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 (2014)
2014
BMJ Open 4 -
e004053
Terveystieteiden yksikkö - School of Health Sciences
CC BY-NC 3.0
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:uta-201606302055
https://urn.fi/URN:NBN:fi:uta-201606302055
Tiivistelmä
Objective: The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12 years and at examining whether labour market tracks relate to perceived health status.
Design: Data were retrieved from a 26-year prospective cohort study, the Northern Swedish Cohort.
Setting and participants: All ninth grade students (n=1083) within the municipality of Luleå in northern Sweden were included in the baseline investigation in 1981. The vast majority (94%) of the original cohort participated at the fourth follow-up. In this study, 969 participants were included.
Measures: Perceived health status (psychological distress and non-optimal self-rated health) at age 42 and the data obtained from questionnaires.
Results: We have identified four tracks in relation to LMA across the 12-year period: ‘permanent’, ‘high level’, ‘strengthening’ and ‘poor level’ of attachment. LMA history relates to psychological distress. High level (OR 1.55 (95% CI 1.06 to 2.27)), strengthening (OR 1.95 (95% CI 1.29 to 2.93)) and poor attachment (OR 3.14 (95% CI 2.10 to 4.70) involve higher OR for psychological distress compared with permanent attachment. The overall p value remained significant in the final model
( p=0.001). Analyses regarding nonoptimal self-rated health displayed a similar pattern but this was not significant in the final model.
Conclusions: Our results suggest that health status in mid-life, particularly psychological distress, is related to patterns of LMA history, to a large part independently of other social risk factors and previous health. Consideration of heterogeneity and time in LMA might be important when analysing associations with perceived health.
Design: Data were retrieved from a 26-year prospective cohort study, the Northern Swedish Cohort.
Setting and participants: All ninth grade students (n=1083) within the municipality of Luleå in northern Sweden were included in the baseline investigation in 1981. The vast majority (94%) of the original cohort participated at the fourth follow-up. In this study, 969 participants were included.
Measures: Perceived health status (psychological distress and non-optimal self-rated health) at age 42 and the data obtained from questionnaires.
Results: We have identified four tracks in relation to LMA across the 12-year period: ‘permanent’, ‘high level’, ‘strengthening’ and ‘poor level’ of attachment. LMA history relates to psychological distress. High level (OR 1.55 (95% CI 1.06 to 2.27)), strengthening (OR 1.95 (95% CI 1.29 to 2.93)) and poor attachment (OR 3.14 (95% CI 2.10 to 4.70) involve higher OR for psychological distress compared with permanent attachment. The overall p value remained significant in the final model
( p=0.001). Analyses regarding nonoptimal self-rated health displayed a similar pattern but this was not significant in the final model.
Conclusions: Our results suggest that health status in mid-life, particularly psychological distress, is related to patterns of LMA history, to a large part independently of other social risk factors and previous health. Consideration of heterogeneity and time in LMA might be important when analysing associations with perceived health.
Kokoelmat
- Artikkelit [6140]