Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce
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- dc.contributor.author Jonsson, Johanna
- dc.contributor.author Muntaner, Carles, 1957-
- dc.contributor.author Bodin, Theo
- dc.contributor.author Alderling, Magnus
- dc.contributor.author Balogh, Rebeka
- dc.contributor.author Burström, Bo
- dc.contributor.author Davis, Letitia
- dc.contributor.author Gunn, Virginia
- dc.contributor.author Hemmingsson, Tomas
- dc.contributor.author Julià, Mireia
- dc.contributor.author Kjellberg, Katarina
- dc.contributor.author Kreshpaj, Bertina
- dc.contributor.author Orellana, Cecilia
- dc.contributor.author Padrosa, Eva
- dc.contributor.author Wegman, David H.
- dc.contributor.author Matilla Santander, Nuria
- dc.date.accessioned 2023-04-27T06:19:22Z
- dc.date.available 2023-04-27T06:19:22Z
- dc.date.issued 2021
- dc.description.abstract Objective High-quality longitudinal evidence exploring the mental health risk associated with low-quality employment trajectories is scarce. We therefore aimed to investigate the risk of being diagnosed with common mental disorders, substance use disorders, or suicide attempt according to low-quality employment trajectories. Methods A longitudinal register-study based on the working population of Sweden (N=2 743 764). Employment trajectories (2005–2009) characterized by employment quality and pattern (constancy, fluctuation, mobility) were created. Hazard ratios (HR) were estimated using Cox proportional hazards regression models for first incidence (2010–2017) diagnosis of common mental disorders, substance use disorders and suicide attempt as dependent on employment trajectories. Results We identified 21 employment trajectories, 10 of which were low quality (21%). With the exception of constant solo self-employment, there was an increased risk of common mental disorders (HR 1.07–1.62) and substance use disorders (HR 1.05–2.19) for all low-quality trajectories. Constant solo self-employment increased the risk for substance use disorders among women, while it reduced the risk of both disorders for men. Half of the low-quality trajectories were associated with a risk increase of suicide attempt (HR 1.08–1.76). Conclusions Low-quality employment trajectories represent risk factors for mental disorders and suicide attempt in Sweden, and there might be differential effects according to sex – especially in terms of self-employment. Policies ensuring and maintaining high-quality employment characteristics over time are imperative. Similar prospective studies are needed, also in other contexts, which cover the effects of the Covid-19 pandemic as well as the mechanisms linking employment trajectories with mental health.
- dc.format.mimetype application/pdf
- dc.identifier.citation Jonsson J, Muntaner C, Bodin T, Alderling M, Balogh R, Burström B, Davis L, Gunn V, Hemmingsson T, Julià M, Kjellberg K, Kreshpaj B, Orellana C, Padrosa E, Wegman DH, Matilla-Santander N. Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce. Scand J Work Environ Health. 2021;47(7):509-20. DOI: 10.5271/sjweh.3978
- dc.identifier.doi http://dx.doi.org/10.5271/sjweh.3978
- dc.identifier.issn 0355-3140
- dc.identifier.uri http://hdl.handle.net/10230/56599
- dc.language.iso eng
- dc.publisher Nordic Association of Occupational Safety and Health
- dc.relation.ispartof Scandinavian Journal of Work, Environment and Health. 2021;47(7):509-20.
- dc.rights This work is licensed under a Creative Commons Attribution 4.0 International License
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword alcohol
- dc.subject.keyword anxiety
- dc.subject.keyword cohort study
- dc.subject.keyword depression
- dc.subject.keyword drug
- dc.subject.keyword employment transition
- dc.subject.keyword epidemiology
- dc.subject.keyword labor market trajectory
- dc.subject.keyword mental health
- dc.subject.keyword precarious employment
- dc.subject.keyword public health
- dc.subject.keyword Sweden
- dc.title Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion