Evaluation Of The Correlation Between Effort-Reward Imbalance And Sleep Quality Among Community Health Workers

Abstract

Background: A chronic state of imbalance between effort and reward can affect sleep quality. However, few studies have explored the relationship between variables in the work-related stress and sleep quality in community health workers. The study aims to investigate the relationship between effort-reward imbalances and sleep quality among community health workers. Methods: A cross-sectional study was conducted from March to May 2023 and involved 249 registered doctors and 223 registered nurses. Tools of study: The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep problems status of the participants. The Effort-Reward Imbalance (ERI) questionnaire was administered to evaluate job-related stress. Multivariate logistic regression was performed to evaluate the factors related to sleep quality. Results: The ERI ratio of the health workers was 1.17 ± 0.22, and 57.84% of health workers had PSQI scores > 7. There were statistically significant differences in the effort scores, over commitment scores and ERI ratio between the health workers with and without sleep problems. The ERI ratio was an independent risk factor for sleep quality; type of work, shift work, job title, and personal monthly income were related to the ERI ratio among community health workers. Conclusions: this study found that sleep problems were prevalent, work effort was greater than reward and a positive correlation between effort-reward and sleep quality among community health workers. Managers should focus on the factors that influence sleep problem[1]s among community health workers, balance the efforts and rewards of work, and reduce the incidence of sleep problems.