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BMC Public Health
Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Does transition from an unstable labour market position to permanent employment protect mental health? Results from a 14-year follow-up of school-leavers

Authors: Ieva Reine, Mehmed Novo, Anne Hammarström

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

Having 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.

Methods

A 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.

Results

After 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).

Conclusion

Our 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.
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Literature
1.
Baum F: The new public health. An Australian perspective. 2002, Melbourne , Oxford University Press, 2nd (August 2003)
2.
Ågren G: Sweden's new public health policy. National public health objectives for Sweden. 2003, Stockholm, Sandviken , Swedish National Institute of Public Health
3.
McKee-Ryan F, Song Z, Wanberg RC, Kinicki AJ: Psychological and physical well-being during unemployment: A meta-analytic study. Journal of Applied Psychology. 2005, 90 (1): 53-76.CrossRefPubMed
4.
Feldman DC, Leana CR, Bolino MC: Underemployment and relative deprivation among re-employed executives. Journal of Occupational and Organizational Psychology. 2002, 453-471.
5.
Strandh M: Different exit routes from unemployment and their impact on mental well-being: The role of the economic situation and the predictability of the life course. Work, Unemployment and Society. 2000, 14 (3): 1-10.
6.
Gordo LR: Effects of short- and long-term unemployment on health satisfaction: evidence from German data. Applied Economics. 2006, 38: 2335-2350.CrossRef
7.
Novo M: Young and unemployed - does the trade cycle matter for health? A study of young men and women during times of prosperity and times of recession. 2000, Umeå , Umeå University
8.
Hammarström A, Janlert U: Early unemployment can contribute to adult health problems - results from a longitudinal study of school-leavers. Int Journal Epidemiology and Community Health. 2002, 56: 624-630.CrossRef
9.
Winefield A: Unemployment: Its psychological costs. International Review of Industrial and Organizational Psychology. Edited by: Cooper CL, Robertson IT. 1995, London , Wiley, 10: 169-212.
10.
Dooley D: Unemployment, underemployment, and mental health: Conceptualizing employment status as a continuum. American Journal of Community Psychology. 2003, 32 (1/2): 9-20.CrossRefPubMed
11.
Roos E, Lahelma E, Saastamoinen P, Elstad JI: The association of employment status and family status with health among women and men in the four Nordic countries. Scandinavian Journal of Public Health. 2005, 250-260.
12.
Reine I, Novo M, Hammarström A: Does the association between ill health and unemployment differ between young people and adults? Results from a 14-year follow-up study with a focus on psychological health and smoking. Public Health. 2004, 118: 337-345.CrossRefPubMed
13.
Creed PA, Macintyre SR: The relative effects of deprivation of the latent and manifest benefits of employment on the well-being of unemployed people. J Occup Health Psychol. 2001, 6 (4): 324–331-CrossRefPubMed
14.
Rantakeisu U, Starrin B, Hagquist C: Financial hardship and shame: A tentative model to understand the social and health effects of unemployment. Br J Social Wk. 1999, 29: 877-901.CrossRef
15.
Jahoda M: Work, employment and unemployment. Values, theories and approaches in social research. American Psychologist. 1981, 36: 184-191.CrossRef
16.
Cassidy T: Self-categorization, coping and psychological health among unemployed mid-career executives. Counselling Psychology Quarterly. 2001, 14 (4): 303-315.CrossRef
17.
Aronsson G, Gustafsson K, Dallner M: Work environment and health in different types of temporary jobs. European Journal of Work and Organizational Psychology. 2002, 11 (2): 151-175.CrossRef
18.
19.
Aronsson G, Göransson S: Permanent employment but not in a preferred occupation: Psychological and medical aspects, research implications. Journal of Occupational Health Psychology. 1999, 4: 152-163.CrossRefPubMed
20.
McKee-Ryan FM, Kinicki AJ: Coping with job loss: A life-facet model. International Review of Industrial and Organizational Psychology. 2002, 17: 1-29.
21.
Zapf D, Dormann C, Frese M: Longitudinal studies in organizational stress research: A review of the literature with reference to methodological issues. J Occup Health Psychol. 1996, 1 (2): 145-169.CrossRefPubMed
22.
Karasek RA, Theorell T: Healthy work. Stress, productivity, and the reconstruction of working life. Basic Books. 1990, New York
23.
Artazcoz L, Artieda L, Borrell C, Cortes I, Benach J, Garcia V: Combining job and family demands and being healthy: what are the differences between men and women?. European Journal of Public Health. 2004, 14 (43-48):
24.
Malmberg-Heimonen I, Julkunen I: Equal opportunities, true options or hidden unemployment? A comparative experience on labour-market marginality. Int J Soc Welfare. 2002, 11: 120-131.CrossRef
25.
