Demography Unit, Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland.
Demography Unit, Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa, Finland.
Public Health. 2019 Apr;169:93-100. doi: 10.1016/j.puhe.2019.01.016. Epub 2019 Mar 8.
The objective of the article was to analyse how Finnish and Swedish speakers in Finland differ in health and labour market outcomes after sickness absence. Apart from many similarities, these two population groups differ in life expectancy and union stability and are supposed to be culturally distinct. Our analyses, therefore, help to shed light on the interrelation between culture and health.
We monitored health and labour market-related status 3 years after the first sickness absence.
The register-based longitudinal data covered the years 1988-2010. Multinomial logistic regressions were used to quantify the odds of being unemployed, retired due to disability, otherwise outside the labour force or dead, as compared with being employed. The analyses were controlled for age, educational level, region of residence, population density, birth region, family status, job industry, income, homeownership, time period and time on sick leave.
Unemployment after sickness absence was notably more common for Finnish speakers than for Swedish speakers. In the fully adjusted models, the odds ratios were 1.48 (95% confidence interval [CI] 1.23-1.67) in men and 1.29 (95% CI 1.07-1.48) in women. Disability pension, being outside the labour force and having died were also more frequent outcomes for Finnish speakers than for Swedish speakers, although most of this variation could be attributed to socio-economic and demographic characteristics.
The article illustrates that register-based analyses can be effective tools for assessing and identifying persons with latent problems that impede their functioning in the labour market. These findings also suggest that culturally related factors presumably play an important role in this concern.
本文旨在分析芬兰的芬兰语和瑞典语使用者在病假后的健康和劳动力市场结果方面有何不同。除了许多相似之处外，这两个群体在预期寿命和婚姻稳定性方面存在差异，并且应该在文化上有所不同。因此，我们的分析有助于阐明文化与健康之间的关系。
我们监测了首次病假后 3 年的健康和劳动力市场相关状况。
基于登记的纵向数据涵盖了 1988 年至 2010 年。使用多项逻辑回归来量化与失业、因残疾退休、其他劳动力之外或死亡相比，就业的可能性。分析控制了年龄、教育水平、居住地区、人口密度、出生地区、家庭状况、工作行业、收入、住房拥有率、时间期限和病假时间。
与瑞典语使用者相比，芬兰语使用者在病假后失业的情况更为常见。在完全调整的模型中，男性的比值比为 1.48（95%置信区间[CI] 1.23-1.67），女性为 1.29（95%CI 1.07-1.48）。对于芬兰语使用者来说，残疾抚恤金、不在劳动力中以及死亡的情况也更为常见，尽管这种差异的大部分可以归因于社会经济和人口特征。
本文表明，基于登记的分析可以有效地评估和识别潜在问题，这些问题会影响他们在劳动力市场中的功能。这些发现还表明，文化相关因素可能在这方面起着重要作用。
