Objective: The present study aims to investigate the relationship between effort-reward imbalance and hair cortisol concentration among teachers to examine whether hair cortisol can be a biomarker of chronic work stress.
Methods: Hair samples were collected from 39 female teachers from three kindergartens. Cortisol was extracted from the hair samples with methanol, and cortisol concentrations were measured with high performance liquid chromatography-tandem mass spectrometry. Work stress was measured using the effort-reward imbalance scale.
Results: The ratio of effort to reward showed significantly positive association with hair cortisol concentration.
Conclusion: The cortisol concentration in the system increases with the effort-reward imbalance. Measurement of hair cortisol can become a useful biomarker of chronic work stress.
Keywords: Effort–reward imbalance; Hair cortisol concentration; Work characteristics; Work stress.
Copyright © 2014 Elsevier Inc. All rights reserved.