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RESEARCH AND PRACTICE |
Marko Elovainio is with the National Research and Development Center for Welfare and Health, Helsinki, Finland. Mika Kivimäki is with the Department of Psychology, University of Helsinki, Helsinki, Finland. Marko Elovainio and Mika Kivimäki are also with the Department of Psychology, Finnish Institute of Occupational Health, Helsinki. Jussi Vahtera is with the Finnish Institute of Occupational Health, Turku, Finland.
Correspondence: Requests for reprints should be sent to Marko Elovainio, National Research and Development Center for Welfare and Health, PO Box 220, FIN-00531 Helsinki, Finland (e-mail: marko.elovainio{at}stakes.fi).
Objectives. This study examined the justice of decision-making procedures and interpersonal relations as a psychosocial predictor of health.
Methods. Regression analyses were used to examine the relationship between levels of perceived justice and self-rated health, minor psychiatric disorders, and recorded absences due to sickness in a cohort of 506 male and 3570 female hospital employees aged 19 to 63 years.
Results. The odds ratios of poor self-rated health and minor psychiatric disorders associated with low vs high levels of perceived justice ranged from 1.7 to 2.4. The rates of absence due to sickness among those perceiving low justice were 1.2 to 1.9 times higher than among those perceiving high justice. These associations remained significant after adjustment for behavioral risks, workload, job control, and social support.
Conclusions. Low organizational justice is a risk to the health of employees.
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