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EmpLoymEnT, work, And HEALTH inEquALiTiES - a global perspective<br />

young biochemistry students at the<br />

university of isparta (Turkey).<br />

source: © ilo/p. deloche (2003)<br />

Wegman, & Kjellstrom, 2007). Worldwide, few studies determining the<br />

effects of psychosocial stressors on working life and related health<br />

effects have been reported, and information is based on indirect<br />

evidence, aggregated data, or case reports. However, in some wealthy<br />

countries, developed theoretical models and extensively empirical<br />

findings are available (Marmot, Siegrist, & Theorell, 2006).<br />

The main conceptual models of psychosocial working conditions<br />

used in health research have separated the measurement of<br />

potentially stressful working conditions from the health effects of work<br />

stress. a widely used work stress model, developed by Karasek &<br />

Theorell (1990), conceptualises work stress in terms of the<br />

psychological demands of work and the degree of control over working<br />

conditions. In Karasek's initial formulation of the model, it was<br />

hypothesised that high job demands, together with <strong>low</strong> control over<br />

working conditions, would be particularly bad for health. This was<br />

labeled job strain. The Karasek model was developed further by the<br />

addition of a third dimension related to degree of social support at<br />

work. a supportive working environment is considered to be one in<br />

which employees receive good support from both colleagues and<br />

supervisors and where employees receive clear and consistent<br />

information from their supervisors. a different model of working<br />

conditions, the effort-reward imbalance model, developed by Siegrist<br />

(1996), is based on the notion of social reciprocity. This model proposes<br />

that a combination of putting high effort into work without adequate<br />

reward is detrimental to health. Effort includes both extrinsic and<br />

intrinsic components (for example, work over-commitment) and<br />

reward includes esteem or respect, career opportunities including job<br />

security and promotion prospects, and financial remuneration.<br />

The concept of organisational justice is a more recent model for<br />

psychosocial working conditions which may have health consequences<br />

(Kivimäki, Elovainio, Vahtera, & Ferrie, 2003). This model concerns<br />

fairness of treatment at work and has procedural and relational<br />

dimensions. relational justice refers to the extent to which supervisors<br />

consider employees' viewpoints, are able to suppress personal biases,<br />

and take steps to deal with their employees in a fair and truthful<br />

manner. The procedural component relates to the fairness and<br />

consistency of formal decision-making procedures in an organisation.<br />

although there have been some attempts to obtain objective<br />

measures of psychosocial working conditions, it is more common<br />

for psychosocial working conditions to be based on self-reported<br />

questionnaire measures collected through surveys of employees.<br />

Self-report measures have the advantage that they take account of<br />

the employees' perception of their work environment, which may<br />

196

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