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Job Strain and its Associated Factors among Lecturers in the School of Medical Sciences, Universiti Sains Malaysia and Faculty of Medicine, Universiti Kebangsaan Malaysia

Department of Community Medicine, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

B.N. Rusli, MBBS, PhD

Department of Community Medicine, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia, rusli{at}kb.usm.my, School of Dental Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

L. Naing, MBBS, MMedStat

Department of Community Medicine, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

T. Winn, MBBS, DrPH

Department of Community Medicine, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

M.A. Tengku, MD, MSc(PH)

Department of Community Medicine, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

K.G. Rampal, MBBS, PhD

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

A cross-sectional study to assess job strain and its associated factors among lecturers of the School of Medical Sciences, Universiti Sains Malaysia (USM) and Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM) was undertaken between August 2001 and May 2002. The original English version of the Job Content Questionnaire (JCQ) version 1.7 (revised 1997) by Robert Karasek based on the Job Strain Model was self-administered to 73 (response rate 58.4%) and 80 (response rate 41.7%) lecturers in the medical faculties of USM and UKM respectively. The prevalence of job strain (defined by low decision latitude and high psychological demand) in USM and UKM was 23.3% and 17.5%, respectively; the difference was not significant (p 0.05). Analysis showed that the associated factors of job strain in USM lecturers were psychological stressors (adjusted OR 1.2, 95% CI: 1.0, 1.4), created skill (adjusted OR 0.4, 95% CI: 0.2, 0.8), working in clinical-based departments (adjusted OR 18.9, 95% CI:1.6, 22.7). The risk factors of job strain in UKM lecturers were created skill (adjusted OR 0.3, 95% CI: 0.1, 0.9), psychological stressors (adjusted OR 1.2, 95% CI: 1.0,1.5) and co-worker support (adjusted OR 0.3, 95% CI: 0.1, 0.9). We conclude psychological stressors and created skill were non-protective and protective, respectively, against job strain in both USM and UKM lecturers. Asia Pac JPublic Health 2004; 16(1): 32-40.

Key Words: Job strain • job strain model • JCQ • lecturers • USM • UKM.

Asia-Pacific Journal of Public Health, Vol. 16, No. 1, 32-40 (2004)
DOI: 10.1177/101053950401600106


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