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Title: [Social support and occupational stress relationship analysis of 1 413 train drivers in a railway bureau]. Author: Gu GZ, Yu SF, Zhou WH, Wu H, Kang L, Chen R. Journal: Zhonghua Yu Fang Yi Xue Za Zhi; 2017 Feb 06; 51(2):143-149. PubMed ID: 28219153. Abstract: Objective: To investigate the social support status of train drivers. Methods: Using cluster sampling, a cross-sectional study was conducted in 1 413 male train drivers (including 301 passenger train drivers, 683 freight train drivers, 85 guest scheduling train drivers, 265 cargo adjustable drivers, and 79 high-speed train drivers) from a railway bureau depot. The survey included individual factors, social support, occupational stressors, strains, personalities, and coping strategy using occupational stress instruments and effort-reward imbalance questionnaire. We compared the difference in social support scores between different drivers, who were divided according to job type and age. Additionally, the correlation between social support score and job strain-related factors was analyzed. The influence of depressive symptoms and job satisfaction were analyzed using a non-conditional logistic multivariate model. Results: The overall average age P(50) (P(25),P(75)) of 1 413 train drivers was 33.92 (27.83,43.58) years. The overall average length of service 12.25 (5.25,22.75) years. A significant difference in social support scores was observed according to job type (H=23.23, P<0.001). The specific scores were passenger driver(27 (23,32)), freight train driver (26 (22,30)), guest scheduling driver (27 (24,30)), cargo adjustable driver (26 (22,31)), and high-speed train driver (30 (26,36)) (P(50)(P(25),P(75))). Additionally, social support scores among different age groups were significantly different (H=6.64, P=0.036). The specific scores were ≤30 years (26 (22,31)), 30-40 years (27 (23,33)), and >40 years (27 (22,31)). Correlation analysis revealed that the social support score was negatively associated with job satisfaction (r=-0.43), reward (r=-0.22), working stability (r=-0.23), promotion opportunities (r=-0.12), positive affectivity (r=-0.31), esteem (r=-0.21), and self-esteem (r=-0.20) scores (P<0.001). The social support score was positively associated with sleep disorders (r=0.33), external effort (r=0.21), pay within (r=0.12), role conflict (r=0.20), conflict between groups (r=0.17), conflict in groups (r=0.06), responsibility for the others (r=0.06), responsibility for things (r=0.08), physiological needs (r=0.39), psychological needs (r=0.19), daily stress (r=0.29), negative affectivity (r=0.23), and depressive symptoms (r=0.44) scores (P<0.05). Multivariate logistic regression analysis revealed social support had a great influence on depressive symptoms and low job satisfaction. Compared with high social support, low social support resulted in depressive symptoms (OR=4.12, 95% CI:3.19-5.33) and low job satisfaction (OR=2.18, 95%CI:1.65-2.88). Conclusion: Train drivers obtained various levels of social support. Social support greatly affected occupational stress. High social support was related to reduction in the occurrence of occupational stress, depressive symptoms, and low job satisfaction. Social support is related to mental health of train drivers. 目的: 探讨某铁路局机车司机社会支持水平及其影响因素。 方法: 采取整群抽样的方法,于2012年3月在对某铁路局机务段1 413名男性机车司机进行了横断面调查,包括客车司机301名、货车司机683名、客调司机85名、货调车司机265名和动车或高铁司机79名。调查内容包括用职业紧张测量工具、工作内容问卷和付出-回报失衡问卷等用于评价司机的社会支持、职业紧张因素、紧张反应、个体特征和应付策略。比较不同类型机车、年龄的司机的社会支持评分差异;分析了社会支持评分与职业紧张相关性。对影响机车司机抑郁症状、工作满意感进行多因素非条件logistic回归模型分析。 结果: 1 413名被调查对象的年龄M(P(25),P(75))为33.92(27.83,43.58)岁,工龄M(P(25),P(75))为12.25(5.25,22.75)年。客车司机、货车司机、客调司机货调司机、动车司机的机车司机社会支持评分M(P(25),P(75))分别为27(23,32)、26(22,30)、27(24,30)、26(22,31)、30(26,36)分,差异有统计学意义(H=23.23,P<0.001)。≤30、30~40、>40岁年龄组社会支持评分M(P(25),P(75))分别为26(22,31)、27(23,33)、27(22,31)分,差异有统计学意义(H=6.64,P=0.036)。相关分析表明,社会支持评分与工作满意感(r=-0.43)、回报(r=-0.22)、工作稳定性(r=-0.23)、提升机会(r=-0.12)、正性情绪(r=-0.31)、尊重(r=-0.21)和自尊感(r=-0.20)呈负相关(P值均<0.001),与睡眠障碍(r=0.33)、外在付出(r=0.21)、内在付出(r=0.12)、角色冲突(r=0.20)、组内冲突(r=0.06)、组间冲突(r=0.17)、对人的责任(r=0.06)、对事的责任(r=0.08)、心理需求(r=0.19)、生理需求(r=0.39)、每日紧张感(r=0.29)、负性情绪(r=0.23)和抑郁症状(r=0.44)呈正相关(P值均<0.05)。logistic回归模型分析结果表明,社会支持对抑郁症状和低工作满意感的发生有较大的影响,与社会支持评分高组相比,社会支持评分低组发生抑郁症状的OR(95%CI)值为4.12(3.19~5.33);社会支持评分低组发生低工作满意感的OR(95%CI)值为2.18(1.65~2.88)。 结论: 不同类型的机车司机获得的社会支持水平不同,社会支持对职业紧张有较大影响,高社会支持与减少职业紧张、抑郁症状和低工作满意感的发生相关,社会支持与机车司机的心理健康相关。.[Abstract] [Full Text] [Related] [New Search]