Mobilidade ocupacional e qualidade de vida entre funcionários de uma Universidade no Rio de Janeiro: o estudo pró-saúde

Abstract

Objectives: To investigate among Brazilian civil servants associations between: Paper 1: sociodemographíc variables (age, racelethn ic group, education, family income per capita and current occupation) and quality of life. Paper 2: intragenerational and total occupational mobility and quality of life. Jllethods: Design: a cross sectional analysis of Phase 1 (1999) and Phase 2 (2001) data 2 data (1999).from the longitudinal Pró-Saúde Study. Setting: University campuses in Rio de Janeiro, Brazil. Participants: 3,251 non.faculty civil servants, aged 24-70 years. Instruments: Multidimensional questionnaires self-administered including the WHO QOL-Bref (an abbreviated version ofthe WHOQOL-/00 a WHO • World Health Organization Quality of Li/e Questionnaire). It produces scores for four domoins related to quality of life: physical health, psychological, social relationships and environment. It al so includes one facet on overall quality of life and general health. Analysls: Multivariate linear regression assessing independent associations between: Paper 1: the covariates age, racelethnic group, education, family income per capita and current occupation and domains and global questions scores of quality of life measured by the WHOQOL-Bref (dependent variables), stratifled by sex. Paper 2: categories of intragenerational and total occupational mobility (upward, downward and stable}, adjusted to the covariates age, racelethnicíty, education and family income per capita and domains and global questions scores of quality of life measured by the WHOQOL -Bref (dependent variables), stratified by sex. Results: Paper 1: Age: Men tended to repor/, wilh age, posilive scores of quality of life for lhe environment domain, women tended to lhe opposite. Women presented coefficients statistically significam and positives to psycho/ogica/ domain and overa/l quality of life. Race/ethnicity: as for the physical, psychological and social relationships domains, black men reported better conditions for quality of life than while men, the same for mula/los in physical domain. As for black women, environment domain presented coefficients statistically signiflcant and negative s, revealing lhe opposite for men. Education: men with education up to prima,y school expressed better quality of life ln social relationships domain, comparatively to those wilh college or posl -graduation. Family income per capita: presented higher number s of associations which were stalistically signiflcant in ali domains. expressing scores. as much for men as for women, worse than those catego,y "over six mínimum wages ". Current occupation: whenever stalistically signiflcant, presented coefficients of linear regression which expressed negative scores in relation to lhe catego,y ''professionals ", where there was sometunes inverse gradients. Paper 2: There was a positive association between upward intrageneratíonal mobility and scores of quality of life to: a) physical, psychological and social relationships domains, for men; and b) environment domain, for women. On total upward mobility, women presented negative association for ali the domains, on lhe other hand of those for men. When both types of mobifity were compared, there were standards which indicated, for upward mobility, positive associations for men, being the standards for women completely inverse: while there were positive associatlons for intragenerational mobility, there were negative associations for total mobility. Similar occurrence could be verified when compared downward intrageneratlonal and total mobi/ity. These events point out to lhe positive elfects of intrageneralional mobility for women, in opposition to the total mobility findings. Conclusions: Paper 1: Sociodemographic characteristics had impacted ln a different way the domains of quality of life, where there were distinct standards for subjective quality of life between men and women. As for men, age, racelethnicity and education up to prima,y school were lhe sociodemographlc characteristícs whích had a positive unpact on mos/ domains of qualíty of life, while inverse facts occurred to women. Family income per capita and current occupatlon had a negative elfect on the scores of quality of life for men and women and presented inverse gradients in relation to the reference categories ("over six minunum wages" and ''professionals"). Besides, family income per capita presented higher coefficients of regression in relation to the reference category, standing ou/ as the sociodemographic characterlslic which mos/ impacted on the quality of life dimensiona. Paper 2: Men and women presented dislinct standards of quality of life. The ejfects of the upward intragenerational mobility were positive both for men and women, yet with greater magnitude on physical, psychological and social relationshíps domains for men; as for women, environment was the domaín which was greater ín magnitude. ln re/ation to the total mobi/íty, men presented, on upward mobility, positive scores for physíca/, psychological and social relationships domains, while women presented negative scores for a/l the domains in relation to the category ímmobility.