Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt : a longitudinal study of the Swedish workforce. / Jonsson, Johanna; Muntaner, Carles; Bodin, Theo; Alderling, Magnus; Rebeka, Rebeka; Burström, Bo; Davis, Letitia; Gunn, Virginia; Hemmingsson, Tomas; Julià, Mireia; Kjellberg, Katarina; Kreshpaj, Bertina; Orellana, Cecilia; Padrosa, Eva; Wegman, David H; Matilla-Santander, Nuria.
I: Scandinavian journal of work, environment & health, Bind 47, Nr. 7, 2021, s. 509-520.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt
T2 - a longitudinal study of the Swedish workforce
AU - Jonsson, Johanna
AU - Muntaner, Carles
AU - Bodin, Theo
AU - Alderling, Magnus
AU - Rebeka, Rebeka
AU - Burström, Bo
AU - Davis, Letitia
AU - Gunn, Virginia
AU - Hemmingsson, Tomas
AU - Julià, Mireia
AU - Kjellberg, Katarina
AU - Kreshpaj, Bertina
AU - Orellana, Cecilia
AU - Padrosa, Eva
AU - Wegman, David H
AU - Matilla-Santander, Nuria
PY - 2021
Y1 - 2021
N2 - OBJECTIVE: High-quality longitudinal evidence exploring the mental health risk associated with low-quality employment trajectories is scarce. We therefore aimed to investigate the risk of being diagnosed with common mental disorders, substance use disorders, or suicide attempt according to low-quality employment trajectories.METHODS: A longitudinal register-study based on the working population of Sweden (N=2 743 764). Employment trajectories (2005-2009) characterized by employment quality and pattern (constancy, fluctuation, mobility) were created. Hazard ratios (HR) were estimated using Cox proportional hazards regression models for first incidence (2010-2017) diagnosis of common mental disorders, substance use disorders and suicide attempt as dependent on employment trajectories.RESULTS: We identified 21 employment trajectories, 10 of which were low quality (21%). With the exception of constant solo self-employment, there was an increased risk of common mental disorders (HR 1.07-1.62) and substance use disorders (HR 1.05-2.19) for all low-quality trajectories. Constant solo self-employment increased the risk for substance use disorders among women, while it reduced the risk of both disorders for men. Half of the low-quality trajectories were associated with a risk increase of suicide attempt (HR 1.08-1.76).CONCLUSIONS: Low-quality employment trajectories represent risk factors for mental disorders and suicide attempt in Sweden, and there might be differential effects according to sex - especially in terms of self-employment. Policies ensuring and maintaining high-quality employment characteristics over time are imperative. Similar prospective studies are needed, also in other contexts, which cover the effects of the Covid-19 pandemic as well as the mechanisms linking employment trajectories with mental health.
AB - OBJECTIVE: High-quality longitudinal evidence exploring the mental health risk associated with low-quality employment trajectories is scarce. We therefore aimed to investigate the risk of being diagnosed with common mental disorders, substance use disorders, or suicide attempt according to low-quality employment trajectories.METHODS: A longitudinal register-study based on the working population of Sweden (N=2 743 764). Employment trajectories (2005-2009) characterized by employment quality and pattern (constancy, fluctuation, mobility) were created. Hazard ratios (HR) were estimated using Cox proportional hazards regression models for first incidence (2010-2017) diagnosis of common mental disorders, substance use disorders and suicide attempt as dependent on employment trajectories.RESULTS: We identified 21 employment trajectories, 10 of which were low quality (21%). With the exception of constant solo self-employment, there was an increased risk of common mental disorders (HR 1.07-1.62) and substance use disorders (HR 1.05-2.19) for all low-quality trajectories. Constant solo self-employment increased the risk for substance use disorders among women, while it reduced the risk of both disorders for men. Half of the low-quality trajectories were associated with a risk increase of suicide attempt (HR 1.08-1.76).CONCLUSIONS: Low-quality employment trajectories represent risk factors for mental disorders and suicide attempt in Sweden, and there might be differential effects according to sex - especially in terms of self-employment. Policies ensuring and maintaining high-quality employment characteristics over time are imperative. Similar prospective studies are needed, also in other contexts, which cover the effects of the Covid-19 pandemic as well as the mechanisms linking employment trajectories with mental health.
KW - COVID-19
KW - Employment/statistics & numerical data
KW - Female
KW - Humans
KW - Incidence
KW - Longitudinal Studies
KW - Male
KW - Mental Disorders/complications
KW - Middle Aged
KW - Prospective Studies
KW - Risk Factors
KW - Sex Factors
KW - Substance-Related Disorders/epidemiology
KW - Suicide, Attempted/statistics & numerical data
KW - Sweden/epidemiology
U2 - 10.5271/sjweh.3978
DO - 10.5271/sjweh.3978
M3 - Journal article
C2 - 34397098
VL - 47
SP - 509
EP - 520
JO - Scandinavian journal of work, environment & health
JF - Scandinavian journal of work, environment & health
SN - 0355-3140
IS - 7
ER -
ID: 327061603