Short- and long-term health effects of job insecurity. Fixed effects panel analysis of German data.

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Małgorzata Mikucka, Oliver Arránz Becker, Christof Worl
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引用次数: 0

Abstract

Objective: Previous research has linked job insecurity to health deterioration. The risk accumulation model suggests that health effects of job insecurity may persist even after job security is restored, yet long-term empirical analyses are scarce. Our study evaluates the long-term effects of accumulated exposures to affective job insecurity on mental and physical health among the working-age population in Germany.

Method: Using data from the German Socioeconomic Panel (12 624 individuals; 84 219 observations), we applied panel regression models with individual fixed effects to assess short- and long-term health changes associated with affective job insecurity. Job insecurity was measured by respondents' worries about job security. Mental and physical health was recorded with the SF-12 scale.

Results: Job insecurity correlated with short-term worsening in mental and physical health. However, after job insecurity ceased, health recovery was incomplete resulting in a long-term health deterioration. The long-term effects were larger among respondents who accumulated more instances of job insecurity, and showed a similar pattern for mental and physical health. An additional analysis documented stronger health effects of job insecurity among lower educated persons.

Conclusion: Our study is one of the first to empirically demonstrate the negative long-term health effects of job insecurity. Our findings for a well-protected labor market like Germany's, suggest that the health risks associated with job insecurity may be substantial and potentially underestimated by studies that focus solely on short-term effects.

工作不稳定对健康的短期和长期影响。德国数据的固定效应面板分析。
目的:先前的研究已经将工作不安全感与健康恶化联系起来。风险累积模型表明,即使在工作保障恢复后,工作不安全感对健康的影响仍可能持续存在,但缺乏长期的实证分析。我们的研究评估了长期暴露于情感性工作不安全感对德国工作年龄人口心理和身体健康的影响。方法:使用德国社会经济调查小组的数据(12 624人;84 219观察值),我们应用具有个体固定效应的面板回归模型来评估与情感性工作不安全感相关的短期和长期健康变化。工作不安全感是通过受访者对工作保障的担忧程度来衡量的。用SF-12量表记录心理和身体健康状况。结果:工作不安全感与短期身心健康恶化相关。但是,在失去工作不安全感之后,健康恢复不完全,导致长期健康恶化。长期影响在那些积累了更多工作不安全感的受访者中更大,在心理和身体健康方面也表现出类似的模式。另一项分析表明,在受教育程度较低的人群中,工作不安全感对健康的影响更大。结论:我们的研究是第一个实证证明工作不安全感对健康的长期负面影响的研究之一。我们对德国这样一个受到良好保护的劳动力市场的研究结果表明,与工作不安全感相关的健康风险可能是巨大的,而且可能被只关注短期影响的研究低估了。
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来源期刊
Scandinavian journal of work, environment & health
Scandinavian journal of work, environment & health 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.20
自引率
9.50%
发文量
65
审稿时长
>12 weeks
期刊介绍: The aim of the Journal is to promote research in the fields of occupational and environmental health and safety and to increase knowledge through the publication of original research articles, systematic reviews, and other information of high interest. Areas of interest include occupational and environmental epidemiology, occupational and environmental medicine, psychosocial factors at work, physical work load, physical activity work-related mental and musculoskeletal problems, aging, work ability and return to work, working hours and health, occupational hygiene and toxicology, work safety and injury epidemiology as well as occupational health services. In addition to observational studies, quasi-experimental and intervention studies are welcome as well as methodological papers, occupational cohort profiles, and studies associated with economic evaluation. The Journal also publishes short communications, case reports, commentaries, discussion papers, clinical questions, consensus reports, meeting reports, other reports, book reviews, news, and announcements (jobs, courses, events etc).
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