The association of precarious employment to the unmet need for healthcare in Sweden: a prospective cohort study with multiple follow-ups
Andersson Nystedt, Tanya LU
(2018)
- Abstract
- Introduction: Access to healthcare is a critical determinant of health and central to Swedish public health policy. Sweden, like many other countries has seen a rise in precarious employment and there has been substantial research into the negative health effects associated with it. In accordance with vertical equality in health care, people exposed to precarious employment should consequently have greater access to health care and resources. The aim of the present study is to investigate the association between precarious employment and unmet needs for health care in Scania, Sweden.
Methods: Questionnaires were sent out to a random sample of residents of Scania in 1999/2000 with follow-ups in 2005 and 2010. Unmet need for health care... (More) - Introduction: Access to healthcare is a critical determinant of health and central to Swedish public health policy. Sweden, like many other countries has seen a rise in precarious employment and there has been substantial research into the negative health effects associated with it. In accordance with vertical equality in health care, people exposed to precarious employment should consequently have greater access to health care and resources. The aim of the present study is to investigate the association between precarious employment and unmet needs for health care in Scania, Sweden.
Methods: Questionnaires were sent out to a random sample of residents of Scania in 1999/2000 with follow-ups in 2005 and 2010. Unmet need for health care was self-assessed. Precarious employment was assessed through questions on present employment, previous employment, temporary vs. permanent employment and perceived job insecurity. Additional measures included age, gender, marital status, education, born in Sweden, socioeconomic index, social participation, economic vulnerability and self-rated health. The current cohort is made up of respondents age 18-54 years at baseline who answered the questions on precarious employment in 1999/2000 and 2005 and to the unmet need for health care in 2010 (n=3.604).
Results: Exposure to precarious employment in 1999/2000 and/or 2005 is associated with unmet need for health care in 2010 (OR 1,78 CI 95% 1,51-2,11). When adjusting for education, social participation, economic vulnerability and self-rated health this association remained with an odds ratio of 1,38 (CI 95% 1,15-1,65). Both economic vulnerability and self-rated health also had synergistic effects.
Conclusion: Precarious employment leads to an unmet need for health care and this association is strongly linked to vulnerability. This is contrary to Swedish public health policy and the principle of vertical equality and needs to be addressed to mitigate the effects of the modern labour market on health. (Less)
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- Andersson Nystedt, Tanya
LU
- supervisor
- organization
- publishing date
- 2018
- type
- Thesis
- publication status
- published
- subject
- language
- English
- LU publication?
- yes
- id
- f973ae11-b840-4bef-b4c3-f6c07be1c018
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- https://lup.lub.lu.se/student-papers/search/publication/8955726
- date added to LUP
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@misc{f973ae11-b840-4bef-b4c3-f6c07be1c018,
abstract = {{Introduction: Access to healthcare is a critical determinant of health and central to Swedish public health policy. Sweden, like many other countries has seen a rise in precarious employment and there has been substantial research into the negative health effects associated with it. In accordance with vertical equality in health care, people exposed to precarious employment should consequently have greater access to health care and resources. The aim of the present study is to investigate the association between precarious employment and unmet needs for health care in Scania, Sweden.<br/>Methods: Questionnaires were sent out to a random sample of residents of Scania in 1999/2000 with follow-ups in 2005 and 2010. Unmet need for health care was self-assessed. Precarious employment was assessed through questions on present employment, previous employment, temporary vs. permanent employment and perceived job insecurity. Additional measures included age, gender, marital status, education, born in Sweden, socioeconomic index, social participation, economic vulnerability and self-rated health. The current cohort is made up of respondents age 18-54 years at baseline who answered the questions on precarious employment in 1999/2000 and 2005 and to the unmet need for health care in 2010 (n=3.604).<br/>Results: Exposure to precarious employment in 1999/2000 and/or 2005 is associated with unmet need for health care in 2010 (OR 1,78 CI 95% 1,51-2,11). When adjusting for education, social participation, economic vulnerability and self-rated health this association remained with an odds ratio of 1,38 (CI 95% 1,15-1,65). Both economic vulnerability and self-rated health also had synergistic effects.<br/>Conclusion: Precarious employment leads to an unmet need for health care and this association is strongly linked to vulnerability. This is contrary to Swedish public health policy and the principle of vertical equality and needs to be addressed to mitigate the effects of the modern labour market on health.}},
author = {{Andersson Nystedt, Tanya}},
language = {{eng}},
title = {{The association of precarious employment to the unmet need for healthcare in Sweden: a prospective cohort study with multiple follow-ups}},
url = {{https://lup.lub.lu.se/student-papers/search/publication/8955726}},
year = {{2018}},
}