ORIGINAL PAPER
Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study
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1
The Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an, China (Department of Endocrinology)
 
2
Edith Cowan University, Joondalup, Australia (School of Nursing and Midwifery)
 
3
Dongping People’s Hospital, Tai’an, China (Department of Laboratory)
 
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Zhejiang University School of Medicine, Hangzhou, China (Key Laboratory of Oral Biomedical Research of Zhejiang Province, Stomatology Hospital, School of Stomatology)
 
5
Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji’nan, China (Department of Minimally Invasive Comprehensive Treatment of Cancer)
 
6
Capital Medical University, Beijing, China (Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health)
 
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Edith Cowan University, Joondalup, Australia (Centre for Precision Health)
 
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The Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an, China (Department of Radiotherapy)
 
These authors had equal contribution to this work
 
 
Online publication date: 2024-03-25
 
 
Corresponding author
Zhiyuan Wu   

Capital Medical University, Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health, 10 Xitoutiao, Youanmen Street, Beijing, 100069, China
 
 
Yuanyuan Zheng   

The Affiliated Tai’an City Central Hospital of Qingdao University, Department of Radiotherapy, 29 Longtan Road, Tai’an, 271000, China
 
 
Zheng Guo   

Edith Cowan University, Centre for Precision Health, 270 Joondalup Drive, Joondalup, 6027, Australia
 
 
Int J Occup Med Environ Health. 2024;37(2):165-75
 
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ABSTRACT
Objectives: Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study. Material and Methods: The current cross-sectional study was conducted through an online survey at Dongping People’s Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the Suboptimal Health Status Questionnaire – 25 (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman’s correlation coefficient and logistic regression model. Results: The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman’s correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845–34.132). Conclusions: The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor’s degree, smoking, and without regular exercise to reduce the SHS and ERI. Int J Occup Med Environ Health. 2024;37(2):166–75
eISSN:1896-494X
ISSN:1232-1087
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