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Suboptimal health as a predictor of non-permanent employment in middle age: a 12-year follow-up study of the Northern Swedish Cohort

  • Pekka Virtanen
  • Urban Janlert
  • Anne Hammarström
Original Article

Abstract

Purpose

Earlier research on health-related selection in the labour market has concentrated on selection of those with poor health into unemployment. The purpose of the present study was to investigate if suboptimal health also predicts non-permanent employment.

Methods

A population cohort of 517 men and 477 women was surveyed at age 30 and at age 43 about their health and yearly employment. Non-permanent employment during the follow-up was assessed for its occurrence with Cox regression and for the amount (accumulation in months) with generalised linear models.

Results

Suboptimal self-rated health, sense functioning and sleep quality in women and suboptimal mood in men predicted high accumulation of non-permanent employment. By contrast, in men, suboptimal self-rated health and sense functioning predicted low accumulation. The gender differences were statistically significant. Smoking predicted high occurrence and accumulation of non-permanent employment equally in men and women, whereas no associations were seen with overweight and alcohol consumption.

Conclusions

Selection into non-permanent employment was shown for several indicators of suboptimal health. A gendered pattern was found, with more health selection among women. The findings of this pioneering study should be tested with further research.

Keywords

Temporary employment Health selection Self-rated health Mental well-being Health behaviour 

Notes

Acknowledgments

This work was partially supported by the Umeå Centre for Global Health Research, with support from FAS, the Swedish Council for Working Life and Social Research (grant no. 2006-1512) and by Academy of Finland (grant no. 132668).

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Andréasson S, Allebeck P (eds) (2005) Alkohol och hälsa. [Alcohol and health]. Statens Folkhälsoinstitut, StockholmGoogle Scholar
  2. Aronsson G, Gustafsson K, Dallner M (2002) Work environment and health in different types of temporary jobs. Eur J Work Organ Psychol 11:151–175CrossRefGoogle Scholar
  3. Bartley M (1994) Unemployment and health: understanding the relationship. J Epidemiol Community Health 48:333–337CrossRefGoogle Scholar
  4. Employment in Europe (2007) Directorate-general for employment, social affairs and equal opportunities, European Commission, BruxellesGoogle Scholar
  5. Erikson R, Åberg R (eds) (1987) Welfare in transition. A survey of living conditions in Sweden 1968–1981. Clarendon, OxfordGoogle Scholar
  6. Ferrie J, Westerlund H, Virtanen M, Vahtera J, Kivimäki M (2008) Flexible labor market and employee health. Scand J Work Environ Health Suppl 6:98–110Google Scholar
  7. Furåker B, Berglund T (2008) Changes of employer, employment protection and labour market attachment: an analysis of Swedish data from 1972–1998. University of Gothenburg, GothenburgGoogle Scholar
  8. Goldberg D (1972) The detection of psychiatric illness by questionnaire. Oxford University Press, LondonGoogle Scholar
  9. Hammarström A, Janlert U (2005) Health selection in a 14-year follow-up study—a question of gendered discrimination? Soc Sci Med 61:2221–2232CrossRefGoogle Scholar
  10. Idler E, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 38:21–37CrossRefGoogle Scholar
  11. Johansson S (1970) The adult population’s state of health. Fritzes, Stockholm (in Swedish)Google Scholar
  12. Kompier M, Ybema J, Janssen J, Taris T (2009) Employment contracts: cross-sectional and longitudinal relations with quality of working life, health and well-being. J Occup Health 51:193–293CrossRefGoogle Scholar
  13. Manderbacka K (1998) Questions on survey questions on health. Doctoral thesis, Swedish Institute for Social research, StockholmGoogle Scholar
  14. McLeod J, Pavalko E (2008) From selection effects to reciprocal processes: what does attention to the life course offer? Adv Life Course Res 13:75–104CrossRefGoogle Scholar
  15. Novo M (2000) Young and unemployed—does the trade cycle matter for health? Dissertation, University of Umeå, SwedenGoogle Scholar
  16. Statistics Sweden (1980) Survey of living conditions. Statistics Sweden, StockholmGoogle Scholar
  17. Virtanen M, Kivimäki M, Elovainio M, Vahtera J, Ferrie J (2003) From insecure to secure employment: changes in work, health related behaviours, and sickness absence. Occup Environ Med 60:948–953CrossRefGoogle Scholar
  18. Virtanen P, Liukkonen V, Vahtera J, Kivimäki M, Koskenvuo M (2003) Health inequalities in the work force: the labour market core-periphery structure. Int J Epidemiol 32:1015–1021CrossRefGoogle Scholar
  19. Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J (2005) Temporary employment and health: a review. Int J Epidemiol 34:610–622CrossRefGoogle Scholar
  20. Virtanen P, Vahtera J, Kivimäki M, Liukkonen V, Virtanen M, Ferrie J (2005) Labor market trajectories and health: a four year follow-up study of initially fixed-term employees. Am J Epidemiol 161:840–846CrossRefGoogle Scholar
  21. Zeytionoglu I, Muteshi J (2000) Gender, race and class dimensions of nonstandard work. Ind Relat 55:133–167Google Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Pekka Virtanen
    • 1
    • 2
  • Urban Janlert
    • 2
  • Anne Hammarström
    • 2
  1. 1.School of Health SciencesUniversity of TampereUniversity of TampereFinland
  2. 2.Department of Public Health and Clinical MedicineUniversity of UmeåUmeåSweden

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