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Precarious employment and general, mental and physical health in Stockholm, Sweden : a cross-sectional study

Jonsson, Johanna ; Matilla-Santander, Nuria ; Kreshpaj, Bertina ; Johansson, Gun ; Kjellberg, Katarina ; Burström, Bo ; Östergren, Per Olof LU ; Nilsson, Karin ; Strömdahl, Susanne and Orellana, Cecilia , et al. (2021) In Scandinavian Journal of Public Health 49(2). p.228-236
Abstract

Objectives: To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated.. (a) general health, (b) mental health, (c) musculoskeletal pain? Methods: Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016–2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised... (More)

Objectives: To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated.. (a) general health, (b) mental health, (c) musculoskeletal pain? Methods: Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016–2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised linear models with Poisson distribution, log link functions and robust variances were applied for calculating crude and adjusted prevalence ratios (PR; aPR) with 95% confidence intervals (CIs) for all outcomes. Results: The prevalence ratios of poor self-rated general and mental health increased with increased degree of precariousness, as indicated by estimates of moderate precarious employment (a2PRModerate 1.44 (CI 0.98–2.11); a2PRModerate 1.13 (CI 0.82–1.62)), and high precarious employment (a2PRHigh 1.78 (CI 1.21–2.62); a2PRHigh 1.69 (CI 1.25–2.28)), albeit only significantly so for high precarious employment. Conclusions: This is the first study in Sweden reporting on the association between precarious employment, as measured with a multidimensional scale, and multiple health outcomes. The results add to the evidence of an association between precarious employment and self-rated poor general and mental health. Larger, representative studies with longitudinal designs using the EPRES-Se are called for in order to strengthen these results and the already existing evidence of the harm of precarious employment.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
mental health, non-standard employment, occupational health, physical health, Precarious employment
in
Scandinavian Journal of Public Health
volume
49
issue
2
pages
228 - 236
publisher
SAGE Publications
external identifiers
  • pmid:32933426
  • scopus:85091069998
ISSN
1403-4948
DOI
10.1177/1403494820956451
language
English
LU publication?
yes
id
4dd09421-51c4-4d7b-91bc-141f3e9cf6fd
date added to LUP
2021-01-08 14:18:30
date last changed
2024-09-19 13:10:54
@article{4dd09421-51c4-4d7b-91bc-141f3e9cf6fd,
  abstract     = {{<p>Objectives: To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated.. (a) general health, (b) mental health, (c) musculoskeletal pain? Methods: Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016–2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised linear models with Poisson distribution, log link functions and robust variances were applied for calculating crude and adjusted prevalence ratios (PR; aPR) with 95% confidence intervals (CIs) for all outcomes. Results: The prevalence ratios of poor self-rated general and mental health increased with increased degree of precariousness, as indicated by estimates of moderate precarious employment (a<sub>2</sub>PR<sub>Moderate</sub> 1.44 (CI 0.98–2.11); a<sub>2</sub>PR<sub>Moderate</sub> 1.13 (CI 0.82–1.62)), and high precarious employment (a<sub>2</sub>PR<sub>High</sub> 1.78 (CI 1.21–2.62); a<sub>2</sub>PR<sub>High</sub> 1.69 (CI 1.25–2.28)), albeit only significantly so for high precarious employment. Conclusions: This is the first study in Sweden reporting on the association between precarious employment, as measured with a multidimensional scale, and multiple health outcomes. The results add to the evidence of an association between precarious employment and self-rated poor general and mental health. Larger, representative studies with longitudinal designs using the EPRES-Se are called for in order to strengthen these results and the already existing evidence of the harm of precarious employment.</p>}},
  author       = {{Jonsson, Johanna and Matilla-Santander, Nuria and Kreshpaj, Bertina and Johansson, Gun and Kjellberg, Katarina and Burström, Bo and Östergren, Per Olof and Nilsson, Karin and Strömdahl, Susanne and Orellana, Cecilia and Bodin, Theo}},
  issn         = {{1403-4948}},
  keywords     = {{mental health; non-standard employment; occupational health; physical health; Precarious employment}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{228--236}},
  publisher    = {{SAGE Publications}},
  series       = {{Scandinavian Journal of Public Health}},
  title        = {{Precarious employment and general, mental and physical health in Stockholm, Sweden : a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1177/1403494820956451}},
  doi          = {{10.1177/1403494820956451}},
  volume       = {{49}},
  year         = {{2021}},
}