Occupational stress situation analysis of different types of train drivers / 中华预防医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the status of occupational stress in different types of train drivers.</p><p><b>METHODS</b>By using cluster sampling method, a cross-sectional study was conducted in 1 339 train drivers (including 289 passenger train drivers, 637 freight trains drivers, 339 passenger shunting train drivers, and 74 high speed rail drivers) from a Railway Bureau depot. The survey included individual factors, occupational stress factors, stress response factors and stress mitigating factors. The occupational stress factors, stress response factors and mitigating factors were measured by the revised effort-reward imbalance (ERI) model questionnaires and occupational stress measurement scale. By using the method of covariance analysized the difference of occupational stress factors of all types train drivers, the method of Stepwise regression was used to analyze the effection (R(2)) of occupational stress factors and stress mitigating factors on stress response factors.</p><p><b>RESULTS</b>Covariance analysis as covariates in age, education level, length of service and marital status showed that the scores of ERI (1.58 ± 0.05), extrinsic effort (19.88 ± 0.44), rewards (23.43 ± 0.43), intrinsic effort (17.86 ± 0.36), physical environment (5.70 ± 0.22), social support (30.51 ± 0.88) and daily tension (10.27 ± 0.38 ) of high speed rail drivers were higher than other drivers (F values were 6.06, 11.32, 7.05, 13.25, 5.20, 9.48 and 6.14 respectively, P < 0.01), but the scores of emotional balance (4.15 ± 0.31) and positive emotion (2.06 ± 0.20) were lower than other drives (P < 0.01);the scores of psychological needs (10.48 ± 0.18), emotional balance (4.88 ± 0.16) and positive emotion (2.63 ± 0.10) of passenger train drivers were higher than other drivers (F values were 4.33 and 5.50 respectively, P < 0.01). The descending rank of the effect value on occupational stress factors and mitigating factors to depressive symptoms of train drivers was high speed rail drivers (R(2) = 0.64), passenger train drivers (R(2) = 0.44), passenger shunting train drivers (R(2) = 0.39), freight trains drivers (R(2) = 0.38); job satisfaction of train drivers was high speed rail drivers (R(2) = 0.68), passenger train drivers (R(2) = 0.62), freight trains drivers (R(2) = 0.43), passenger shunting train drivers(R(2) = 0.38); to daily tension of train drivers was high speed rail drivers (R(2) = 0.54), passenger train drivers (R(2) = 0.37), passenger shunting train drivers (R(2) = 0.33), freight trains drivers (R(2) = 0.30); emotional balance of train drivers was high speed rail drivers (R(2) = 0.47), passenger train drivers (R(2) = 0.43), passenger shunting train drivers (R(2) = 0.33), freight trains drivers(R(2) = 0.31).</p><p><b>CONCLUSION</b>ERI, psychological needs, work responsibilities, job roles, work conflict, and physical environment were important occupational stress factors of train drivers; social support was pivotal mitigating factors; different train drivers had different occupational stress status, high speed rail drivers were the highest, and freight trains drivers passenger train drivers or passenger shunting train drivers were the lowest.</p>