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dc.contributor.authorDieker, Amy Cm
dc.contributor.authorIJzelenberg, Wilhelmina
dc.contributor.authorProper, Karin I
dc.contributor.authorBurdorf, Alex
dc.contributor.authorKet, Johannes Cf
dc.contributor.authorvan der Beek, Allard J
dc.contributor.authorHulsegge, Gerben
dc.date.accessioned20200413
dc.date.available2019-04-26T08:25:20Z
dc.date.issued2019-03-01
dc.identifier.issn1795-990X
dc.identifier.pmid30370911
dc.identifier.doi10.5271/sjweh.3772
dc.identifier.urihttp://hdl.handle.net/10029/623043
dc.description.abstractObjective This study aimed to systematically review the literature on the contribution of work and lifestyle factors to socioeconomic inequalities in self-rated health among workers. Methods A search for cross-sectional and longitudinal studies assessing the contribution of work and/or lifestyle factors to socioeconomic inequalities in self-rated health among workers was performed in PubMed, PsycINFO and Web of Science in March 2017. Two independent reviewers performed eligibility and risk of bias assessment. The median change in odds ratio between models without and with adjustment for work or lifestyle factors across studies was calculated to quantify the contribution of work and lifestyle factors to health inequalities. A best-evidence synthesis was performed. Results Of those reviewed, 3 high-quality longitudinal and 17 cross-sectional studies consistently reported work factors to explain part (about one-third) of the socioeconomic health inequalities among workers (grade: strong evidence). Most studies separately investigated physical and psychosocial work factors. In contrast with the 12 cross-sectional studies, 2 longitudinal studies reported no separate contribution of physical workload and physical work environment to health inequalities. Regarding psychosocial work factors, lack of job resources (eg, less autonomy) seemed to contribute to health inequalities, whereas job demands (eg, job overload) might not. Furthermore, 2 longitudinal and 4 cross-sectional studies showed that lifestyle factors explain part (about one-fifth) of the health inequalities (grade: strong evidence). Conclusions The large contribution of work factors to socioeconomic health inequalities emphasizes the need for future longitudinal studies to assess which specific work factors contribute to health inequalities.en_US
dc.language.isoenen_US
dc.titleThe contribution of work and lifestyle factors to socioeconomic inequalities in self-rated health ‒ a systematic review.en_US
dc.typeArticleen_US
dc.identifier.journalScand J Work Environ Health 2019; 45(2):114-25en_US
dc.source.journaltitleScandinavian journal of work, environment & health


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