Journal of Occupational Medicine and Toxicology Self-reported Work Ability of Norwegian Women in Relation to Physical and Mental Health, and to the Work Environment

Objectives: To examine the self-reported level of work ability among female employees and the relationship between work ability and demographic characteristics, physical health, mental health, and various psychosocial and organizational work environment factors. Methods: Participants were 597 female employees with an average age of 43 years from urban and rural areas in Norway. Trained personnel performed a structured interview to measure demographic variables, physical health, and characteristics of the working environment. Mental health was assessed using the 25-item version of the Hopkins Symptoms Checklist (HSCL-25). Work ability was assessed using a question from the Graded Reduced Work Ability Scale. Results: Of the 597 female employees, 8.9% reported an extremely or very reduced ability to work. Twenty-four percent reported poor physical health and 21.9% reported mental distress (≥ 1.55 HSCL-25 cut-off). Women, who reported moderately and severely reduced work ability, did not differ a lot. Moderately reduced work ability increased with age and was associated with physical and mental health. Severely reduced work ability was strongly associated only with physical health and with unskilled occupation. Of eight work environment variables, only three yielded significant associations with work ability, and these associations disappeared after adjustment in the multivariate analysis. Conclusion: Results indicate that ageing, in addition to poor self-reported physical health and unskilled work, were the strongest factors associated with reduced work ability among female employees. Impact of work environment in general was visible only in univariate analysis. Introduction Work ability is a multi-faceted and multi-determined concept not only associated with health, but also with competence, values, the working environment, and social relations [1]. Level of work ability in the working population can predict both future permanent disability [2] and duration of sick leave absences [3]. Published: 22 April 2008 Journal of Occupational Medicine and Toxicology 2008, 3:8 doi:10.1186/1745-6673-3-8 Received: 10 August 2007 Accepted: 22 April 2008 This article is available from: http://www.occup-med.com/content/3/1/8 © 2008 Gamperiene et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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