Tuomas Majuri, Emmi Wilén, Sanna Huikari, Marko Korhonen
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The analyses were stratified by sex.</p><p><strong>Results: </strong>Compared to the CG, both males and females with AN had lower cumulative income in 2011-2016. AN was associated with a greater number of unemployment days among both males and females who had any unemployment days. No significant differences in sick days in 2011-2019 were found between individuals with AN and the CG in either sex.</p><p><strong>Conclusion: </strong>This study highlights the association between AN and poor labour market outcomes, particularly regarding income accumulation. More effective strategies are needed to identify and support individuals with AN, especially males, who tend to experience worse outcomes. 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引用次数: 0
摘要
目的:神经性厌食症(AN)是青春期最严重的精神障碍之一,但它通常具有良好的长期预后。然而,关于AN的长期劳动力市场结果的证据很少,并且有几个关键的局限性。这项研究的目的是提供一个全面的评估当前长期劳动力市场结果的AN,检查失业,疾病缺勤和收入直到33岁。方法:利用1986年芬兰北部出生队列的数据,与国家登记册相关联,我们使用韦尔奇t检验和两部分回归模型,比较了AN患者(n = 165)和其他队列(对照组,CG; n = 4884)的失业天数、病假和收入。分析按性别分层。结果:与CG相比,2011-2016年男性和女性AN的累计收入都较低。在有任何失业天数的男性和女性中,AN与更多的失业天数有关。2011-2019年AN和CG患者的病假天数在两性之间均无显著差异。结论:本研究强调了AN与不良劳动力市场结果之间的关联,特别是在收入积累方面。需要更有效的策略来识别和支持AN患者,特别是男性,他们往往会经历更糟糕的结果。提高学生和工作场所对人工智能的认识,加强各服务部门之间的合作,并及早实施具有成本效益的干预措施,对于改善劳动力市场前景至关重要。
Long-term labour market outcomes of anorexia nervosa - the Northern Finland birth cohort 1986.
Purpose: Anorexia nervosa (AN) is one of the most severe mental disorders in adolescence, yet it generally has a favourable long-term prognosis. However, evidence on the long-term labour market outcomes of AN is scarce and has several key limitations. This study aimed to provide a comprehensive assessment of the current long-term labour market outcomes of AN, examining unemployment, sickness absences, and income up to age 33.
Methods: Utilizing data from the Northern Finland Birth Cohort 1986, linked to national registers, we compared unemployment days, sickness absences, and income between individuals with AN (n = 165) and the rest of the cohort (control group, CG; n = 4884) using the Welch's t-test and two-part regression models. The analyses were stratified by sex.
Results: Compared to the CG, both males and females with AN had lower cumulative income in 2011-2016. AN was associated with a greater number of unemployment days among both males and females who had any unemployment days. No significant differences in sick days in 2011-2019 were found between individuals with AN and the CG in either sex.
Conclusion: This study highlights the association between AN and poor labour market outcomes, particularly regarding income accumulation. More effective strategies are needed to identify and support individuals with AN, especially males, who tend to experience worse outcomes. Increasing awareness of AN among students and in workplaces, enhancing collaboration between services, and implementing early, cost-effective interventions are essential for improving labour market prospects.
期刊介绍:
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.