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INDUSTRIAL HEALTH 1990,28,1-7

Job-stress and Medical Consultation Rated for Physical
Illness among Blue Collar Workers of an Electrical Factory
in Japan: A Four-year Prospective Follow-up Study

Norito KAWAKAMI1), Shunichi ARAKI2), Takashi HARATANI2),
Tetsuya KANEKO3), Takeshi MASUMOTO4) and Takeshi HAYASHI4)

1) Department of Public Health, Faculty of Medicine, University of Tokyo
7-3-1, Hongo, Bunkyo-ku, Tokyo 113, Japan
2) National Institute of Industrial Health
21-1, Noagao 6-chome, Tama-ku, Kawasaki 214, Japan
3) Department of Environmental Health, School of Health Science, Kyorin University
476, Miyashita-cho, Hachiouji 192, Japan
4) Hitachi Health Care Center
4-3-16, Ohse-cho, Hitachi, Ibaraki 317, Japan
(Received November 9, 1989 and in revised form November 30, 1989)

Abstract: To investigate the erlationship between job-stress and medical consultation rates for physical illness, a prospective study was conducted for male blue workers of an electrical factory in Japan. 8 job-stress variables and 8 possible confounders were assessed by means of mailed questionnaires in the initial study; 375 workers without medical history of illness were followed for four years; they were interviewed once a year and medical consultations for physical illness were recorded. Age-adjusted rates of medical consultation during the four-year period were significantly higher in the subjects with higher job-dissatisfaction scores than in those with lower job-dissatisfaction scores (p<0.05). The results of the multiple logistic regression analysis indicated that job-dissatisfaction together with age and education was significantly correlated with medical consultation (p<0.05). The results suggest that job-dissatisfaction is a potential factor for medical consultation in Japanese blue collar workers.

Key words: Job-stress-Medical consultation rate-Follow-up study-Blue collar workers

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