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 12 years 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. Se...
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ftunivtampere:oai:trepo.tuni.fi:10024/99470 2023-05-15T17:09:14+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 E Hammarström, Anne Virtanen, Pekka Terveystieteiden yksikkö - School of Health Sciences University of Tampere 2014 fulltext https://trepo.tuni.fi/handle/10024/99470 en eng 2044-6055 10.1136/bmjopen-2013-004053 e004053 - BMJ Open 4 https://trepo.tuni.fi/handle/10024/99470 URN:NBN:fi:uta-201606302055 openAccess CC BY-NC 3.0 CC-BY-NC Kansanterveystiede ympäristö ja työterveys - Public health care science environmental and occupational health publishedVersion article 2014 ftunivtampere 2022-12-11T06:55:33Z Objective: The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12 years 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 Luleå 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 nonoptimal 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 Luleå Luleå Luleå Northern Sweden Tampere University: Trepo |
institution |
Open Polar |
collection |
Tampere University: Trepo |
op_collection_id |
ftunivtampere |
language |
English |
topic |
Kansanterveystiede ympäristö ja työterveys - Public health care science environmental and occupational health |
spellingShingle |
Kansanterveystiede ympäristö ja työterveys - Public health care science environmental and occupational health Waenerlund, Anna-Karin Gustafsson, Per E 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 |
Kansanterveystiede ympäristö ja työterveys - Public health care science environmental and occupational health |
description |
Objective: The present study aims at using trajectory analysis to measure labour market attachment (LMA) over 12 years 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 Luleå 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 nonoptimal 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. |
author2 |
Terveystieteiden yksikkö - School of Health Sciences University of Tampere |
format |
Article in Journal/Newspaper |
author |
Waenerlund, Anna-Karin Gustafsson, Per E Hammarström, Anne Virtanen, Pekka |
author_facet |
Waenerlund, Anna-Karin Gustafsson, Per E 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 |
publishDate |
2014 |
url |
https://trepo.tuni.fi/handle/10024/99470 |
genre |
Luleå Luleå Luleå Northern Sweden |
genre_facet |
Luleå Luleå Luleå Northern Sweden |
op_relation |
2044-6055 10.1136/bmjopen-2013-004053 e004053 - BMJ Open 4 https://trepo.tuni.fi/handle/10024/99470 URN:NBN:fi:uta-201606302055 |
op_rights |
openAccess CC BY-NC 3.0 |
op_rightsnorm |
CC-BY-NC |
_version_ |
1766065221395283968 |