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Job strain and determinants in staff working in institutions for people with intellectual disabilities in Taiwan: A test of the Job Demand-Control-Support model

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Author(s): Lin, JD (Lin, Jin-Ding); Lee, TN (Lee, Tzong-Nan); Yen, CF (Yen, Chia-Feng); Loh, CH (Loh, Ching-Hui); Hsu, SW (Hsu, Shang-Wei); Wu, JL (Wu, Jia-Ling); Chu, CM (Chu, Cordia M.)

Title: Job strain and determinants in staff working in institutions for people with intellectual disabilities in Taiwan: A test of the Job Demand-Control-Support model

Source: RESEARCH IN DEVELOPMENTAL DISABILITIES, 30 (1): 146-157 JAN-FEB 2009 Language: English

Document Type: Article

Author Keywords: Effort-Reward Imbalance model; Job Demand-Control-Support model; Job strain; Staff; Stress

KeyWords Plus: CHALLENGING BEHAVIOR; SERVICES; STRESS; QUESTIONNAIRE;

OUTCOMES; WORKERS; ADULTS

Abstract: Little is known about the job strain of staff working in disability institutions. This study investigated the staff's job strain profile and its determinants which included the worker characteristics and the psychosocial working environments in Taiwan. A cross-sectional study survey was carried out among 1243 workers by means of a self-answered questionnaire. The outcome variable (high-strain job) was evaluated. The explanatory variables were: worker characteristics and the psychosocial working environment evaluated according to Karasek's Job Demand-Control-Support model. The results show that many staff characteristics were correlated with job strain, such as staff's working hours, age, gender, job title, educational level, religion, in-job training, working years in disability institutions and Effort-Reward Imbalance factors. Organization factors, such as geographical, institutional ownership and accreditation performance and size were also correlated with staff's job strain. In multiple a logistic regression model of the job strain, we found that the factors of financial reward (high compare to low, OR = 0.95, 95% CI = 0.928-0.975), extrinsic effort (high compare to low, OR = 1.072, 95% CI = 1.072-1.158), perceived job stress (sometimes stressful compare to no stress, OR = 2.305, 95% CI = 1.161-4.575; very stressful compare to no stress, OR = 3.931, 95% CI = 1.738-8.893) of the staff were significantly correlated to the high jot) strain of the staff. An important focus of future research should be extending the findings to consider the factors to affect the high job strain to improve the well-being for staff working for people with intellectual disability. (C) 2008 Elsevier Ltd. All rights reserved.

Addresses: [Lin, Jin-Ding; Lee, Tzong-Nan] Natl Def Med Ctr, Sch Publ Hlth, Taipei, Taiwan;

[Yen, Chia-Feng] Natl Def Med Ctr, Grad Inst Life Sci, Taipei, Taiwan; [Loh, Ching-Hui] Tri Serv Gen Hosp, Dept Community & Family Med, Taipei, Taiwan; [Hsu, Shang-Wei] Asia Univ, Grad Inst Healthcare Adm, Taichung, Taiwan; [Wu, Jia-Ling] Chung Hua Fdn Persons

Intellectual Disabil, Res Ctr Intellectual Disabil Taiwan, Taipei, Taiwan; [Chu, Cordia M.]

Griffith Univ, Ctr Environm & Populat Hlth, Brisbane, Qld 4111, Australia

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Reprint Address: Lin, JD, 161 Min Chun E Rd,Sect 6, Taipei 114, Taiwan.

E-mail Address: a530706@ndmctsgh.edu.tw

Cited References: ATTWOOD T, 1994, MENTAL HLTH MENTAL R, P365.

BRYMAN A, 2001, SOCIAL RES METHODS.

CHENG YW, 2003, INT J BEHAV MED, V10, P15.

ESCRIBAAGUIR V, 2004, INT ARCH OCC ENV HEA, V77, P401, DOI 10.1007/s00420-004- 0525-2.

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KARASEK R, 1990, HLTH WORK STRESS PRO.

KARASEK RA, 1979, ADM SCI Q, V24, P285.

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Cited Reference Count: 20 Times Cited: 2

Publisher: PERGAMON-ELSEVIER SCIENCE LTD

Publisher Address: THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND

ISSN: 0891-4222

DOI: 10.1016/j.ridd.2008.02.001

29-char Source Abbrev.: RES DEVELOP DISABIL ISO Source Abbrev.: Res. Dev. Disabil.

Source Item Page Count: 12

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Subject Category: Education, Special; Rehabilitation ISI Document Delivery No.: 386PW

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