成年早期不稳定的就业和以后的心理健康问题:一个与登记册相关的队列研究
Emelie Thern1,2, Nuria Matilla-Santander3, Julio C Hernando-Rodriguez3
1Unit of Occupational Medicine, Karolinska Institute, Stockholm, Sweden emelie.thern@ki.se.
Journal of epidemiology and community health
|August 11, 2023
概括
在年轻人中,不稳定的就业增加了需要住院护理的严重心理健康问题的风险. 这种关联是显著的,由于不稳定的工作率的上升,因此值得注意.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 不稳定的就业与年轻人自我报告的心理健康问题有关.
- 有限的数据存在于其对严重,客观测量的心理健康结果的影响,如住院护理.
- 本研究通过检查早期不稳定就业对住院患者心理健康需求的长期影响来解决这一差距.
研究的目的:
- 调查成年早期不稳定的就业与随后需要住院护理的心理健康问题之间的联系.
- 量化与年轻成年人不同劳动力市场职位相关的住院心理健康治疗风险.
- 为了探索这种协会中潜在的性别差异.
主要方法:
- 一项基于瑞典登记的对339,403名年轻成年人 (1973年至1976年出生) 的队列研究.
- 劳动力市场地位 (不稳定,低标准,失业,标准就业) 评估学校毕业后3年.
- 通过国家患者登记册识别的心理健康结果 (抑郁,焦虑,压力障碍).
- 考克斯回归分析用于计算95%信心区间 (CI) 的危险比率 (HR).
主要成果:
- 在对共变量进行调整后,在成年早期处于不稳定的就业状态的个人面临着需要住院护理的晚期心理健康问题的风险增加 (aHR: 1.51,95% CI: 1.42至1.60).
- 不稳定的就业与心理健康问题之间的关联在男性中更为明显.
- 与不稳定的就业相比,标准就业与较低的风险有关.
结论:
- 进入瑞典劳动力市场的不稳定就业与需要住院护理的心理健康问题的风险更高有关.
- 年轻成年人中不稳定的就业日益普遍,凸显了这些发现对公共卫生的重要性.
- 政策影响可能包括解决劳动力市场的不稳定性,以减轻长期的心理健康后果.
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