Warr PB, Cook J, Wall T: Scales for the measurement of some work attitudes and aspects of psychological well-being. J Occup Psych. 1979, 52: 129-148.CrossRef
26.
Isaksson K, Johansson G, Bellaagh K, Sjöberg A: Work values among the unemployed: Changes over time and some gender differences. Scandinavian Journal of Psychology. 2004, 207-214.
27.
Hammarström A, Janlert U: Does early unemployment and health status among young men and women affect their possibility of later unemployment?. Scandinavian Journal of Public Health. 2000, 28: 10-15.PubMed
28.
Nordenmark M: Employment commitment and psychological well-being among men and women. Acta Sociologica. 1999, 42: 135-146.CrossRef
29.
Novo M, Hammarström A, Janlert U: Do high levels of unemployment influence the health of those non-employed? A gendered comparison of young men and women during boom and redession. Soc Sci Med. 2001
30.
Schuring M, Burdorf L, Kunst A, Mackenbach J: The effects of ill health on entering and maintaining paid employment: evidence in European countries. J Epidemiol Community Health. 2007, 61 (7): 597-604.CrossRefPubMedPubMedCentral
31.
Thomas C, Benzeval M, Stansfeld SA: Employment transitions and mental health: an analysis from the British household panel survey. J Epidemiol Community Health. 2005, 59 (3): 243-249.CrossRefPubMedPubMedCentral
32.
Marmot M: Status syndrome - how your social standing directly affects your health and life expectancy. 2004, London , Bloomsbury & Henry Holt New York
33.
Turner JB: Economic context and the health effects of unemployment. J Health Soc Behav. 1995, 36 (3): 213-229.CrossRefPubMed
34.
Thomas C, Benzeval M, Stansfeld SA: Psychological distress after employment transition: the role of subjective financial position as a mediator. J Epidemiology Community Health. 2007, 61: 48-52.CrossRef
35.
Hammarström A, Janlert U: Health selection in a 14-year follow-up study--a question of gendered discrimination?. Soc Sci Med. 2005, 61 (10): 2221-2232.CrossRefPubMed
36.
Virtanen M, Kivimäki M, Elovainio M, Vahtera J, Kokko K, Pulkkinen L: Mental health and hostility as predictors of temporary employment: evidence from two prospective studies. Soc Sci Med. 2005, 61 (10): 2084-2095.CrossRefPubMed
37.
Van de Mheen H, Stronks K, Scrivjers CT, Makenbach JP: The influence of adult ill health and mobility out of and into employment in the Netherlands. Soc Sci Med. 1999, 49 (4): 509-518.CrossRefPubMed
38.
Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J: Temporary employment and health: a review. International Journal of Epidemiology. 2005, 34: 610-622.CrossRefPubMed
39.
Benavides FG, Benach J, Diez-Roux AV, Roman C: How do types of employment relate to health indicators? Findings from the Second European survey on working conditions. J Epidemiol Community Health. 2000, 54: 494-501.CrossRefPubMedPubMedCentral
40.
Novo M, Hammarström A, Janlert U: Does low willingness to respond introduce a bias? - results from a socio-epidemiological study among young men and women. International Journal of Social Welfare. 1999, 8: 155-163.CrossRef
41.
Thorslund M, Wärneryd B: Methodological Research in the Swedish surveys of living conditions. Problems of measurement and data collection. Social Indicators Research. 1985, 116: 77-95.CrossRef
42.
Hammarström A: Youth unemployment and ill-health. Results from a two-year follow-up study. Social Medicine "Kronan". 1986, Stockholm , Karolinska Institutet
43.
Standh M: State intervention and mental well-being among the unemployed. Journal of Soc Pol. 2001, 30 (1): 57-80.
44.
Regnér H: A nonexperimental evaluation of training programs of the unemployed of Sweden. Labour Economics. 2002, 9: 197-206.CrossRef
45.
Statistics Sweden. Swedish socioeconomic classification (SEI). Reports on Statistical Co-ordination 182:4. 1982, Stockholm, Statistics Sweden
46.
Hammarström A: Youth Unemployment and Health. Results from a Five - Year Follow-Up Study. Health Hazards in Adolescence. Edited by: Hurrelmann K, Lösel F. 1990, Berlin , Walter de Gruyter & Co
47.
Henderson S, Duncan-Jones P, Byrne DG, Scott R: Measuring social relationships. The interview schedule for social interaction. Psychol Med. 1980, 10: 723-734.CrossRefPubMed
48.
Hammarström A, Janlert U, Theorell T: Youth unemployment and ill-health: Results from a 2-year follow-up study-. Social Science and Medicine. 1988, 26: 1025-1033.CrossRefPubMed
49.
Emmelin M, Weinehall L, Stegmayr B, Dahlgren L, Stenlund H, Wall S: Self-rated ill-health strengthens the effect of biomedical risk factors in predicting stroke, especially for men - an incident case referent study. Journal of Hypertension. 2003, 21: 887-896.CrossRefPubMed
50.
51.
Arber S: Integrating nonemployment into research on health inequalities. International Journal of Health Services. 1996, 26: 445-481.CrossRefPubMed
Metadata
Title
Does transition from an unstable labour market position to permanent employment protect mental health? Results from a 14-year follow-up of school-leavers
Authors
Ieva Reine
Mehmed Novo
Anne Hammarström
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-159

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