | ||||||
No | 1 | 1 | ||||
Yes | 1.06 | 0.73, 4.54 | 0.775 | 1.07 | 0.76, 1.51 | 0.690 |
Working hours | ||||||
35–40 | 1 | 1 | ||||
Under 35 | 2.11 | 1.27, 3.54 | 0.01 | 1.13 | 0.52, 2.47 | 0.746 |
Over 40 | 0.81 | 0.57, 1.16 | 0.254 | 1.2 | 0.73, 1.99 | 0.479 |
Age | 1.23 | 1.00, 1.51 | 0.051 | 1.03 | 0.63, 1.69 | 0.897 |
On call working hours | ||||||
No | 1 | 1 | ||||
Yes | 0.98 | .69, 1.39 | 0.915 | 0.98 | 0.57, 1.70 | 0.95 |
Medical specialisation | ||||||
GP | 1 | |||||
Specialist | 0.43 | 0.29, 0.64 | < 0.001 | |||
Hospital non-specialist | 0.5 | 0.24, 1.03 | 0.059 | |||
Specialist-in-training | 0.69 | 0.38, 1.25 | 0.219 | |||
Partner/spouse | ||||||
No | 1 | 1 | ||||
Yes | 0.75 | 0.55, 1.01 | 0.062 | 0.67 | 0.23, 1.97 | 0.471 |
Presence of children | ||||||
No | 1 | 1 | ||||
Yes | 0.74 | 0.46, 1.19 | 0.214 | 0.66 | 0.18, 2.37 | 0.525 |
Notes: controls for cohort, year, and year medical degree was completed. Average waves included was 2.4 in the random effects model and 3.6 in the fixed effect model. OR = Odds Ratio; 95% CI = Confidence Intervals with 95% significance; p value = statistical significance set at 95%