Job Change and Self-reported Symptoms: A Nationwide Longitudinal Study in Japan
Hiroshi Ito1, Shuichi Okaya, Yutaro Ono
1From the Division of Hospital Medicine, Department of Internal Medicine, Tsukuba University Hospital, Tsukuba, Ibaraki, Japan (H.I., S.O., Y.O., Y.Z., D.M., N.S.); and Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan (T.T.).
Job change, especially the first time, is linked to new physical and psychological symptoms like headache, lethargy, and insomnia. This highlights potential workplace health risks associated with career transitions.
Area of Science:
- Occupational Health
- Psychosomatic Medicine
- Public Health
Background:
- Job change is a significant life event that can impact an individual's well-being.
- Understanding the health consequences of job transitions is crucial for public health initiatives.
- Previous research has explored the effects of job loss, but the impact of voluntary job change requires further investigation.
Purpose of the Study:
- To examine the association between job change (first-time and repeat) and new-onset physical and psychological symptoms.
- To identify specific symptoms linked to job transitions in a general population.
- To explore potential differences in symptom prevalence between first-time and repeat job changers.
Main Methods:
- Analysis of longitudinal data from 19,281 Japanese adults surveyed in 2022 and 2023.
- Self-reported job change within the past year.
- Assessment of new-onset symptoms (headache, lethargy, insomnia) in 2023 using weighted logistic regression.
Main Results:
- Job changers (6.1%) had higher odds of new-onset headache (aOR, 1.57) and lethargy (aOR, 1.63).
- First-time job changers (2.0%) exhibited stronger associations, including insomnia (aOR, 2.93).
- First-time job changers also reported more adverse workplace conditions, such as excessive workload and harassment.
Conclusions:
- Job change, particularly for individuals changing jobs for the first time, is associated with an increased risk of new physical and psychological symptoms.
- Adverse workplace conditions may mediate the relationship between first-time job change and symptom development.
- These findings underscore the importance of supporting individuals navigating job transitions to mitigate potential negative health outcomes.
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