Beale N, Nethercott S
J R Coll Gen Pract. 1986 Dec;36(293):560-3.
As part of a longitudinal study on the consequences of job-loss on health the modifying influence of job-tenure on a group of factory workers made redundant when a meat products factory closed was examined. The older workers, both men and women, were divided into two groups which were comparable in all respects except for job-tenure. Statistically significant differences in morbidity were found when comparing the two groups of male employees and their families.However, the men with longer job-tenure (mean 30 years) had, with few exceptions, served the company since leaving school. All of the other men (mean job-tenure 11 years) had previously worked elsewhere or been unemployed. The uptake of medical services before and after factory closure was therefore compared in two groups of workers and their families. One group who had previous experience of the job market showed a significant rise in morbidity only during the unsettling three years before factory closure. The other group, whose working lives had been spent wholly with the company, showed only a slight anticipatory effect but then demonstrated statistically significant increases in consultation rates after job-loss. Three years later they still showed no signs of adapting to their situation.The results suggest that previous experience of having no job or of having to change jobs may be just as influential as job tenure on the outcome of health before and after compulsory redundancy.
作为一项关于失业对健康影响的纵向研究的一部分，研究了在职年限对一组在肉类加工厂关闭时被裁员的工厂工人的调节作用。年龄较大的工人，无论男女，被分成两组，除在职年限外，两组在各方面都具有可比性。在比较两组男性员工及其家庭时，发现发病率存在统计学上的显著差异。然而，在职年限较长的男性（平均30年），除少数例外，自离开学校后一直在该公司工作。所有其他男性（平均在职年限11年）此前曾在其他地方工作或失业。因此，比较了两组工人及其家庭在工厂关闭前后的医疗服务使用情况。一组有过就业市场经历的人仅在工厂关闭前令人不安的三年中发病率显著上升。另一组，其整个工作生涯都在该公司度过的人，仅显示出轻微的预期效应，但在失业后咨询率出现了统计学上的显著增加。三年后，他们仍未显示出适应其处境的迹象。结果表明，以前没有工作或不得不换工作的经历，在强制裁员前后对健康结果的影响可能与在职年限一样大。
