公交司机付出-获得不平衡与抑郁症状关系

Association between effort-reward imbalance and depressive symptom among bus-drivers

目的研究公交司机付出-获得不平衡与抑郁症状之间的关系。方法付出-获得不平衡采用付出-获得不平衡(Effort-Reward imbalance,ERI)量表进行测量;抑郁情绪调查采用美国流调中心的抑郁自评量表(Center for Epidemiologic Studies Depression Scale,CES-D)对浙江省307名公交司机进行横断面调查。采用单因素和多元Logis-tic回归进行抑郁症状的影响因素分析。结果公交司机抑郁症状阳性率为67.10%,其抑郁症状与工作中付出-获得不平衡、超负荷、性别、喜欢旅游和球类运动等因素有关(P<0.05)。结论公交司机工作中付出-获得不平衡对其抑郁症状有负面影响。

Objective To investigate the association between the effort-reward imbalance（ERI） and depressive symp- tom among bus-drivers. Methods The ERI at work was conceptualized in terms of the Chinese version of Center for Epi- dimilogic Studies Depression Scale（ CES -D）. Across-sectional survery was conducted in 307 bus-drivers in Zhejiang, Uni- variate analysis and multivariate logistic regression analysis were applied to discover factor associated with depressive symp- tom. Results The prevalence rate of depressive symptoms among the bus-drivers was 67.10% （ 95% CI： 61.85% - 72.35% ）. The depressive symptoms was asspciated with ERI （ OR = 5.978,95% CI： 3.258 - 10. 969）, over-commitment （ OR = 2. 914,95 % CI： 0. 060 - 0. 904） , enjoying travel （ OR = 0. 402,95 % C1： 0. 182 - 0. 891 ）, gender （ OR = 2. 389,95 % CI： 1.190 - 4. 797 ）, and enjoying ball sport （ OR = 0. 233,95 % CI：0. 060 - O. 904 ）. Conclusion The finding suggests that ERI has a negative impact on the bus-drivers＇depressive symptom.