Self-reported work ability of Norwegian women in relation to physical and mental health, and to the work environment

Migle Gamperiene¹ , Jan F Nygård² , Inger Sandanger³ , Bjørn Lau⁴ and Dag Bruusgaard¹

¹Department of General Practice and Community Medicine, University of Oslo, Norway

²Helse Øst Health Services Research Unit, Akershus University Hospital, Faculty of Medicine, University of Oslo, Norway

³Helse Øst Health Services Research Unit, Akershus University Hospital, Faculty of Medicine, University of Oslo, Norway

⁴National Institute of Occupational Health, Oslo, Norway

author email corresponding author email

Journal of Occupational Medicine and Toxicology 2008, 3:8doi:10.1186/1745-6673-3-8


Published:	22 April 2008

Abstract

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.