Measuring Effort–Reward Imbalance in School Settings: A Novel Approach and Its Association With Self-Rated Health
Open Access
- 1 January 2010
- journal article
- research article
- Published by Japan Epidemiological Association in Journal of Epidemiology
- Vol. 20 (2), 111-118
- https://doi.org/10.2188/jea.je20090057
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.Keywords
This publication has 30 references indexed in Scilit:
- Self-rated health during adolescence: stability and predictors of change (Young-HUNT study, Norway)European Journal of Public Health, 2008
- Social productivity and well-being of older people: baseline results from the SHARE studyEuropean Journal of Ageing, 2006
- Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physiciansSocial Science & Medicine (1982), 2006
- Can Physical Activity Moderate the Relationship between School Related Stress and Health Complaints among Japanese Elementary School ChildrenInternational Journal of Sport and Health Science, 2006
- Health inequalities and the psychosocial environment—two scientific challengesSocial Science & Medicine (1982), 2004
- School stress in India: Effects on time and daily emotionsInternational Journal of Behavioral Development, 2002
- Sense of coherence and school-related stress as predictors of subjective health complaints in early adolescence: interactive, indirect or direct relationships?Social Science & Medicine (1982), 2001
- Two alternative job stress models and the risk of coronary heart disease.American Journal of Public Health, 1998
- Adverse health effects of high-effort/low-reward conditions.Journal of Occupational Health Psychology, 1996