Evaluation of the correlation between effort-reward imbalance and sleep quality among community health workers

Xuexue Deng,Ronghua Fang,Yaoting Cai

doi:10.1186/s12913-021-06526-w

Xuexue Deng, Ronghua Fang + Show 1 more

Open Access

https://doi.org/10.1186/s12913-021-06526-w

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Abstract

BackgroundA chronic state of imbalance between effort and reward can affect sleep quality. However, few studies have explored the relationship between variables in the work-related stress (the effort-reward imbalance model, ERI model) and sleep quality in community health workers in mainland China. We investigated the relationship between ERI and sleep quality in community health workers.MethodsThis cross-sectional study was conducted from September to November 2018 and involved 249 registered doctors and 223 registered nurses. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep problems status of the participants. The ERI questionnaire was administered to evaluate job-related stress. Multivariate logistic regression was performed to evaluate the factors related to sleep quality.ResultsThe ERI ratio of the 472 health workers was 1.17 ± 0.22, and 273 health workers (57.84%) had PSQI scores > 7.There were statistically significant differences in the effort scores, overcommitment scores and ERI ratio between the health workers with and without sleep problems. The ERI ratio was an independent risk factor for sleep quality; sleep quality, race, type of work, shift work,job title, and personal monthly income were related to the ERI ratio among community health workers.ConclusionsWe found that sleep problems were prevalent, work effort was greater than reward and a positive correlation between effort-reward and sleep quality among community health workers in China. Managers should focus on the factors that influence sleep problems among community health workers, balance the efforts and rewards of work, and reduce the incidence of sleep problems.

Highlights

Sleep disorders is a common complaint, and the disorder varies across different populations and age groups [1]
The present study investigated the association between sleep quality and Effort-Reward Imbalance (ERI) among community health workers in mainland China
Associations between ERI scale scores and sleep disturbances Across the four factors of the ERI, we found that the effort score, overcommitment score, and total ERI ratio were significantly different (P = 0.000, Table 3) between the health workers with poor sleep quality (PSQI > 7) and those with normal sleep quality (PSQI ≤7)

Summary

Introduction

Sleep disorders is a common complaint, and the disorder varies across different populations and age groups [1]. The prevalence of sleep problems is high among health care workers (30–46% in the USA; 37–63.9% in China) [6,7,8,9]. The results of the prospective study clearly show a bidirectional relationship between sleep and stress: workers exposed to chronic occupational stress have an increased incidence of sleep problems, and bad sleepers suffer more from occupational stress factors than good sleepers [16]. A chronic state of imbalance between effort and reward can affect sleep quality. Few studies have explored the relationship between variables in the work-related stress (the effort-reward imbalance model, ERI model) and sleep quality in community health workers in mainland China. We investigated the relationship between ERI and sleep quality in community health workers

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Discussion

Conclusion