Level of perceived job strain among the healthcare personnel (doctors and nurses) as a predictor of poor glycaemic control indicator (HbA1c≥8%) in patients with type 2 diabetes (N=8975) in primary care health centres (HCs, N=18)
| Job strain in the HCs | Unadjusted model | Model I* | Model II† | Model III‡ | ||||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | |
| Fixed effects | ||||||||
| Low-strain job | 1.00 | 1.00 | 1.00 | 1.00 | ||||
| Passive job | 1.06 (0.72 to 1.58) | 0.764 | 1.07 (0.73 to 1.57) | 0.742 | 1.08 (0.71 to 1.64) | 0.725 | 1.16 (0.89 to 1.51) | 0.287 |
| Active job | 0.84 (0.57 to 1.25) | 0.394 | 0.83 (0.57 to 1.22) | 0.341 | 0.86 (0.60 to 1.23) | 0.408 | 1.23 (0.96 to 1.56) | 0.101 |
| High-strain job | 1.12 (0.73 to 1.71) | 0.609 | 1.09 (0.72 to 1.65) | 0.679 | 1.09 (0.71 to 1.69) | 0.684 | 1.57 (1.17 to 2.12) | 0.003 |
| Random effects | ||||||||
| HC variance (SE) | 0.07 0.06 | 0.07 0.06 | 0.06 0.06 | 0.01 0.02 | ||||
Multilevel regression analysis.
*Adjusted for patient characteristics (sex and age).
†Adjusted as model I+organisation characteristics (the percentage of temporary employees and the mean rate of sickness absence days in the HC).
‡Adjusted as model II+HC service area characteristics (educational level of the residents, median income and unemployment rate).
HbA1c, glycated haemoglobin; HC, health centre.