Estresse no trabalho e lesões por esforços repetitivos (LER) em servidores públicos de uma Universidade no Estado do Rio de Janeiro: Estudo Pró-Saúde

• Autor(a) principal: Piazi, Marcelle Drumond
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4114
• topic: Job strain; Repetitive strain injuries; High strain at work; Social suppot at work; Estresse no trabalho; Lesões por esforços repetitivos; Alta exigência no trabalho; Apoio social no trabalho; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIA

The study evaluates the association between job strain and self-reported medical diagnosis of repetitive strain injury (RSI). This is a cross-sectional study, included in the Pro-Saude Study, which consists of tracking a cohort of technical and administrative employees of a university in the State of Rio de Janeiro. The data were obtained in 2001 from the application of a self-administered questionnaire. The study population consisted of 3314 employees, among which 485 were self-reported medical diagnosis of RSI, after this admission to university. The prevalence of RSI was higther among women (19.4%) than amog men (8.8%). Job strain was assessed by the shortened version of Job Content Questionnaire, developed by Karasek and Theorell, whose questions are intended to assess the psychological demands, control over work, and social support. The analysis of job strain was performed according to the quadrants proposed by Karasek (1979): low strain (low demand and high control), passive job (low demand and low control), high strain (high demand and low control) and, active job (high demand and high control). In this analysis, was used as the reference category, the low strain, an ideal setting for composing work. After adjusting for socioeconomic and demographic variables (age, education and family income per capita) and occupational (years work and occupation), men and women with high demands at work were more likely to be affected by RSI (men : OR = 1.88, 95% CI 1.07; 3.29 and women: OR = 1.90, 95% CI 1.32; 2.02). In additional adjustment for social support at work, a reduction in strength of association for both sexes was founded. For women at high strain at work, this association remained significant (OR = 1.63, 95% CI 1.12 to 2.37), while for men, this association was marginally significant (OR = 1, 62, 95% CI 0.91 to 2.87). This study reinforces that the imbalance between job psycological demands and job control is important in the occurrence of RSI and therefore may be useful in developing preventive measures of this growing problem of public health. It is expected that the hypoteses generated in this study can be tested in further investigations that include the longitudinal design, as the Pro-Saude Study, in which it falls.