The influence of specific aspects of occupational stress on security guards' health and work ability: detailed extension of a previous study

Arh Hig Rada Toksikol. 2020 Dec 31;71(4):359-374. doi: 10.2478/aiht-2020-71-3379.

Abstract

In our earlier study of security guards, we showed that higher occupational stress was associated with health impairments (metabolic syndrome, diabetes, hypertension, cardiovascular diseases) and work disability. The aim of this study was to further explore the association of specific occupational stressors with health impairments and work disability parameters in 399 Serbian male security guards (aged 25-65 years). Ridge linear regression analysis revealed that, after controlling for age, body mass index, and smoking status, professional stressors including high demands, strictness, conflict/uncertainty, threat avoidance and underload were significant positive predictors of fasting glucose, triglycerides, total and LDL cholesterol, blood pressure, heart rate, Framingham cardiovascular risk score, and temporary work disability. The security profession is in expansion worldwide, and more studies are needed to establish precise health risk predictors, since such data are generally lacking.

U našem ranijem istraživanju zaštitara osoba i imovine pokazali smo da je povećan profesionalni stres povezan s rizikom od metaboličkoga sindroma, dijabetesa, hipertenzije, kardiovaskularnih bolesti i s radnom nesposobnošću. Cilj ovoga istraživanja bio je daljnje istraživanje povezanosti između specifičnih stresora na radu i parametara oštećenja zdravlja i radne nesposobnosti u 399 srbijanskih zaštitara u dobi od 25 do 65 godina. Linearna regresijska analiza Ridge otkrila je da su profesionalni stresori, uključujući visoke zahtjeve, strogost, sukob/neizvjesnost, izbjegavanje prijetnji i podopterećenost, nakon kontrole dobi, indeksa tjelesne mase i pušačkoga statusa, bili značajni pozitivni prediktori glukoze natašte, triglicerida, ukupnoga i LDL kolesterola, krvnoga tlaka, pulsa, Framinghamske procjene kardiovaskularnoga rizika i privremene radne nesposobnosti. Budući da je zaštitarska profesija u ekspanziji diljem svijeta, potrebno je provesti više istraživanja kako bi se uspostavili precizni prediktori zdravstvenoga rizika, jer takvi podatci uglavnom nedostaju.

Keywords: cardiovascular diseases; diabetes; hypertension; metabolic syndrome; occupational exposure; psychological stress; sick leave.

MeSH terms

  • Cardiovascular Diseases*
  • Humans
  • Hypertension*
  • Male
  • Metabolic Syndrome*
  • Occupational Stress*
  • Risk Factors
  • Security Measures
  • Work Capacity Evaluation*