Unit of Occupational Medicine, Karolinska Institutet, Sweden.
Centre for Occupational and Environmental Medicine, Stockholm County Council, Sweden.
Scand J Public Health. 2021 Mar;49(2):228-236. doi: 10.1177/1403494820956451. Epub 2020 Sep 16.
To investigate the association between precarious employment and health in a sample of non-standard employees in Stockholm County, Sweden, by addressing three specific research questions: is the degree of precarious employment (low, moderate, high) associated with self-rated. . . (a) general health, (b) mental health, (c) musculoskeletal pain? Web-based respondent-driven sampling was used to recruit a sample of 415 employees in Stockholm, Sweden, during 2016-2017. Questionnaire data were collected on employment conditions (the Swedish version of the employment precariousness scale (EPRES-Se)), general health, mental health and musculoskeletal pain. EPRES-Se scores were categorised as low, moderate or high. Generalised linear models with Poisson distribution, log link functions and robust variances were applied for calculating crude and adjusted prevalence ratios (PR; aPR) with 95% confidence intervals (CIs) for all outcomes. The prevalence ratios of poor self-rated general and mental health increased with increased degree of precariousness, as indicated by estimates of moderate precarious employment (aPR 1.44 (CI 0.98-2.11); aPR 1.13 (CI 0.82-1.62)), and high precarious employment (aPR 1.78 (CI 1.21-2.62); aPR 1.69 (CI 1.25-2.28)), albeit only significantly so for high precarious employment.
为了探讨在瑞典斯德哥尔摩县的非标准就业样本中,不稳定就业与健康之间的关系,我们提出了三个具体的研究问题:不稳定就业程度(低、中、高)与自我评估的以下方面是否存在关联:(a) 总体健康状况,(b) 心理健康状况,(c) 肌肉骨骼疼痛?本研究采用基于网络的受访者驱动抽样方法,于 2016 年至 2017 年期间在瑞典斯德哥尔摩招募了 415 名员工。使用瑞典版就业不稳定量表(EPRES-Se)收集就业条件、总体健康状况、心理健康状况和肌肉骨骼疼痛等方面的问卷数据。EPRES-Se 评分分为低、中、高。采用泊松分布、对数链接函数和稳健方差的广义线性模型,计算所有结局的粗比值比(PR)和调整比值比(aPR),95%置信区间(CI)。中等不稳定就业(aPR 1.44(CI 0.98-2.11);aPR 1.13(CI 0.82-1.62))和高不稳定就业(aPR 1.78(CI 1.21-2.62);aPR 1.69(CI 1.25-2.28))的自我评估一般和心理健康状况较差的患病率比值随着不稳定就业程度的增加而增加,但仅在高不稳定就业时具有统计学显著性。