Med. Pr. 2008;59(1):9-24 |
OCCUPATIONAL AND NON-OCCUPATIONAL DETERMINANTS OF WORK ABILITY |
ZAWODOWE I POZAZAWODOWE DETERMINANTY ZDOLNOŚCI DO PRACY |
Teresa Makowiec-Dąbrowska, Wiesława Koszada-Włodarczyk, Alicja Bortkiewicz, Elżbieta Gadzicka, Jadwiga Siedlecka, Zbigniew Jóźwiak, Janusz Pokorski |
Abstract
Background: Measurements of the work ability subjective assessment,
using the work ability index (WAI), are widely applied in the
examination of workers. The measurement results suggest that the low
level of work ability, which is determined by work-burden factors,
health condition, and lifestyles of persons under study, can be a
predictor of earlier retirement. The aim of the study was to find out
whether WAI can be used in Polish conditions and to identify personal
traits and/or job characteristics and conditions of its performance
that generate the risk of low work ability. Materials and Methods: The
cross-sectional study embraced 669 men and 536 women at the working
age, representing different occupations and exposed to various factors.
They self-assessed their work ability by completing a questionnaire
that allows to determine WAI values. They also characterized their jobs
in terms of physical burden, occupational stress, harmful and strenuous
factors, work fatigue, chronic fatigue, and lifestyle. Based on the
energy expenditure and health condition (number of diseases), the work
burden was objectively defined. A model of multivariate logistic
regression was used to assess the effect of the analyzed factors on the
risk of low or moderate work ability. Results: The level of work
ability in the study group was lower than that observed in analogous
occupational groups in other European countries. The results of the
analysis indicate that job characterizing factors and workers'
individual traits exert a stronger effect on the level of WAI
components, which reflect a subjective assessment of work abilities,
than factors concerning health conditions. Highly stressogenic work and
low tolerance of work burden as well as personal traits (age, frequent
alcohol consumption among men and non-occupational burdens among women)
represented risk factors responsible for low or moderate VAI values.
Conclusions: The measurement of work ability index is an indirect
assessment of workers' physical state, and it slightly depends on
objective work burdens. Med Pr 2008;59(1):9-24
Key words
work ability assessment, work burden, occupational stress, fatigue, age, women, men