University of Tampere, Faculty of Social Sciences, Tampere, Finland (Dr P. Virtanen); Uppsala University, Department of Public Health, Faculty of Medicine, Uppsala, Sweden (Dr P. Virtanen); University of Turku, Department of Public Health, Turku, Finland (Ms Pentti, Dr Vahtera); Turku University Hospital (Dr Vahtera); University College London, Department of Epidemiology and Public Health, London, UK (Dr Kivimäki); Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland (Dr Kivimäki); Finnish Institute of Occupational Health, Helsinki, Finland (Dr M. Virtanen).
J Occup Environ Med. 2018 Feb;60(2):e106-e111. doi: 10.1097/JOM.0000000000001207.
This 9-year follow-up study explores a possible association between temporary employment and declining health.
Years in temporary employment from 2004 to 2008 to 2009 were measured for a cohort of 26,886 public sector employees. Self-rated health was measured by surveys in 2004 (baseline), 2008/2009 (short-term follow-up), and 2012/2013 (long-term follow-up).
Compared with the permanently employed, the baseline health-adjusted odds of poor health were lower both in the short-term and long-term follow-up, but the differences became nonsignificant when adjusted for sociodemographic and work-related factors.
The results would suggest that temporary employment in public sector of a Nordic welfare state does not entail health risks. Future research is needed to elucidate if this is true also among those exposed to nonpermanent employment in the private labor market, in particular those with most atypical jobs and unstable job careers.
本为期 9 年的随访研究旨在探讨临时就业与健康状况下降之间可能存在的关联。
对 26886 名公共部门员工的队列，测量了他们在 2004 年至 2008 年至 2009 年期间从事临时就业的年限。通过 2004 年（基线）、2008/2009 年（短期随访）和 2012/2013 年（长期随访）的调查来衡量自感健康状况。
与长期受雇者相比，在短期和长期随访中，基线健康调整后的健康状况不佳的几率均较低，但在调整了社会人口统计学和与工作相关的因素后，差异不再具有统计学意义。
结果表明，在北欧福利国家的公共部门从事临时就业并不带来健康风险。需要进一步研究以阐明在私营劳动力市场中从事非永久性就业的人群中，是否也存在这种情况，特别是那些从事最非典型工作和工作生涯不稳定的人群。
