School of Health & Psychological Sciences, City, University of London, London, UK.
Department of Psychology, Maynooth University, Co. Kildare, Ireland.
Prev Med. 2023 Aug;173:107574. doi: 10.1016/j.ypmed.2023.107574. Epub 2023 Jun 17.
Physical pain is a common health problem with great public health implications. Yet evidence on whether adverse employment circumstances shape physical pain is limited. Using longitudinal data from 20 waves (2001-2020) from the Household, Income and Labour Dynamics of Australia Survey (HILDA; N = 23,748), a lagged design, Ordinary Least Squares (OLS) regressions as well as multilevel mixed effect linear regressions, we investigated the association between past accumulated unemployment and recent employment circumstances with physical pain. We found that adults who spent more years unemployed and looking for work subsequently reported greater physical pain (b = 0.034, 95% CI = 0.023, 0.044) and pain interference (b = 0.031, 95% CI = 0.022, 0.038) than those who spent fewer years unemployed. We also found that those experiencing overemployment (working full-time while wanting to work fewer hours) and underemployment (working part-time while wanting to work more hours) reported greater subsequent physical pain (overemployment: b = 0.024, 95% CI = 0.009, 0.039; underemployment: b = 0.036, 95% CI = 0.014, 0.057) and pain interference (overemployment: b = 0.017, 95% CI = 0.005, 0.028; underemployment: b = 0.026, 95% CI = 0.009, 0.043) than those content with their working hours. These results held after controlling for socio-demographic characteristics, occupation, and other health-related factors. These findings are consistent with recent work that suggested that psychological distress can influence physical pain. Understanding how adverse employment circumstances impact physical pain is crucial to the design of health promotion policies.
身体疼痛是一个常见的健康问题，具有重大的公共卫生意义。然而，关于不利的就业情况是否会影响身体疼痛的证据有限。本研究使用澳大利亚家庭、收入和劳动力动态调查（HILDA）的 20 个波次（2001-2020 年）的纵向数据、滞后设计、普通最小二乘法（OLS）回归以及多层次混合效应线性回归，调查了过去积累的失业和近期就业情况与身体疼痛之间的关系。我们发现，与失业和求职时间较短的成年人相比，失业和求职时间较长的成年人报告的身体疼痛（b=0.034，95%CI=0.023，0.044）和疼痛干扰（b=0.031，95%CI=0.022，0.038）更大。我们还发现，过度就业（全职工作而希望工作时间更短）和就业不足（兼职工作而希望工作时间更长）的人报告随后的身体疼痛（过度就业：b=0.024，95%CI=0.009，0.039；就业不足：b=0.036，95%CI=0.014，0.057）和疼痛干扰（过度就业：b=0.017，95%CI=0.005，0.028；就业不足：b=0.026，95%CI=0.009，0.043）大于那些对工作时间满意的人。在控制了社会人口特征、职业和其他与健康相关的因素后，这些结果仍然成立。这些发现与最近的研究结果一致，即心理困扰会影响身体疼痛。了解不利的就业情况如何影响身体疼痛对于制定健康促进政策至关重要。
