Frisch Centre for Economic Research, Oslo, Norway.
Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
Occup Environ Med. 2022 Jan;79(1):32-37. doi: 10.1136/oemed-2021-107598. Epub 2021 Sep 24.
Ongoing shifts in economic structure from automation and globalisation can affect employment and mortality, yet these relations are not well described.
We assess whether long-term employment and health outcomes relate systematically to structural change in the labour market, using the occupational Routine Task Intensity (RTI) score as indicator of exposure is to risks of outsourcing and technology-induced job loss.
Using a cohort design and administrative data with national population coverage, we categorise all Norwegian employees in 2003 by the RTI score of their occupation and examine how this score correlates with employment and health outcomes measured in 2018 and 2019. The study sample counts 416 003 men and 376 413 women aged 33-52 in 2003.
The occupational RTI score at baseline is robustly associated with long-term employment, disability and mortality outcomes. Raw correlations are reduced after adjustment for potential confounders, but associations remain substantial in models controlling for individual covariates and in sibling comparisons. Working in an occupation with RTI score 1 SD above the mean in 2003 is associated with a raised probability of being deceased in 2019 of 0.24 percentage points (95% CI: 0.18 to 0.30) for men and 0.13 percentage points (95% CI: 0.02 to 0.24) for women, corresponding to raised mortality rates of 6.7% and 5.5%.
Individuals in occupations characterised by high routine intensity are less likely to remain employed in the long term, and have higher rates of disability and mortality.
自动化和全球化带来的经济结构持续变化可能会影响就业和死亡率,但这些关系尚未得到充分描述。
我们使用职业常规任务强度(RTI)评分作为暴露于外包和技术导致工作岗位流失风险的指标,评估长期就业和健康结果与劳动力市场结构性变化是否存在系统关联。
我们采用队列设计和具有全国人口覆盖的行政数据,根据其职业的 RTI 评分对所有挪威员工进行分类,并研究该评分与 2018 年和 2019 年测量的就业和健康结果之间的相关性。研究样本包括 2003 年年龄在 33-52 岁的 416003 名男性和 376413 名女性。
基线时的职业 RTI 评分与长期就业、残疾和死亡率结果密切相关。经过潜在混杂因素调整后,原始相关性降低,但在控制个体协变量的模型和兄弟姐妹比较中,相关性仍然很大。与 2003 年 RTI 评分处于平均值以上 1 个标准差的职业相比,男性在 2019 年死亡的概率增加 0.24 个百分点(95%CI:0.18 至 0.30),女性增加 0.13 个百分点(95%CI:0.02 至 0.24),对应的死亡率分别为 6.7%和 5.5%。
从事常规强度高的职业的个体不太可能长期保持就业,且残疾和死亡率更高。