Race differences in self-assessed health: The role of job strain

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dc.contributor.advisor M . Kristen Peek , Ph .D . en_US
dc.contributor.committeeMember Laura Rudkin , Ph .D . en_US
dc.contributor.committeeMember Kenneth J . Ottenbacher , Ph .D . en_US
dc.creator Christopher Michael Messenger en_US
dc.date.accessioned 2011 -12 -20T16 :04 :53Z
dc.date.accessioned 2014 -02 -19T22 :05 :18Z
dc.date.available 2010 -09 -28 en_US
dc.date.available 2011 -12 -20T16 :04 :53Z
dc.date.available 2014 -02 -19T22 :05 :18Z
dc.date.created 2009 -07 -10 en_US
dc.date.issued 2009 -07 -03 en_US
dc.identifier.other etd -07102009 -093238 en_US
dc.identifier.uri http : / /hdl .handle .net /2152 .3 /152
dc.description.abstract A firmly established and frequently reported pattern in the distribution of health status in the U .S . is that non -Hispanic blacks (NHB ) have higher rates of morbidity and mortality than do non -Hispanic whites (NHW ) . Although much research has examined the relationships between race and health many questions pertaining to the processes that lead to such persistent disparities remain . There is accumulating evidence showing that the psychosocial environment at work affects the mental and physical health of workers . Specifically , work characterized by heavy demands and low decision latitude have the greatest negative effect on health . Using data from a nationally representative cross -sectional survey of U .S . adults 18 years and older , a sample of NHB and NHW who were regular , permanent employees having been with their current job for at least 9 months were selected for analysis (N = 2 ,255 ) . The outcome for this project , self -assessed health (SAH ) , has been shown to be a valid and reliable measure of overall health status and a valid measure across racial /ethnic groups . There is a strong association between poor SAH and morbidity , mortality , and physical disability . Logistic regression was used to determine the odds of reporting differences in SAH on a 5 -item Likert scale ranging from excellent to poor . Those above the median score for job demands and below the median score for decision latitude were classified as having a high strain job and were compared to three other categories ; low , passive , and active strain jobs . NHB were significantly more likely to report poorer SAH (OR : 1 .26 , 95 % CI : 1 .04 -1 .54 ) and were more likely to be in a high strain job (OR : 1 .34 , 95 % CI : 1 .04 -1 .72 ) than NHW . The racial odds disparity of reporting poorer SAH was partially mediated by the addition of job strain to the model (OR : 1 .18 , 95 % CI : 0 .97 -1 .45 ) . After adjustment for potentially confounding variables , race differences in SAH were further mediated (OR : 0 .94 , 95 % CI : 0 .75 -1 .16 ) while those having a high strain job remained significantly more likely to report poorer SAH compared to those with other job types . These results demonstrate that differences in SAH by race can be mediated to non -statistical significance by accounting solely for work environment characteristics . en_US
dc.format.medium electronic en_US
dc.language.iso eng en_US
dc.rights Copyright © is held by the author . Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works . en_US
dc.subject self -assessed health en_US
dc.subject racial health inequalities en_US
dc.subject racial health disparities en_US
dc.subject psychosocial work environment en_US
dc.subject job strain en_US
dc.subject job demand -control model en_US
dc.subject general social survey en_US
dc.title Race differences in self -assessed health : The role of job strain en_US
dc.type.genre thesis en_US
dc.type.material text en_US
thesis.degree.name Master of Science en_US
thesis.degree.level Master en_US
thesis.degree.grantor The University of Texas Medical Branch en_US
thesis.degree.department Preventative Medicine and Community Health en_US


Race differences in self-assessed health: The role of job strain. The University of Texas Medical Branch. Available electronically from http : / /hdl .handle .net /2152 .3 /152 .

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