History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort
Objective The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12years 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. Setti...
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Umeå universitet, Allmänmedicin
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ftumeauniv:oai:DiVA.org:umu-89612 2023-10-09T21:54:36+02:00 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 Hammarström, Anne Virtanen, Pekka 2014 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-89612 https://doi.org/10.1136/bmjopen-2013-004053 eng eng Umeå universitet, Allmänmedicin BMJ Open, 2014, 4:2, s. e004053- http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-89612 doi:10.1136/bmjopen-2013-004053 ISI:000334459100058 Scopus 2-s2.0-84896866892 info:eu-repo/semantics/openAccess Epidemiology Occupational & Industrial Medicine Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2014 ftumeauniv https://doi.org/10.1136/bmjopen-2013-004053 2023-09-22T14:01:01Z Objective The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12years 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 Lulea 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 non-optimal 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. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Lulea ENVELOPE(22.166,22.166,65.580,65.580) BMJ Open 4 2 e004053 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Epidemiology Occupational & Industrial Medicine Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Epidemiology Occupational & Industrial Medicine Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Waenerlund, Anna-Karin Gustafsson, Per Hammarström, Anne Virtanen, Pekka History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
topic_facet |
Epidemiology Occupational & Industrial Medicine Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Objective The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12years 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 Lulea 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 non-optimal 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. |
format |
Article in Journal/Newspaper |
author |
Waenerlund, Anna-Karin Gustafsson, Per Hammarström, Anne Virtanen, Pekka |
author_facet |
Waenerlund, Anna-Karin Gustafsson, Per Hammarström, Anne Virtanen, Pekka |
author_sort |
Waenerlund, Anna-Karin |
title |
History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
title_short |
History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
title_full |
History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
title_fullStr |
History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
title_full_unstemmed |
History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort |
title_sort |
history of labour market attachment as a determinant of health status: a 12-year follow-up of the northern swedish cohort |
publisher |
Umeå universitet, Allmänmedicin |
publishDate |
2014 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-89612 https://doi.org/10.1136/bmjopen-2013-004053 |
long_lat |
ENVELOPE(22.166,22.166,65.580,65.580) |
geographic |
Lulea |
geographic_facet |
Lulea |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMJ Open, 2014, 4:2, s. e004053- http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-89612 doi:10.1136/bmjopen-2013-004053 ISI:000334459100058 Scopus 2-s2.0-84896866892 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1136/bmjopen-2013-004053 |
container_title |
BMJ Open |
container_volume |
4 |
container_issue |
2 |
container_start_page |
e004053 |
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1779318239065538560 |