Hierarchies of Health: Health and Work-Related Stress of Managers in Municipalities and County Councils in Sweden

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Objective:The aim of this study was to investigate the risk of poor health and stress among male and female managers working at different levels in the public sector.Methods:A cross-sectional study using register data. A modified Poisson regression approach was used to examine the risk of stress and illness in relation to management level and sex; 1088 managers participated and were categorized into different management levels and sexes.Results:The results showed a clear hierarchy of health in relation to managerial level and sex with several significant statistical differences. Women with lower-level management positions suffered to a greater extent from poor health and stress.Conclusions:Organizations should focus not only on developing individuals in their managerial roles but also on improving the conditions that allow managers to remain healthy and less stressed.

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