Abstract:
BACKGROUND:We attempted to apply the model of effort-reward imbalance (ERI) to school settings in order to measure students' psychosocial stress and analyze its association with self-rated health in adolescents. METHODS:A cross-sectional survey was conducted in Kunming, China among 1004 Chinese students (468 boys and 536 girls) in grades 7 through 12, using a 19-item effort-reward imbalance questionnaire. RESULTS:Satisfactory internal consistencies for the scales for effort and reward were obtained; the value for the scale for overcommitment was acceptable. Factor analysis replicated the theoretical structure of the ERI construct in this sample of Chinese students. All 3 scales were associated with an elevated odds ratio for diminished self-rated health, and the effect was strongest for the effort-reward ratio, as predicted by the theory. Sex and grade differences were also observed. CONCLUSIONS:The ERI questionnaire is a valid instrument for identifying sources of stressful experience, in terms of effort-reward imbalance, among adolescents in school settings.
journal_name
J Epidemioljournal_title
Journal of epidemiologyauthors
Li J,Shang L,Wang T,Siegrist Jdoi
10.2188/jea.je20090057subject
Has Abstractpub_date
2010-01-01 00:00:00pages
111-8issue
2eissn
0917-5040issn
1349-9092pii
JST.JSTAGE/jea/JE20090057journal_volume
20pub_type
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