Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.
Scand J Public Health. 2011 Jul;39(5):533-9. doi: 10.1177/1403494810395821. Epub 2011 Feb 14.
The aim of this study was to investigate whether temporary employment was related to non-optimal self-rated health and psychological distress at age 42 after adjustment for the same indicators at age 30, and to analyze the effects of job insecurity, low cash margin and high job strain on this relationship.
A subcohort of the Northern Swedish Cohort that was employed at the 2007 follow-up survey (n = 907, response rate of 94%) was analyzed using data from 1995 and 2007 questionnaires.
Temporary employees had a higher risk of both non-optimal self-rated health and psychological distress. After adjustment for non-optimal self-rated health at age 30 and psychological distress at age 30 as well as for sociodemographic variables, the odds ratios decreased but remained significant. However, after adjustment for job insecurity, high job strain and low cash margin the odds ratio dropped for non-optimal self-rated health but remained significant for psychological distress.
Temporary employment may have adverse effects on self-rated health and psychological health after adjustment for previous health status and sociodemographic variables. Our findings indicate that low cash margin and job insecurity may partially mediate the association between temporary employment and health status.
本研究旨在探讨在调整 30 岁时的相同指标后，临时就业是否与 42 岁时自评健康状况不佳和心理困扰有关，并分析工作不安全感、现金余额低和工作压力大对这种关系的影响。
对参与 1995 年和 2007 年问卷调查的北方瑞典队列的子队列（n=907，应答率为 94%）进行分析。
临时雇员自评健康状况不佳和心理困扰的风险更高。在调整了 30 岁时的自评健康状况不佳和 30 岁时的心理困扰以及社会人口统计学变量后，比值比有所下降，但仍具有统计学意义。然而，在调整了工作不安全感、高工作压力和低现金余额后，自评健康状况不佳的比值比下降，但心理困扰仍具有统计学意义。
在调整了先前的健康状况和社会人口统计学变量后，临时就业可能对自评健康和心理健康产生不利影响。我们的研究结果表明，现金余额低和工作不安全感可能部分中介了临时就业与健康状况之间的关联。
