Precarious employment and general, mental and physical health in Stockholm, Sweden: a cross-sectional study

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  • Johanna Jonsson
  • Nuria Matilla-Santander
  • Kreshpaj, Bertina
  • Gun Johansson
  • Katarina Kjellberg
  • Bo Burström
  • Per-Olof Östergren
  • Karin Nilsson
  • Susanne Strömdahl
  • Cecilia Orellana
  • Theo Bodin

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.

OriginalsprogEngelsk
BogserieScandinavian Journal of Public Health
Vol/bind49
Udgave nummer2
Sider (fra-til)228-236
Antal sider9
ISSN1403-4956
DOI
StatusUdgivet - 2021
Eksternt udgivetJa

ID: 327062354