Precarious employment and general, mental and physical health in Stockholm, Sweden: a cross-sectional study
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Precarious employment and general, mental and physical health in Stockholm, Sweden : a cross-sectional study. / Jonsson, Johanna; Matilla-Santander, Nuria; Kreshpaj, Bertina; Johansson, Gun; Kjellberg, Katarina; Burström, Bo; Östergren, Per-Olof; Nilsson, Karin; Strömdahl, Susanne; Orellana, Cecilia; Bodin, Theo.
I: Scandinavian Journal of Public Health, Bind 49, Nr. 2, 2021, s. 228-236.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Precarious employment and general, mental and physical health in Stockholm, Sweden
T2 - a cross-sectional study
AU - Jonsson, Johanna
AU - Matilla-Santander, Nuria
AU - Kreshpaj, Bertina
AU - Johansson, Gun
AU - Kjellberg, Katarina
AU - Burström, Bo
AU - Östergren, Per-Olof
AU - Nilsson, Karin
AU - Strömdahl, Susanne
AU - Orellana, Cecilia
AU - Bodin, Theo
PY - 2021
Y1 - 2021
N2 - Objectives: To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated. . . (a) general health, (b) mental health, (c) musculoskeletal pain? Methods: Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016-2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised linear models with Poisson distribution, log link functions and robust variances were applied for calculating crude and adjusted prevalence ratios (PR; aPR) with 95% confidence intervals (CIs) for all outcomes. Results: The prevalence ratios of poor self-rated general and mental health increased with increased degree of precariousness, as indicated by estimates of moderate precarious employment (a2PRModerate 1.44 (CI 0.98-2.11); a2PRModerate 1.13 (CI 0.82-1.62)), and high precarious employment (a2PRHigh 1.78 (CI 1.21-2.62); a2PRHigh 1.69 (CI 1.25-2.28)), albeit only significantly so for high precarious employment. Conclusions: This is the first study in Sweden reporting on the association between precarious employment, as measured with a multidimensional scale, and multiple health outcomes. The results add to the evidence of an association between precarious employment and self-rated poor general and mental health. Larger, representative studies with longitudinal designs using the EPRES-Se are called for in order to strengthen these results and the already existing evidence of the harm of precarious employment.
AB - Objectives: To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated. . . (a) general health, (b) mental health, (c) musculoskeletal pain? Methods: Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016-2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised linear models with Poisson distribution, log link functions and robust variances were applied for calculating crude and adjusted prevalence ratios (PR; aPR) with 95% confidence intervals (CIs) for all outcomes. Results: The prevalence ratios of poor self-rated general and mental health increased with increased degree of precariousness, as indicated by estimates of moderate precarious employment (a2PRModerate 1.44 (CI 0.98-2.11); a2PRModerate 1.13 (CI 0.82-1.62)), and high precarious employment (a2PRHigh 1.78 (CI 1.21-2.62); a2PRHigh 1.69 (CI 1.25-2.28)), albeit only significantly so for high precarious employment. Conclusions: This is the first study in Sweden reporting on the association between precarious employment, as measured with a multidimensional scale, and multiple health outcomes. The results add to the evidence of an association between precarious employment and self-rated poor general and mental health. Larger, representative studies with longitudinal designs using the EPRES-Se are called for in order to strengthen these results and the already existing evidence of the harm of precarious employment.
KW - Adolescent
KW - Adult
KW - Cross-Sectional Studies
KW - Employment/statistics & numerical data
KW - Female
KW - Health Status
KW - Humans
KW - Male
KW - Mental Health/statistics & numerical data
KW - Middle Aged
KW - Surveys and Questionnaires
KW - Sweden
KW - Young Adult
U2 - 10.1177/1403494820956451
DO - 10.1177/1403494820956451
M3 - Journal article
C2 - 32933426
VL - 49
SP - 228
EP - 236
JO - Scandinavian Journal of Public Health, Supplement
JF - Scandinavian Journal of Public Health, Supplement
SN - 1403-4956
IS - 2
ER -
ID: 327062354