Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
J Epidemiol Community Health. 2021 Sep;75(9):896-902. doi: 10.1136/jech-2020-215994. Epub 2021 Feb 8.
Little is known about the timing and duration of mental health problems (MHPs) on young adults' labour market participation (LMP). This life-course study aims to examine whether and how the timing and duration of MHPs between childhood and young adulthood are associated with LMP in young adulthood.
Logistic regression analyses were performed with data from the Tracking Adolescents' Individual Lives Survey (TRAILS), a Dutch prospective cohort study with 15-year follow-up (N=874). Internalising and externalising problems were measured by the Youth/Adult Self-Report at ages 11, 13, 16, 19 and 22. Labour market participation (having a paid job yes/no) was assessed at age 26.
Internalising problems at all ages and externalising problems at age 13, 19 and 22 were associated with an increased risk of not having a paid job (internalising problems ORs ranging from 2.24, 95% CI 1.02 to 4.90 at age 11 to OR 6.58, CI 3.14 to 13.80 at age 22; externalising problems ORs from 2.84, CI 1.11 to 7.27 at age 13 to OR 6.36, CI 2.30 to 17.56 at age 22). Especially a long duration of internalising problems increased the risk of not having a paid job in young adulthood.
The duration of MHPs during childhood and adolescence is strongly associated with not having paid work in young adulthood. This emphasises the necessity of applying a life-course perspective when investigating the effect of MHPs on LMP. Early monitoring, mental healthcare and the (early) provision of employment support may improve young adult's participation in the labour market.
对于儿童期和成年早期心理健康问题 (MHP) 对年轻人劳动力市场参与 (LMP) 的时间和持续时间知之甚少。这项生命历程研究旨在检验儿童期和成年早期 MHP 的时间和持续时间是否以及如何与成年早期的 LMP 相关。
使用来自荷兰前瞻性队列研究跟踪青少年个体生活调查 (TRAILS) 的数据进行逻辑回归分析，该研究进行了 15 年的随访 (N=874)。11、13、16、19 和 22 岁时通过青少年/成人自我报告测量内化和外化问题。26 岁时评估劳动力市场参与情况 (是否有薪工作)。
所有年龄的内化问题和 13、19 和 22 岁的外化问题与没有带薪工作的风险增加相关 (内化问题的 OR 范围为 11 岁时的 2.24，95%CI 1.02 至 4.90 至 22 岁时的 6.58，95%CI 3.14 至 13.80；外化问题的 OR 范围为 13 岁时的 2.84，95%CI 1.11 至 7.27 至 22 岁时的 6.36，95%CI 2.30 至 17.56)。特别是内化问题的长期持续存在增加了成年早期没有带薪工作的风险。
儿童期和青春期 MHP 的持续时间与成年早期没有带薪工作密切相关。这强调了在调查 MHP 对 LMP 的影响时应用生命历程观点的必要性。早期监测、心理健康保健和（早期）提供就业支持可能会提高年轻人参与劳动力市场的机会。
