Finnish Institute of Occupational Health, 00032 Helsinki, Finland.
Ministry of Economic Affairs and Employment, 00023 Helsinki, Finland.
Int J Environ Res Public Health. 2021 Feb 2;18(3):1347. doi: 10.3390/ijerph18031347.
The contribution of ill-health to labour market participation in relation to vocational training is unclear. Using nationally representative Finnish register data on 42,691 vocational labour market trainees in 2008-2010, we constructed latent trajectory groups of work participation in the open labour market three years before and after training, identifying groups called "High-High", "High-Low", "Low-High", and "Low-Low". We plotted further patterns of labour market participation within these trajectory groups and, using multinomial logistic regression, examined assignment to these groups focusing on previous work disability status. Those with compared to those without previous work disability had previous employment more often and spent less time in economic inactivity within the two trajectory groups with low pre-training levels of work participation. Having a previous work disability was associated with assignment to the "High-Low" trajectory group of work participation instead of the "High-High" comparison group. The associations of other background factors with the assignment to the different trajectory groups were relatively similar amongst those with and without previous work disability. However, some of these associations were weaker amongst the former. Along with other key background factors, previous work disability should be accounted for when assessing the effects of vocational training.
健康不佳对职业培训相关劳动力市场参与的影响尚不清楚。本研究使用了芬兰全国代表性的 2008-2010 年职业劳动力市场培训者的 42691 个登记数据，构建了培训前三年和后三年开放劳动力市场工作参与的潜在轨迹组，确定了“高高”“高-低”“低-高”和“低-低”四个组。我们在这些轨迹组内进一步绘制了劳动力市场参与的模式，并使用多项逻辑回归，重点关注先前的工作残疾状况，研究了这些轨迹组的分配情况。与没有先前工作残疾的人相比，那些有工作残疾的人在培训前工作参与度较低的两个轨迹组中，以前有更多的就业机会，经济活动时间也更少。与没有工作残疾的人相比，有工作残疾的人更有可能被分配到“高-低”的工作参与轨迹组，而不是“高-高”的比较组。其他背景因素与不同轨迹组分配之间的关联在有和没有先前工作残疾的人之间相对相似。然而，这些关联在前者中有些较弱。除了其他关键背景因素外，在评估职业培训的效果时，还应考虑先前的工作残疾情况。
