Department of Community Medicine, Faculty of Health Sciences, UIT The Arctic University of Norway, Tromsø, Norway.
Centre of Health Economics, University of York, York, United Kingdom.
PLoS One. 2021 Oct 13;16(10):e0258444. doi: 10.1371/journal.pone.0258444. eCollection 2021.
It is widely recognized that individuals' health and educational attainments, commonly referred to as their human capital, are important determinants for their labour market participation (LMP). What is less recognised is the influence of individuals' latent resilience traits on their ability to sustain LMP after experiencing an adversity such as a health shock.
We investigate the extent to which resilience is independently associated with LMP and moderates the effect of health shocks on LMP.
We analysed data from two consecutive waves of a Norwegian prospective cohort study. We followed 3,840 adults who, at baseline, were healthy and worked full time. Binary logistic regression models were applied to explain their employment status eight years later, controlling for age, sex, educational attainment, health status at baseline, as well as the occurrences of three types of health shocks (cardiovascular diseases, cancer, psychological problems). Individuals' resilience, measured by the Resilience Scale for Adults (RSA), entered as an independent variable and as an interaction with the indicators of health shocks. In separate models, we explore the role of two further indicators of resilience; locus of control, and health optimism.
As expected, health shocks reduce the probability to keep on working full-time. While both the RSA and the two related indicators all suggest that resilience increases the probability to keep on working, we did not find evidence that resilience moderates the association between health shocks and LMP.
Higher levels of resilience is associated with full-time work as individuals age.
人们普遍认识到,个人的健康和教育程度,通常被称为人力资本,是其劳动力市场参与(LMP)的重要决定因素。然而,人们较少认识到个人潜在的适应力特质对他们在经历健康冲击等逆境后维持 LMP 的能力的影响。
我们研究适应力在多大程度上与 LMP 独立相关,并调节健康冲击对 LMP 的影响。
我们分析了挪威一项前瞻性队列研究的两个连续波次的数据。我们跟踪了 3840 名在基线时健康且全职工作的成年人。应用二元逻辑回归模型来解释他们八年后的就业状况,控制年龄、性别、教育程度、基线健康状况以及三种健康冲击(心血管疾病、癌症、心理问题)的发生情况。个体的适应力由成人适应力量表(RSA)测量,作为独立变量和与健康冲击指标的交互项进入模型。在单独的模型中,我们探讨了另外两个适应力指标的作用;控制源和健康乐观主义。
正如预期的那样,健康冲击降低了全职工作的可能性。虽然 RSA 以及两个相关指标都表明适应力增加了继续全职工作的可能性,但我们没有发现证据表明适应力调节了健康冲击与 LMP 之间的关系。
随着个体年龄的增长,更高水平的适应力与全职工作相关。