ArticleJournal of occupational medicine and toxicology (London, England)2017
The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study.
Article in Journal of occupational medicine and toxicology (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Investigation of psychosocial factors on upper limb musculoskeletal disorders and the prevalence of its musculoskeletal disorders among nurses: a systematic review and meta-analysis.International archives of occupational and environmental health · 2021Pooled it
- Evaluation of two easy-to-implement digital breathing interventions in the context of daily stress levels in a series of N-of-1 trials: results from the Anti-Stress Intervention Among Physicians (ASIP) study.NPJ digital medicine · 2026Article
- The relationship between preschool teachers' effort-reward imbalance and occupational well-being in Chinese rural areas: a moderated mediation model.BMC psychology · 2025Article
- Musculoskeletal Complaints Among Female Childcare Workers in German Daycare Centres-A Survey Study with a Comparison Group.International journal of environmental research and public health · 2025Article
- Reward frustration and withdrawal from work in health care-a cross-sectional study among health professionals.Frontiers in health services · 2025Article
- Article
- Psychosocial work characteristics and low back pain in daycare (nursery) workers in Japan: a prospective cohort study.BMC musculoskeletal disorders · 2022Article
- The Impact of the Implementation of Preventive Measures Due to COVID-19 on Work Design and Early Childhood Professionals' Well-Being-A Qualitative Study.International journal of environmental research and public health · 2022Article
- Measuring job stress in transportation workers: psychometric properties, convergent validity and reliability of the ERI and JCQ among professional drivers.BMC public health · 2021Article
- The mediating effect of exhaustion in the relationship between effort-reward imbalance and turnover intentions: A 4-year longitudinal study from Sweden.Journal of occupational health · 2021Article
- Can Leaders Prevent Technology From Backfiring? Empowering Leadership as a Double-Edged Sword for Technostress in Care.Frontiers in psychology · 2021Article
- Article
- Factors associated with the health status of childcare workers in southern Alberta, Canada.BMC research notes · 2019Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of effort-reward imbalance (ERI) among qualified childcare workers in Germany is currently estimated at around 65%. High rates of burnout and musculoskeletal symptoms (MS) have also been reported for this group. Previous longitudinal studies show inconsistent results with regard to the association between ERI and MS. As yet, no longitudinal studies have been conducted to investigate the association between ERI and burnout or MS in childcare workers. This study aims to investigate the extent to which a relationship between ERI and MS or burnout can be observed in childcare workers in Germany on a longitudinal basis.
methodsIn 2014 childcare workers (
resultsAt baseline ERI was present in 65% of the sample population. The mean burnout score at the time of follow-up was 53.7 (SD: 20.7); the prevalence of MS was between 19% and 62%. ERI was identified as a statistically significant factor for MS, after adjusting especially for physical stress (lower back: OR 4.2; 95% CI: 1.14 to 15.50, neck: OR 4.3; 95% CI: 1.25 to 15.0, total MS: OR 4.0; 95% CI: 1.20 to 13.49). With regard to burnout, a relative increase of 10% in the ERI ratio score increased the burnout score by 1.1 points (
conclusionsERI was revealed to be a major factor in relation to MS and burnout in childcare workers. Based on this observation worksite interventions on the individual and organizational level should be introduced in order to prevent ERI.
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