Tampere University, Tampere, Finland.
Umeå University, Umeå, Sweden.
BMC Public Health. 2024 Jan 16;24(1):191. doi: 10.1186/s12889-023-17611-6.
This study, conducted on a Swedish population cohort, explores how internalized (depressive and functional somatic) and externalized (smoking, drinking, truancy, vandalism, delinquency) mental health symptoms, as well as close interpersonal relations (family climate and school connectedness) reported during adolescence, influence the work-life course up to late midlife.
We examined repeated measurements of labour market status from age 16 to 56 using sequence analyses. We identified five different labour market attachment (LMA16-56) trajectories, namely 'strong,' 'early intermediate,' 'early weak,' 'late weak,' and 'constantly weak.' Multinomial logistic regressions were employed to relate each of the nine determinants to the identified trajectories.
When compared to the risk of 'strong' LMA16-56, adversity in all conditions, except for vandalism, entailed a higher risk of the 'constantly weak' trajectory. Moreover, all conditions, except for functional somatic symptoms, entailed a higher risk of the 'late weak' LMA16-56. The risk of the 'early intermediate' LMA16-56 was non-significant across all the conditions.
This study contributes to existing knowledge through its novel exploration of labour market attachment and the revelation of the significance of proximal interpersonal relationships in attachment outcomes. Additionally, the study reaffirms the importance of externalizing behaviour, while suggesting that internalized symptoms in adolescence might have a less influential, though not negligible, role. These results underscore the importance of addressing acting out behaviour and nurturing human relationships during compulsory basic education, when the entire age group is still within reach. This approach aims not only to reduce frictions in the school-to-work transition but also to prevent midlife labour market attachment problems that may arise with delayed intervention.
本研究基于瑞典人群队列,探讨了青少年时期内化(抑郁和功能性躯体)和外化(吸烟、饮酒、逃学、破坏公物、犯罪)心理健康症状以及密切的人际关系(家庭氛围和学校联系)如何影响中年后期的工作生活轨迹。
我们使用序列分析,检查了从 16 岁到 56 岁的劳动力市场地位的重复测量。我们确定了五种不同的劳动力市场联系(LMA16-56)轨迹,即“强”、“早期中间”、“早期弱”、“晚期弱”和“持续弱”。采用多项逻辑回归,将九个决定因素中的每一个与确定的轨迹联系起来。
与“强”LMA16-56 的风险相比,除破坏公物外,所有条件下的逆境都增加了“持续弱”轨迹的风险。此外,除功能性躯体症状外,所有条件都增加了“晚期弱”LMA16-56 的风险。除功能躯体症状外,所有条件都增加了“晚期弱”LMA16-56 的风险。所有条件下的“早期中间”LMA16-56 的风险均无统计学意义。
本研究通过新颖的劳动力市场联系探索和揭示近端人际关系在联系结果中的重要性,为现有知识做出了贡献。此外,该研究还重申了外化行为的重要性,同时表明青春期的内化症状可能具有较小的但并非可以忽略的影响。这些结果强调了在义务教育阶段解决行为问题和培养人际关系的重要性,因为整个年龄组都在教育范围之内。这种方法不仅旨在减少学校到工作过渡的摩擦,而且还旨在防止因干预延迟而可能出现的中年劳动力市场联系问题。