History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort

Waenerlund, Anna-Karin; Gustafsson, Per E.; Hammarström, Anne; Virtanen, Pekka

doi:10.1136/bmjopen-2013-004053

Cited by 17 publications

(23 citation statements)

References 52 publications

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“…Sarti and Zella (2016) and Waenerlund and colleagues (2014) study the association between employment trajectories and health, using, respectively, five/four mutually exclusive employment statuses over four/twelve years. They find that the group with the least labour market attachment has the worst health status (Waenerlund et al 2014) and that transition from a stable job position to inactivity or unemployment is associated with a higher probability of reporting worse health conditions (Sarti and Zella 2016). However, in these studies the observational window remains relatively short and the range of employment statuses is limited.…”

Section: Background and Recent Findingsmentioning

confidence: 98%

“…However, SRH has been shown to have good predictive power for future mortality and morbidity (Ringback Weitoft 2005) and is a unique, valuable indicator of more detailed measures of health status (Bailis, Segall, and Chipperfield 2003;Jylhä 2009). In fact, SRH is a commonly studied outcome in this research field (Bardasi and Francesconi 2004;Drydakis 2015;Ehlert and Schaffner 2011;Kim et al 2012;Ferrie et al 2005;Virtanen et al 2005;Waenerlund et al 2014) and the only one that has been addressed in large quantitative studies on Italy (Carrieri et al 2014; Ehlert and Schaffner 2011; Pirani 2017; Pirani and Salvini 2015; Sarti and Zella 2016).…”

Section: Self-reported Healthmentioning

confidence: 99%

“…Both recommendations highlight two major weaknesses of the existing research, which generally focuses on a small number of employment statuses at one or a few points in time. As a consequence, the factual exposure to different positions is overlooked, and this might explain the mixed research results (Waenerlund et al 2014).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data

Devillanova¹,

Raitano²,

Struffolino³

2019

DemRes

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BACKGROUND The paper adopts a long-term perspective in analysing the association between health and employment histories, often characterized by substantial mobility over time across multiple statuses and contractual arrangements. The available evidence is largely based on static or short-run dynamic approaches and only compares across few employment statuses. OBJECTIVE We investigate how different longitudinal employment trajectories defined over multiple yearly labour market states are associated with self-reported health in middle life. METHODS We use a unique dataset linking the Italian component of the EU-SILC cross-sectional samples (2004-2012) with individuals' complete working histories from the National Social Security registers. We apply sequence and cluster analysis to reconstruct individual working histories between the ages of 15 and 45 and to identify typical trajectories. We then estimate the association between employment trajectory and selfreported health at age 45. RESULTS Trajectories characterized by intermittent working episodes and long periods of unemployment or inactivity are associated with worse health at age 45. Long-term exposure to blue-collar jobs (potentially physically demanding, more vulnerable to

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Section: Background and Recent Findingsmentioning

confidence: 98%

Section: Self-reported Healthmentioning

confidence: 99%

See 1 more Smart Citation

Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data

Devillanova¹,

Raitano²,

Struffolino³

2019

DemRes

View full text Add to dashboard Cite

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“…Reviews by Ferrie et al [20] and Virtanen et al [3] showed that temporary employment was associated with poor mental health. Waenerlund et al [21] used trajectory analysis to measure associations between labor market attachment over 12 years, and health. The probability of psychological distress was higher in groups with different degrees of non-permanent labor market attachment during the time period, as temporary employments or unemployment, the group with least attachment had the worst health status.…”

Section: Temporary Work Arrangements (Twa)mentioning

confidence: 99%

New Business Structures Creating Organizational Opportunities and Challenges for Work Disability Prevention

et al. 2016

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Purpose Flexible work arrangements are growing in order to develop resource-efficient production and because of advanced technologies, new societal values, changing demographics, and globalization. The article aims to illustrate the emerging challenges and opportunities for work disability prevention efforts among workers in alternate work arrangements. Methods The authors participated in a year-long collaboration that ultimately led to an invited 3-day conference, “Improving Research of Employer Practices to Prevent Disability,” held October 14–16, 2015, in Hopkinton, Massachusetts, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a roundtable discussion with experts having direct employer experience. Results Both worker and employer perspectives were considered, and four common alternate work arrangements were identified: (a) temporary and contingent employment; (b) small workplaces; (c) virtual work/telework; and (d) lone workers. There was sparse available research of return-to-work (RTW) and workplace disability management strategies with regard to alternate work patterns. Limited research findings and a review of the grey literature suggested that regulations and guidelines concerning disabled workers are often ambiguous, leading to unsatisfactory protection. At the workplace level, there was a lack of research evidence on how flexible work arrangements could be handled or leveraged to support RTW and prevent disability. Potential negative consequences of this lack of organizational guidance and information are higher costs for employers and insurers and feelings of job insecurity, lack of social support and integration, or work intensification for disabled workers. Conclusions Future studies of RTW and workplace disability prevention strategies should be designed to reflect the multiple work patterns that currently exist across many working populations, and in particular, flexible work arrangements should be explored in more detail as a possible mechanism for preventing disability. Labor laws and policies need to be developed to fit flexible work arrangements.

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“…The researchers concluded that there was evidence for an association between temporary employment and psychological morbidity. Similarly, a recent Swedish longitudinal study found that health status in mid-life, particularly psychological distress, was associated with the patterns of an individual’s negative labor market experience, mainly independent of other social risk factors and previous health [ 18 ]. There seems to be only one study on work position and DP and that study showed an increased risk related to peripheral work position in the core–periphery continuum [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Interaction Effects of Social Isolation and Peripheral Work Position on Risk of Disability Pension: A Prospective Study of Swedish Women and Men

et al. 2015

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PurposeThe study examines various combinations of levels of social isolation in private life and peripheral work position as predictors of disability pension (DP). A second aim was to test the potential interaction effects (above additivity) of social isolation and peripheral work position on the future risk of DP, and to provide results for men and women by age.MethodThe study was based on a sample of 45567 women and men from the Swedish population who had been interviewed between 1992 and 2007. Further information on DP and diagnoses was obtained from the Swedish Social Insurance Agency’s database (1993–2011). The studied predictors were related to DP using Cox’s proportional hazard regression. The analyses were stratified on sex and age (20–39 years, 40–64 years), with control for selected confounders.ResultsIncreased risks of DP were found for most combinations of social isolation and peripheral work position in all strata. The hazard ratios (HRs) for joint exposure to high degree of social isolation and a peripheral work position were particularly strong among men aged 20–39 (HR 5.70; CI 95% 3.74–8.69) and women aged 20–39 (HR 4.07; CI 2.99–5.56). An interaction effect from combined exposure was found for women in both age groups as well as a tendency in the same direction among young men. However, after confounder control the effects did not reach significance.ConclusionsIndividuals who were socially isolated and in a peripheral work position had an increased risk of future DP. The fact that an interaction effect was found among women indicates that a combination of social isolation and peripheral work position may reinforce adverse health effects. There was no evidence that a peripheral work position can be compensated by a high degree of social intergration in private life.

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History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort

Cited by 17 publications

References 52 publications

Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data

Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data

New Business Structures Creating Organizational Opportunities and Challenges for Work Disability Prevention

Interaction Effects of Social Isolation and Peripheral Work Position on Risk of Disability Pension: A Prospective Study of Swedish Women and Men

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