The contribution of occupational factors to social inequalities in health: findings from the national French SUMER survey.

摘要: Social inequalities in health have long been demonstrated, but the understanding of these remains unclear. Work and its related occupational factors may contribute to inequalities. The objective this study was contribution work using an integrated approach (including all types exposures) social three outcomes: poor self-reported health, sickness absence, injury. Respondents were 14,241 men 10,245 women drawn from a survey national French working population (response rate: 96.5%). included job characteristics, exposures physical, ergonomic, biological, chemical, psychosocial environment. All measured through expert evaluation by physicians, except factors, which self-reported. Strong gradients found for psychological demands, workplace bullying, aggression public. Marked also observed outcomes studied, blue collar workers being more likely report differences reduced strongly after adjustment (psychological demands excluded) 24-58% according sex outcomes. strongest impacts decision latitude, chemical exposures, as well schedules. A detailed analysis allowed us identify precisely contributing factors. It suggests that concerted prevention risk would be useful not only improve at work, reduce health.