{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:56:58Z","timestamp":1790168218946,"version":"4.1.0"},"reference-count":54,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T00:00:00Z","timestamp":1659916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In complex systems such as hospitals, work organization can influence the level of occupational stress and, consequently, the physical and mental health of workers. Hospital healthcare workers were asked to complete a questionnaire during their regular occupational health examination, in order to assess the perceived level of organizational justice, and to verify whether it was associated with occupational stress, mental health, and absenteeism. The questionnaire included the Colquitt Organizational Justice (OJ) Scale, the Karasek\/Theorell demand-control-support (DCS) questionnaire for occupational stress, and the General Health Questionnaire (GHQ12) for mental health. Workers were also required to indicate whether they had been absent because of back pain in the past year. Organizational justice was a significant predictor of occupational stress. Stress was a mediator in the relationship between justice and mental health. Occupational stress was more closely related to perceptions of lack of distributive justice than to perceptions of procedural, informational, and interpersonal justice. Physicians perceived significantly less distributive justice than other workers. In adjusted univariate logistic regression models, the perceptions of organizational justice were associated with a significant reduction in the risk of sick leave for back pain (OR 0.96; CI95% 0.94\u20130.99; p &lt; 0.001), whereas occupational stress was associated with an increased risk of sick leave (OR 6.73; CI95% 2.02\u201322.40; p &lt; 0.002). Work organization is a strong predictor of occupational stress and of mental and physical health among hospital employees.<\/jats:p>","DOI":"10.3390\/ijerph19159739","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T21:09:18Z","timestamp":1659992958000},"page":"9739","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Organizational Justice and Health: A Survey in Hospital Workers"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-7344","authenticated-orcid":false,"given":"Nicola","family":"Magnavita","sequence":"first","affiliation":[{"name":"Section of Occupational Medicine and Labor Law, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Roma, Italy"},{"name":"Department of Woman, Child & Public Health Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1640-3897","authenticated-orcid":false,"given":"Carlo","family":"Chiorri","sequence":"additional","affiliation":[{"name":"Department of Educational Sciences, University of Genova, 16126 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9924-4093","authenticated-orcid":false,"given":"Daniela","family":"Acquadro Maran","sequence":"additional","affiliation":[{"name":"WOW\u2014Work and Organisational Well-Being Research Group, Department of Psychology, Universit\u00e0 di Torino, 10124 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8508-552X","authenticated-orcid":false,"given":"Sergio","family":"Garbarino","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal\/Child Sciences (DINOGMI), University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-1038","authenticated-orcid":false,"given":"Reparata","family":"Di Prinzio","sequence":"additional","affiliation":[{"name":"Section of Occupational Medicine and Labor Law, Universit\u00e0 Cattolica del Sacro Cuore, 00168 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Gasbarri","sequence":"additional","affiliation":[{"name":"Local Sanitary Unit Roma4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmela","family":"Matera","sequence":"additional","affiliation":[{"name":"Local Sanitary Unit Roma4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Cerrina","sequence":"additional","affiliation":[{"name":"Local Sanitary Unit Roma4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maddalena","family":"Gabriele","sequence":"additional","affiliation":[{"name":"Local Sanitary Unit Roma4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcella","family":"Labella","sequence":"additional","affiliation":[{"name":"Local Sanitary Unit Roma4, 00053 Civitavecchia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,8]]},"reference":[{"key":"ref_1","first-page":"5","article-title":"Organizational justice and health; review of evidence","volume":"32","author":"Elovainio","year":"2010","journal-title":"G. 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