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The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study

Overview of attention for article published in Journal of Occupational Medicine and Toxicology, June 2017
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Title
The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study
Published in
Journal of Occupational Medicine and Toxicology, June 2017
DOI 10.1186/s12995-017-0163-8
Pubmed ID
Authors

Peter Koch, Jan Felix Kersten, Johanna Stranzinger, Albert Nienhaus

Abstract

The prevalence of effort-reward imbalance (ERI) among qualified childcare workers in Germany is currently estimated at around 65%. High rates of burnout and musculoskeletal symptoms (MS) have also been reported for this group. Previous longitudinal studies show inconsistent results with regard to the association between ERI and MS. As yet, no longitudinal studies have been conducted to investigate the association between ERI and burnout or MS in childcare workers. This study aims to investigate the extent to which a relationship between ERI and MS or burnout can be observed in childcare workers in Germany on a longitudinal basis. In 2014 childcare workers (N = 199, response rate: 57%) of a provider of facilities for children and youth in Hamburg were asked about stress and health effects in the workplace. Follow-up was completed one year later (N = 106, follow-up rate: 53%) For the baseline assessment, ERI was determined as the primary influencing factor. Data on MS was recorded using the Nordic questionnaire, and burnout using the personal burnout scale of the Copenhagen Burnout Inventory (CBI). The statistical analysis was carried out using multivariate linear and logistic regression. At baseline ERI was present in 65% of the sample population. The mean burnout score at the time of follow-up was 53.7 (SD: 20.7); the prevalence of MS was between 19% and 62%. ERI was identified as a statistically significant factor for MS, after adjusting especially for physical stress (lower back: OR 4.2; 95% CI: 1.14 to 15.50, neck: OR 4.3; 95% CI: 1.25 to 15.0, total MS: OR 4.0; 95% CI: 1.20 to 13.49). With regard to burnout, a relative increase of 10% in the ERI ratio score increased the burnout score by 1.1 points (p = 0.034). ERI was revealed to be a major factor in relation to MS and burnout in childcare workers. Based on this observation worksite interventions on the individual and organizational level should be introduced in order to prevent ERI.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 78 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 12 15%
Student > Master 11 14%
Student > Doctoral Student 9 12%
Researcher 7 9%
Student > Bachelor 5 6%
Other 8 10%
Unknown 26 33%
Readers by discipline Count As %
Nursing and Health Professions 14 18%
Psychology 12 15%
Social Sciences 4 5%
Medicine and Dentistry 4 5%
Economics, Econometrics and Finance 3 4%
Other 3 4%
Unknown 38 49%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 June 2017.
All research outputs
#18,556,449
of 22,982,639 outputs
Outputs from Journal of Occupational Medicine and Toxicology
#274
of 394 outputs
Outputs of similar age
#241,349
of 315,536 outputs
Outputs of similar age from Journal of Occupational Medicine and Toxicology
#8
of 14 outputs
Altmetric has tracked 22,982,639 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 394 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.9. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,536 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 14 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.