繁荣、战斗或逃避:自营职业的健康状况随时间变化--与个人和企业资源的关系。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Claudia Bernhard-Oettel, Louise Bergman, Constanze Leineweber, Susanna Toivanen
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引用次数: 0

摘要

目的:本研究利用 COR 理论研究瑞典自营职业者 6 年来健康和其他关键资源的发展情况:(1) 探讨自营职业者这一异质群体是否包含具有不同健康轨迹的亚群体;(2) 调查这些健康轨迹是否对某些个体(年龄、性别、行业、教育程度、就业状况)更为典型;(3) 比较不同健康轨迹在精神健康、商业资源、就业状况、工作能力等资源发展方面的情况:研究使用了瑞典健康纵向职业调查(SLOSH)的数据,包括从事个体经营或联合经营的参与者(N = 2642):结果:通过潜类增长曲线模型分析(LCGM)确定了五条轨迹。两条健康轨迹分别为:(1) 健康状况非常好,(2) 健康状况良好稳定(共占参与者的 78.5%);(3) 一条健康状况中等稳定(14.8%);(4) 一条呈 U 型(1.9%);(5) 一条健康状况较低、略有上升(4.7%)。前两种轨迹蓬勃发展:他们保持或增加了所有关键资源,并更有可能继续自营职业。轨迹三和轨迹五由那些努力维持或增加资源的人组成。健康状况呈 U 型轨迹的工人在失去健康和其他关键资源后,表现出抗争和逃避的迹象:研究随时间推移资源发展不同的亚组,适合于了解自营职业者的异质性。它还有助于确定弱势群体,这些群体可能会受益于保护其资源的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Flourish, fight or flight: health in self-employment over time-associations with individual and business resources.

Flourish, fight or flight: health in self-employment over time-associations with individual and business resources.

Purpose: Using COR theory to study developments of health and other key resources in self-employed workers in Sweden over 6 years, this study: (1) explored whether the heterogenous group of self-employed workers contained subgroups with different health trajectories, (2) investigated whether these were more typical for certain individuals (with respect to age, gender, sector, education, employment status), and (3) compared the different health trajectories regarding resource development in mental well-being, business resources, employment status, work ability.

Method: The study used data from the Swedish longitudinal occupational survey of health (SLOSH) and included participants working as self-employed or combiner (N = 2642).

Result: Five trajectories were identified with latent class growth curve model analysis (LCGM). Two health trajectories with (1) very good, respective (2) good stable health (together comprising 78.5% of the participants), (3) one with moderate stable health (14.8%), (4) one with a U-shaped form (1.9%), and (5) one with low, slightly increasing health (4.7%). The first two trajectories flourish: they maintained or increased in all key resources and were more likely to remain self-employed. Trajectories three and five consist of those who fight to maintain or increase their resources. Workers in the U-shaped health trajectory show signs of fight and flight after loss in health and other key resources.

Conclusions: Studying subgroups with different resource developments over time was suitable to understand heterogeneity in self-employed workers. It also helped to identify vulnerable groups that may benefit from interventions to preserve their resources.

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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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