Research and Evaluation Division, Knowledge and Research Directorate, Public Health Wales, Cardiff, UK; National Centre for Population Health and Wellbeing Research, Swansea University, Swansea, UK.
Research and Evaluation Division, Knowledge and Research Directorate, Public Health Wales, Cardiff, UK.
Lancet. 2022 Nov;400 Suppl 1:S1. doi: 10.1016/S0140-6736(22)02211-5. Epub 2022 Nov 24.
Employment is a determinant of health. The COVID-19 pandemic disrupted working lives, forcing individuals to adapt to new ways of working. These shifts might shape people's priorities and their consideration of changes for future work. We examined how these outcomes differed depending on self-reported health status.
In this longitudinal analysis, we used data from the COVID-19 Employment and Health in Wales Study; a nationally-representative household survey of workers aged 18-64 years. Timepoint 1 (T1) data were collected between May 27, 2020, and June 22, 2020, and timepoint 2 (T2) data between Nov 30, 2020, and Jan 29, 2021. Participants who responded at both timepoints were eligible. Respondents selected five employment priorities at both timepoints, and the employment changes they considered during the COVID-19 pandemic at T2 only. We used multivariable logistic regressions (including sociodemographics, current employment factors, and self-reported health) and examined associations with health firstly for employment priorities, and secondly for the consideration of employment changes. Health measures were self-reported general health, limiting pre-existing health conditions (both using National Survey for Wales validated questions), and mental wellbeing (using the shortened Warwick Edinburgh Mental Well-being Scale).
We analysed data from 592 respondents (382 [65%] women). 766 (56%) of 1358 T1 respondents were excluded as no T2 responses were provided. Those who self-reported poor general health were consistently more likely to prioritise flexible working arrangements than those rating fair or above (T1 adjusted odds ratio [aOR] 2·06 [95% CI 1·10-3·88], p=0·033; T2 aOR 1·87 [95% CI 1·05-3·33], p=0·034). Those with low (as opposed to average) mental wellbeing were more likely to consider securing a permanent contract (aOR 5·49 [95% CI 1·32-22·81], p=0·023, and those with limiting pre-existing conditions were four times more likely to consider becoming self-employed (aOR 4·00 [95% CI 1·35-11·84], p=0·011) than those without.
Promoting the adoption of flexible working policies and supporting those in poor health to obtain flexible employment could benefit people in Wales. Those with low mental wellbeing might seek the security of permanent employment, and those with limiting pre-existing conditions might value the autonomy of self-employment.
None.
就业是健康的决定因素。COVID-19 大流行扰乱了人们的工作生活，迫使个人适应新的工作方式。这些转变可能会影响人们的优先事项，以及他们对未来工作变化的考虑。我们研究了这些结果在多大程度上因自我报告的健康状况而异。
在这项纵向分析中，我们使用了来自威尔士 COVID-19 就业和健康研究的数据；这是一项针对 18-64 岁工人的全国代表性家庭调查。时间点 1（T1）数据收集于 2020 年 5 月 27 日至 6 月 22 日，时间点 2（T2）数据收集于 2020 年 11 月 30 日至 2021 年 1 月 29 日。仅在 T2 时报告了在 COVID-19 大流行期间考虑过的就业变化。我们使用多变量逻辑回归（包括社会人口统计学、当前就业因素和自我报告的健康状况），并首先检查了就业重点与健康之间的关联，其次是就业变化的考虑与健康之间的关联。健康指标是自我报告的一般健康状况、限制先前存在的健康状况（均使用威尔士全国调查验证的问题）和心理健康（使用缩短的华威爱丁堡心理健康量表）。
我们分析了 592 名受访者（382 名[65%]女性）的数据。由于没有提供 T2 回复，因此将 1358 名 T1 受访者中的 766 名（56%）排除在外。自我报告一般健康状况不佳的人比报告健康状况良好或以上的人更有可能优先考虑灵活的工作安排（T1 调整后的优势比[OR]2.06[95%CI 1.10-3.88]，p=0.033；T2 调整后的 OR 1.87[95%CI 1.05-3.33]，p=0.034）。与平均心理健康水平相比，心理健康水平较低（而非平均水平）的人更有可能考虑获得永久合同（OR 5.49[95%CI 1.32-22.81]，p=0.023），而有先前存在的限制健康状况的人更有可能考虑成为自雇人士（OR 4.00[95%CI 1.35-11.84]，p=0.011），而不是没有这些条件的人。
在威尔士，推行灵活工作政策并支持身体不好的人获得灵活就业，可能会使人们受益。心理健康水平较低的人可能会寻求永久就业的保障，而先前存在限制健康状况的人可能会重视自雇的自主权。
无。
