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- Title
Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce.
- Authors
Jonsson, Johanna; Muntaner, Carles; Bodin, Theo; Alderling, Magnus; Balogh, Rebeka; Burström, Bo; Davis, Letitia; Gunn, Virginia; Hemmingsson, Tomas; Julià, Mireia; Kjellberg, Katarina; Kreshpaj, Bertina; Orellana, Cecilia; Padrosa, Eva; Wegman, David H.; Matilla-Santander, Nuria
- 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.
- Subjects
SWEDEN; SUBSTANCE abuse; ATTEMPTED suicide; MENTAL illness; COVID-19 pandemic; PROPORTIONAL hazards models; SUICIDE statistics
- Publication
Scandinavian Journal of Work, Environment & Health, 2021, Vol 47, Issue 7, p509
- ISSN
0355-3140
- Publication type
Article
- DOI
10.5271/sjweh.3978