Cottini Elena, Ghinetti Paolo
Dipartimento di Economia e Finanza, Università Cattolica del Sacro Cuore, Milan, Italy.
Dipartimento di Studi per l'Economia e l'Impresa, Università del Piemonte Orientale, Novara, Italy.
Health Econ. 2018 Feb;27(2):426-439. doi: 10.1002/hec.3580. Epub 2017 Sep 4.
We use register data for Denmark (IDA) merged with the Danish Work Environment Cohort Survey (1995, 2000, and 2005) to estimate the effect of perceived employment insecurity on perceived health for a sample of Danish employees. We consider two health measures from the SF-36 Health Survey Instrument: a vitality scale for general well-being and a mental health scale. We first analyse a summary measure of employment insecurity. Instrumental variables-fixed effects estimates that use firm workforce changes as a source of exogenous variation show that 1 additional dimension of insecurity causes a shift from the median to the 25th percentile in the mental health scale and to the 30th in that of energy/vitality. It also increases by about 6 percentage points the probability to develop severe mental health problems. Looking at single insecurity dimensions by naïve fixed effects, uncertainty associated with the current job is important for mental health. Employability has a sizeable relationship with health and is the only insecurity dimension that matters for the energy and vitality scale. Danish employees who fear involuntary firm internal mobility experience worse mental health.
我们使用丹麦的登记数据（IDA），并将其与丹麦工作环境队列调查（1995年、2000年和2005年）相结合，以估计丹麦员工样本中感知到的就业不安全感对感知到的健康状况的影响。我们考虑了SF-36健康调查工具中的两项健康指标：一项用于总体幸福感的活力量表和一项心理健康量表。我们首先分析就业不安全感的一个综合指标。使用公司劳动力变化作为外生变异来源的工具变量固定效应估计表明，就业不安全感每增加一个维度，心理健康量表的得分就会从中位数降至第25百分位数，能量/活力量表的得分则降至第30百分位数。这也使出现严重心理健康问题的概率增加约6个百分点。通过简单固定效应查看单个不安全感维度时，与当前工作相关的不确定性对心理健康很重要。就业能力与健康有相当大的关系，并且是对能量和活力量表唯一重要的不安全感维度。担心在公司内部非自愿调动的丹麦员工心理健康状况较差。
