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Exploring the link between perceived job insecurity and sickness absence for common mental disorders
Sandra Blomqvist1, Robin S Högnäs1, Kristin Farrants2
1Division of Psychobiology and Epidemiology, Department of Psychology, Stockholm University, Stockholm, Sweden.
European Journal of Public Health
|June 10, 2025
Summary
Perceived job insecurity increases sickness absence for common mental disorders. Reducing job insecurity long-term may decrease these absences, improving employee mental health and well-being.
Area of Science:
- Occupational Health
- Mental Health Research
- Public Health
Background:
- Perceived job insecurity is linked to adverse mental health outcomes.
- The relationship between job insecurity and sickness absence due to mental disorders requires further investigation.
Purpose of the Study:
- To examine the association between perceived job insecurity and sickness absence for common mental disorders.
- To investigate if changes in perceived job insecurity influence the risk of sickness absence for common mental disorders.
Main Methods:
- Utilized data from the Swedish Longitudinal Occupational Survey of Health (2010-2020) with 24,020,49 participants.
- Employed logistic regression and pooled logistic regression with inverse probability weights across 5 emulated target trials.
- Assessed onsets and offsets of job insecurity against stable security/insecurity for sickness absence risk.
Main Results:
- Perceived job insecurity was associated with increased odds of sickness absence for common mental disorders over two years (OR=1.38, 95% CI 1.13-1.68).
- No statistically significant associations were found for onset of job insecurity versus stable security (RR=1.484) or offset versus stable insecurity (RR=0.855).
- Findings from emulated target trials indicated uncertainty regarding the impact of changes in job insecurity.
Conclusions:
- Perceived job insecurity is a significant risk factor for sickness absence related to common mental disorders.
- Long-term reduction of job insecurity may be a viable strategy to decrease sickness absence for mental health conditions.
- Interventions aimed at enhancing employee job security could positively impact mental health and reduce work-related absences.
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