The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey Milner, Allison, Witt, Katrina, Spittal, Matthew J., Bismark, Marie, Graham, Melissa and LaMontagne, Anthony D. 2017, The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey, BMC health services research, vol. 17, pp. 1-10, doi: 10.1186/s12913-017-2554-z. Attached Files Name Description MIMEType Size Downloads milner-relationshipbetween-2017.pdf Published version application/pdf 531.92KB 115 Title The relationship between working conditions and self-rated health among medical doctors: evidence from seven waves of the Medicine In Australia Balancing Employment and Life (Mabel) survey Author(s) Milner, Allison orcid.org/0000-0003-4657-0503 Witt, Katrina Spittal, Matthew J. Bismark, Marie Graham, Melissa orcid.org/0000-0002-0927-0002 LaMontagne, Anthony D. orcid.org/0000-0002-5811-5906 Journal name BMC health services research Volume number 17 Article ID 609 Start page 1 End page 10 Total pages 10 Publisher BioMed Central Place of publication London, Eng. Publication date 2017 ISSN 1472-6963 Keyword(s) Employment Health Job stress Medical doctors Medicine Work Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services GENERAL-PRACTITIONERS PSYCHOSOCIAL FACTORS MENTAL-HEALTH JOB STRAIN YOUNG PHYSICIANS STRESS DEPRESSION BURNOUT SATISFACTION SPECIALISTS Summary BACKGROUND: Psychosocial job stressors, such as low control and high demands, have been found to influence the health and wellbeing of doctors. However, past research in this area has relied on cross-sectional data, which limits causal inferences about the influence of psychosocial job stressors on health. In this study, we examine this relationship longitudinally while also assessing whether the relationship between psychosocial job stressors and health is modified by gender. METHODS: The data source was seven annual waves of the Medicine in Australia: Balancing Employment and Life (MABEL) survey. The outcome was self-rated health (measured using the SF-12), and key exposures reflected job control, job demands, work-life balance variables, employment arrangements, and aggression experienced at work. We used longitudinal fixed and random effects regression models to assess within and between-person changes in health. RESULTS: Excessive job demands, low job control, feelings of not being rewarded at work, and work-life imbalance were associated with higher within-person odds of poorer self-rated health. Gender differences were apparent. For female doctors, work arrangements and work-life imbalance were associated with poorer self-rated health whilst task-based job stressors were associated with poorer self-rated health in male doctors. CONCLUSIONS: These results suggest the importance of addressing adverse working environments among doctors. Language eng DOI 10.1186/s12913-017-2554-z Field of Research 1117 Public Health And Health Services 0807 Library And Information Studies HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2017, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30102618 Document type: Journal Article Collections: Faculty of Health School of Health and Social Development Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Thu, 14 Sep 2017, 14:08:50 EST Fri, 15 Sep 2017, 05:00:17 EST Fri, 15 Sep 2017, 08:17:49 EST Sat, 16 Sep 2017, 02:30:45 EST Thu, 12 Oct 2017, 05:04:19 EST Fri, 13 Oct 2017, 08:52:29 EST Wed, 17 Jan 2018, 05:02:00 EST Wed, 17 Jan 2018, 14:08:56 EST Wed, 17 Jan 2018, 14:12:48 EST Wed, 17 Jan 2018, 14:13:25 EST Thu, 18 Jan 2018, 09:48:59 EST Fri, 07 Sep 2018, 17:56:01 EST Filtered Full Citation counts:   Cited 16 times in TR Web of Science Cited 13 times in Scopus Search Google Scholar Access Statistics: 530 Abstract Views, 116 File Downloads  -  Detailed Statistics Created: Thu, 14 Sep 2017, 14:08:50 EST