The annual costs of cardiovascular diseases and mental disorders attributable to job strain in France.

International audience; BACKGROUND: Work stress has become a major occupational risk factor in industrialized countries and an important economic issue. The objective was to estimate the annual costs of coronary heart diseases (CHD) and mental disorders (MD) attributable to job strain exposure according to Karasek's model in France for the year 2003 from a societal perspective. METHODS: We produced attributable fraction estimates which were applied to the number of cases (morbidity and mortality) and the costs of CHD and MD. Relative risk estimates came from a systematic literature review of prospective studies. We conducted meta-analyses based on this selection of studies. Prevalence of ex…

L’évolution récente de l’exposition aux risques psychosociaux en Europe

National audience

Exposition aux facteurs psychosociaux au travail : comparaison entre 31 pays en Europe

767 Healthy enterprise standard(hes) evaluation: analysing effects and cost-benefit results with a qualitative evaluation of implementation process

Introduction The Healthy Enterprise Standard (HES) is related to a certification program in Quebec (Canada) and targets four areas: Lifestyle, Work-life balance, Workplace environment and Management practices. The aim of this study was to open the black box of intervention and analyse the implementation process in order to interpret effects of HES on health and workplace risk factors, and cost-benefit results from the employer’s perspective. Methods We used a before-after design for a two-case analysis with a mixed-method approach. In two organisations from different sectors, quantitative data were collected with a questionnaire among all active workers before the standard’s implementation …

Response to the letter to the editor by Latza et al.: Indirect evaluation of attributable fractions for psychosocial work exposures: a difficult research area

Le poids imputable à l’exposition au stress au travail en termes économiques et de santé publique : enjeux et écueils méthodologiques

L’estimation de l’effet du stress au travail sur le nombre de cas de pathologies (morbidite et mortalite) et les couts economiques associes constitue un reel enjeu de sante publique. Pourtant les etudes qui portent sur ce sujet sont peu nombreuses dans la litterature. L’objectif de l’article est de souligner l’interet d’un tel chiffrage, de presenter brievement une methode d’estimation envisageable, celle des fractions attribuables, et les difficultes methodologiques qui lui sont associees. Cette methode utilise des donnees epidemiologiques de risque relatif associe a un facteur de risque donne, et de prevalence d’exposition a ce facteur. Les difficultes methodologiques soulevees par l’util…

Psychosocial work factors and sickness absence in 31 countries in Europe

International audience; Background: The studies on the associations between psychosocial work factors and sickness absence have rarely included a large number of factors and European data. The objective was to examine the associations between a large set of psychosocial work factors following well-known and emergent concepts and sickness absence in Europe. Methods: The study population consisted of 14 881 male and 14 799 female workers in 31 countries from the 2005 European Working Conditions Survey. Psychosocial work factors included the following: decision latitude, psychological demands, social support, physical violence, sexual harassment, discrimination, bullying, long working hours, s…

Additional file 1: of Economic evaluations of ergonomic interventions preventing work-related musculoskeletal disorders: a systematic review of organizational-level interventions

Table S1: Economic results and quality assessment scores of the nine included studies: design, population, sample size, type of evaluation, economic perspective, indicators for outcomes and intervention costs, statistical analysis and results. Table S2: Intervention components and implementation data: description of the intervention and treatment of the control group, assessment of workers’ needs (diagnosis) before implementation and adequacy of intervention to workers’ needs, proportion of employees reached by the intervention, dose delivered and dose received, fidelity to intervention protocol, contextual factors and co-interventions or other confounders that may have had an impact on out…

Economic evaluations of ergonomic interventions preventing work-related musculoskeletal disorders: a systematic review of organizational-level interventions

Background Work-related musculoskeletal disorders (WMSD) represent a major public health problem and economic burden to employers, workers and health insurance systems. This systematic review had two objectives: (1) to analyze the cost-benefit results of organizational-level ergonomic workplace-based interventions aimed at preventing WMSD, (2) to explore factors related to the implementation process of these interventions (obstacles and facilitating factors) in order to identify whether economic results may be due to a successful or unsuccessful implementation. Methods Systematic review. Studies were searched in eight electronic databases and in reference lists of included studies. Companio…

