Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966
PURPOSE: Psychoses are associated with poor labour market attachment, but few studies have compared schizophrenia (SZ) and other psychoses (OP). Moreover, studies on long-term employment trajectories over individuals’ working life courses are lacking. We compared 30 year employment trajectory patter...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845166/ http://www.ncbi.nlm.nih.gov/pubmed/35796815 https://doi.org/10.1007/s00127-022-02327-6 |
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ftpubmed:oai:pubmedcentral.nih.gov:9845166 2023-05-15T17:42:22+02:00 Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 Majuri, Tuomas Alakokkare, Anni-Emilia Haapea, Marianne Nordström, Tanja Miettunen, Jouko Jääskeläinen, Erika Ala-Mursula, Leena 2022-07-07 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845166/ http://www.ncbi.nlm.nih.gov/pubmed/35796815 https://doi.org/10.1007/s00127-022-02327-6 en eng Springer Berlin Heidelberg http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845166/ http://www.ncbi.nlm.nih.gov/pubmed/35796815 http://dx.doi.org/10.1007/s00127-022-02327-6 © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . CC-BY Soc Psychiatry Psychiatr Epidemiol Original Paper Text 2022 ftpubmed https://doi.org/10.1007/s00127-022-02327-6 2023-01-22T02:04:25Z PURPOSE: Psychoses are associated with poor labour market attachment, but few studies have compared schizophrenia (SZ) and other psychoses (OP). Moreover, studies on long-term employment trajectories over individuals’ working life courses are lacking. We compared 30 year employment trajectory patterns in a general population sample among individuals with SZ, OP, and those with no psychosis (NP). METHODS: Utilising the Northern Finland Birth Cohort 1966, we collected survey data on employment from ages 16 to 45 and detected individuals with register-based history of SZ (n = 62), OP (n = 87), or NP (n = 6464) until age 46. Through gender-specific latent class analyses on annual employment roles, we identified traditional, highly educated, self-employed, delayed and floundering employment trajectories with distinct socioeconomic characteristics. We addressed attrition by conducting weighted analyses. RESULTS: Floundering trajectories were common among individuals with SZ (79% of men, 73% of women) and OP (52% of men, 51% of women). In NP, a traditional employee trajectory was most common in men (31%), and a highly educated trajectory in women (28%). A history of psychosis was associated with heightened odds ratios (ORs; 95% confidence intervals (CIs)) for floundering trajectories in both men (SZ: 32.9 (13.3–81.4); OP: 7.4 (4.0–13.9)) and women (SZ: 9.9 (4.6–21.5); OP: 3.9 (2.1–7.1)) compared to NP. Weighted analyses produced similar results. CONCLUSION: Most individuals with SZ or OP have floundering employee trajectories reflecting an elevated risk of unemployment and part-time work until midlife. These results indicate the importance of improving labour market attachment during the early phases of psychoses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-022-02327-6. Text Northern Finland PubMed Central (PMC) Social Psychiatry and Psychiatric Epidemiology 58 1 65 76 |
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Original Paper Majuri, Tuomas Alakokkare, Anni-Emilia Haapea, Marianne Nordström, Tanja Miettunen, Jouko Jääskeläinen, Erika Ala-Mursula, Leena Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
topic_facet |
Original Paper |
description |
PURPOSE: Psychoses are associated with poor labour market attachment, but few studies have compared schizophrenia (SZ) and other psychoses (OP). Moreover, studies on long-term employment trajectories over individuals’ working life courses are lacking. We compared 30 year employment trajectory patterns in a general population sample among individuals with SZ, OP, and those with no psychosis (NP). METHODS: Utilising the Northern Finland Birth Cohort 1966, we collected survey data on employment from ages 16 to 45 and detected individuals with register-based history of SZ (n = 62), OP (n = 87), or NP (n = 6464) until age 46. Through gender-specific latent class analyses on annual employment roles, we identified traditional, highly educated, self-employed, delayed and floundering employment trajectories with distinct socioeconomic characteristics. We addressed attrition by conducting weighted analyses. RESULTS: Floundering trajectories were common among individuals with SZ (79% of men, 73% of women) and OP (52% of men, 51% of women). In NP, a traditional employee trajectory was most common in men (31%), and a highly educated trajectory in women (28%). A history of psychosis was associated with heightened odds ratios (ORs; 95% confidence intervals (CIs)) for floundering trajectories in both men (SZ: 32.9 (13.3–81.4); OP: 7.4 (4.0–13.9)) and women (SZ: 9.9 (4.6–21.5); OP: 3.9 (2.1–7.1)) compared to NP. Weighted analyses produced similar results. CONCLUSION: Most individuals with SZ or OP have floundering employee trajectories reflecting an elevated risk of unemployment and part-time work until midlife. These results indicate the importance of improving labour market attachment during the early phases of psychoses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-022-02327-6. |
format |
Text |
author |
Majuri, Tuomas Alakokkare, Anni-Emilia Haapea, Marianne Nordström, Tanja Miettunen, Jouko Jääskeläinen, Erika Ala-Mursula, Leena |
author_facet |
Majuri, Tuomas Alakokkare, Anni-Emilia Haapea, Marianne Nordström, Tanja Miettunen, Jouko Jääskeläinen, Erika Ala-Mursula, Leena |
author_sort |
Majuri, Tuomas |
title |
Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
title_short |
Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
title_full |
Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
title_fullStr |
Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
title_full_unstemmed |
Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966 |
title_sort |
employment trajectories until midlife in schizophrenia and other psychoses: the northern finland birth cohort 1966 |
publisher |
Springer Berlin Heidelberg |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845166/ http://www.ncbi.nlm.nih.gov/pubmed/35796815 https://doi.org/10.1007/s00127-022-02327-6 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Soc Psychiatry Psychiatr Epidemiol |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845166/ http://www.ncbi.nlm.nih.gov/pubmed/35796815 http://dx.doi.org/10.1007/s00127-022-02327-6 |
op_rights |
© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1007/s00127-022-02327-6 |
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Social Psychiatry and Psychiatric Epidemiology |
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58 |
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65 |
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76 |
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