Gender inequality in the domestic sphere seems to be an important determinant of psychological distress for both women and men.

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BackgroundHaving secure employment, in contrast to being unemployed, is regarded as an important determinant of health. Research and theories about the negative health consequences of unemployment indicated that transition from unemployment to a paid job could lead to improved health. The objective of this study was to test the hypothesis that obtaining permanent employment after being in an unstable labour market position protects mental health.MethodsA 14-year follow-up of all graduates from compulsory school in an industrial town in northern Sweden was performed at ages 16, 18, 21 and 30 years. Complete data on the cohort were collected for 1044 individuals with the aid of a comprehensive questionnaire. The response rate was 96.4%. The health measurement used in this study was the psychological symptoms analysed by multivariate logistic regression. Those who obtained permanent employment were the focus of the analysis. This group consisted of people who were in an unstable labour market position for a year or more between the ages of 25 and 29, and who had acquired a permanent job one year before and at the time of the investigation.ResultsAfter controlling for gender as well as for an indicator of health-related selection, possible confounders and mediators, an association was found between the lower probability of psychological symptoms and obtaining permanent employment (OR = 0.35, 95% CI 0.19–0.63) as well as having permanent employment (OR = 0.22, 95% CI 0.10–0.51).ConclusionOur findings suggest that transition from an unstable labour market position to permanent employment could be health-promoting, even after controlling for possible confounders and mediators, as well as for an indicator of health-related selection. However, as there are few studies in the field, there is a need for more longitudinal studies in order to further analyse the relationship and to examine possible explanations. The policy implication of our study is that the transformation of unstable labour market positions into permanent employment could contribute to better public health.

When comparing periods of boom and recession there was no difference in somatic and psychological symptoms for those who were long-term unemployed. Thus, the trade cycle appeared to have had no impact on their health.

The aim of this study was to investigate if willingness to respond can introduce bias in a population survey and to study the socio‐economic characteristics of those with high and low willingness to respond. Two groups of final‐year pupils at compulsory school were surveyed five years after leaving school, at the age of 21. The data were collected during class meetings, by mailed questionnaires, telephone and personal interviews. The response rates in the studies were proportionally high – about 98% and 90% respectively. In both surveys there were more men compared to women who were late respondents or non‐respondents. Long‐term unemployment and lack of upper secondary school for both men and women, as well as living with a partner for men, corresponded to low willingness to respond to a survey. A higher alcohol consumption – between 1.5 to 6.5 times – was observed among those with lower willingness to respond. Even a low rate of non‐response can introduce a serious bias and produce uncertain results in, for example, studies on the consequences of youth unemployment on alcohol consumption.

A rehabilitation intervention directed to combating the consequences of pain in activities and participation rather than against pain per se might lead to improved working capacity.