Théories et méthodes d’évaluation du coût social de facteurs de risques professionnels en France : application au cas des cancers d’origine professionnelle

Rapport scientifique final pour l’Institut du Cancer.;

0157 The use of epidemiologic data to evaluate the economic burden of occupational risks: modelling the cost of diseases attributable to job strain in France

Objectives To estimate the annual costs of coronary heart diseases (CHD) and mental disorders (MD) attributable to job strain exposure according to Karasek’s model in France for the year 2003 from a societal perspective. Method We produced attributable fraction estimates which were applied to the number of cases (morbidity and mortality) and the costs of CHD and MD. Relative risk estimates came from a systematic literature review of prospective studies. We conducted meta-analyses based on this selection of studies. Prevalence of exposure to job strain came from the national SUMER survey conducted in France in 2003. Results Between 8.8 and 10.2% of CHD morbidity and between 9.4 and 11.2% of …

Capital humain et coûts de friction

Cet article propose une nouvelle approche de la confrontation entre les methodes du capital humain (mch) et des couts de friction (mcf) pour estimer les pertes de production liees a la maladie. Il defend l’idee que leur pertinence peut etre apprehendee sur la base de deux criteres : le type d’absence au travail considere (maladie ou deces) et le mode d’evaluation employe (analyse cout-efficacite, cout-utilite, etc.). Il elabore alors des recommandations d’utilisation de la mch et de la mcf visant a eviter les sur ou les sous-comptabilisations des effets de la maladie. L’analyse souligne que ces deux methodes ne devraient pas etre systematiquement opposees mais peuvent etre utilisees de mani…

Fractions of cardiovascular diseases and mental disorders attributable to psychosocial work exposures in 31 countries in Europe

International audience

Additional file 1: of Economic evaluations of ergonomic interventions preventing work-related musculoskeletal disorders: a systematic review of organizational-level interventions

Table S1: Economic results and quality assessment scores of the nine included studies: design, population, sample size, type of evaluation, economic perspective, indicators for outcomes and intervention costs, statistical analysis and results. Table S2: Intervention components and implementation data: description of the intervention and treatment of the control group, assessment of workers’ needs (diagnosis) before implementation and adequacy of intervention to workers’ needs, proportion of employees reached by the intervention, dose delivered and dose received, fidelity to intervention protocol, contextual factors and co-interventions or other confounders that may have had an impact on out…

La santé au travail : une préoccupation multiforme pour les économiste

International audience; Barnay T., Sauze D., Sultan-Taïeb H., 2010, La santé au travail : une préoccupation multiforme pour les économistes, Revue Française des Affaires Sociales, 4, 7-25.

Interim Report for France”, Health at Work project European Commission - 7ème PCRDT « An Inquiry into the Health and Safety at Work: a European Union Perspective

Projet dans la catégorie “Health 2007 : Coordination and support action”.;

Contribution à “Final Report”, Health at Work project European Commission - 7ème PCRDT « An Inquiry into the Health and Safety at Work: a European Union Perspective »

Projet dans la catégorie “Health 2007 : Coordination and support action”.;

Exposure to psychosocial work factors in 31 European countries

Background Although psychosocial work factors are recognized as major occupational risk factors, little information is available regarding the prevalence of exposure to these factors and the differences in exposure between countries. Aims To explore the differences in various psychosocial work exposures between 31 European countries. Methods The study was based on a sample of 14,881 male and 14,799 female workers from the 2005 European Working Conditions Survey. Eighteen psychosocial work factors were studied: low decision latitude (skill discretion and decision authority), high psychological demands, job strain, low social support, iso-strain, physical violence, sexual harassment, bullying…

Fractions of cardiovascular diseases, mental disorders, and musculoskeletal disorders attributable to job strain in France

International audience