Institute of Medical Sociology, Centre for Health and Society, Heinrich-Heine-University Düsseldorf, Medical Faculty, Germany.
Department of Epidemiology and Public Health, University College London, UK.
J Gerontol B Psychol Sci Soc Sci. 2021 Jun 8;76(Suppl 1):S27-S40. doi: 10.1093/geronb/gbaa049.
We investigate associations between adverse employment histories over an extended time period and health functioning in later life, and explore whether national labor market policies moderate the association.
We use harmonized life-history data from the Gateway to Global Aging Data on two European studies (SHARE and ELSA) linked to health beyond age 50 (men = 11,621; women = 10,999). Adverse employment histories consist of precarious, discontinued, and disadvantaged careers between age 25 and 50, and we use depressive symptoms, grip strength, and verbal memory as outcomes.
Adverse employment histories between age 25 and 50 are associated with poor health functioning later in life, particularly repeated periods of unemployment, involuntary job losses, weak labor market ties, and disadvantaged occupational positions. Associations remain consistent after adjusting for age, partnership history, education and employment situation, and after excluding those with poor health prior to or during working life. We find no variations of the associations by national labor market policies.
Our study calls for increased intervention efforts to improve working conditions at early career stages. Despite the importance in shaping employment histories, the role of national policies in modifying the impact of employment on health is less clear.
我们研究了在较长时间内经历不良就业经历与晚年健康功能之间的关联,并探讨了国家劳动力市场政策是否会调节这种关联。
我们使用了来自“全球化老龄化数据网关”(Gateway to Global Aging Data)的两个欧洲研究(SHARE 和 ELSA)的协调生命史数据,这些数据与 50 岁以后的健康状况有关(男性=11621 人;女性=10999 人)。不良就业经历包括 25 岁至 50 岁期间的不稳定、中断和不利的职业生涯,我们将抑郁症状、握力和言语记忆作为结果。
25 岁至 50 岁之间的不良就业经历与晚年健康功能不佳有关,特别是失业、非自愿失业、劳动力市场联系薄弱和不利的职业地位的反复时期。在调整年龄、伴侣关系历史、教育和就业状况后,以及在排除工作前或工作期间健康状况不佳的人群后,关联仍然一致。我们没有发现国家劳动力市场政策对关联的变化。
我们的研究呼吁加强干预措施,改善职业生涯早期的工作条件。尽管国家政策在塑造就业历史方面很重要,但它们在调节就业对健康的影响方面的作用不太明确。