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International Archives of Occupational and Environmental Health

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01-10-2014 | Original Article

Mortality gradient across the labour market core–periphery structure: a 13-year mortality follow-up study in north-eastern France

Authors: M. Khlat, S. Legleye, B. Falissard, N. Chau, the Lorhandicap group

Published in: International Archives of Occupational and Environmental Health | Issue 7/2014

Abstract

Purpose

This study explores mortality related to temporary employment, about which very little is known to date.

Methods

In 1996, a health survey was carried out in the French region of Lorraine, and all members of 8,000 randomly chosen households were followed up for mortality over a 13-year period. Mortality of subjects in relation to their employment situation at baseline was analysed using a Cox survival regression.

Results

In comparison with permanent workers, for unemployed men, we found age and occupation-adjusted hazard ratios (HR) of 4.1 for all-causes of death and 3.9 for non-violent causes, and for male temporary workers a HR of 2.2 for both all-causes and non-violent causes of death. Bad health, tobacco smoking and alcohol misuse explained 17 % of the excess risk for the unemployed and 41 % of that for temporary workers.

Conclusion

The observation of large mortality inequalities across the labour market core–periphery structure has important policy implications, particularly in terms of prevention focused on unhealthy behaviours among male unemployed and temporary workers.

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Title: Mortality gradient across the labour market core–periphery structure: a 13-year mortality follow-up study in north-eastern France
Authors: M. Khlat
S. Legleye
B. Falissard
N. Chau
the Lorhandicap group
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: International Archives of Occupational and Environmental Health / Issue 7/2014
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-013-0915-4

At a glance: The STEP trials

Springer Medicine

Mortality gradient across the labour market core–periphery structure: a 13-year mortality follow-up study in north-eastern France

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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