5 research outputs found
Measurement of thyroglobulin in newborn screening specimens from normal and hypothyroid infants
Diario de Alicante: Año X Número 2715 - 1916 abril 29
Objective This study aimed to systematically review the literature on the contribution of work and lifestyle
factors to socioeconomic inequalities in self-rated health among workers.
Methods A search for cross-sectional and longitudinal studies assessing the contribution of work and/or lifestyle
factors to socioeconomic inequalities in self-rated health among workers was performed in PubMed, PsycINFO,
and Web of Science in March 2017. Two independent reviewers performed eligibility and risk of bias assessment. The median change in odds ratio between models without and with adjustment for work or lifestyle factors
across studies was calculated to quantify the contribution of work and lifestyle factors to health inequalities. A
best-evidence synthesis was performed.
Results Of those reviewed, 3 high-quality longitudinal and 17 cross-sectional studies consistently reported
work factors to explain part (about one-third) of the socioeconomic health inequalities among workers (grade:
strong evidence). Most studies separately investigated physical and psychosocial work factors. In contrast with
the 12 cross-sectional studies, 2 longitudinal studies reported no separate contribution of physical workload and
physical work environment to health inequalities. Regarding psychosocial work factors, lack of job resources
(eg, less autonomy) seemed to contribute to health inequalities, whereas job demands (eg, job overload) might
not. Furthermore, 2 longitudinal and 4 cross-sectional studies showed that lifestyle factors explain part (about
one-fifth) of the health inequalities (grade: strong evidence).
Conclusions The large contribution of work factors to socioeconomic health inequalities emphasizes the need
for future longitudinal studies to assess which specific work factors contribute to health inequalities