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      Using Three Cross-Sectional Surveys to Compare Workplace Psychosocial Stressors and Associated Mental Health Status in Six Migrant Groups Working in Australia Compared with Australian-Born Workers

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          Abstract

          Migrant workers may be more likely to be exposed to workplace psychosocial stressors (WPS) which have an affect on physical and mental health. Given the relative lack of research on this topic, the study objectives were to estimate and compare the prevalence of WPS in migrant and Australian workers and investigate associated mental health problems. Three cross-sectional surveys, two with migrant workers and one with Australian workers, were pooled to provide estimates of prevalence. Regressions were conducted to investigate associations between workers and WPS. All WPS, except unfair pay, were associated with higher probability of mental health problems. The association between WPS and mental health did differ between some migrant groups. Compared with Australian-born workers, all other migrant groups tended to have a lower risk of mental health outcomes. Interactions between WPS and migrants showed variable levels in the risk of having a mental health problem, some attenuated and some increased. The study showed that country of birth does play a part in how treatment in the workplace is perceived and responded to. Any interventions to improve workplace conditions for migrant workers need to be aware of the different experiences related to migrant ethnicity.

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          A systematic review including meta-analysis of work environment and burnout symptoms

          Background Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. Methods A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990–2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1–5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. Results Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. Conclusion While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4153-7) contains supplementary material, which is available to authorized users.
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            Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research.

            Burnout is an important problem in health care professionals and is associated with a decrease in occupational well-being and an increase in absenteeism, turnover and illness. Nurses are found to be vulnerable to burnout, but emergency nurses are even more so, since emergency nursing is characterized by unpredictability, overcrowding and continuous confrontation with a broad range of diseases, injuries and traumatic events.
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              Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                28 February 2019
                March 2019
                : 16
                : 5
                : 735
                Affiliations
                [1 ]School of Public Health, Curtin University, Bentley, WA 6102, Australia; alison.daly@ 123456curtin.edu.au (A.D.); renee.carey@ 123456curtin.edu.au (R.N.C.); h.chih@ 123456curtin.edu.au (H.C.)
                [2 ]Centre for Genetic Origins of Health and Disease, School of Biomedical Science, Curtin University and The University of Western Australia, Perth, WA 6000, Australia; ellie.darcey@ 123456uwa.edu.au
                [3 ]Centre for Population Health Research, Deakin University, Burwood, VIC 3125, Australia; tony.lamontagne@ 123456deakin.edu.au
                [4 ]Centre for Health Equity, School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia; allison.milner@ 123456unimelb.edu.au
                Author notes
                [* ]Correspondence: alison.reid@ 123456curtin.edu.au ; Tel.: +61-8-9266-1361
                Author information
                https://orcid.org/0000-0002-4919-5932
                https://orcid.org/0000-0003-4657-0503
                Article
                ijerph-16-00735
                10.3390/ijerph16050735
                6427607
                30823505
                2fd019c2-64d1-4ced-a60d-e3a4b8649525
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 07 February 2019
                : 23 February 2019
                Categories
                Article

                Public health
                migrant workers,workplace psychosocial stressors,mental health,cross-sectional surveys

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