TY  - JOUR
PY  - 2021//
TI  - Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce
JO  - Scandinavian journal of work, environment and health
A1  - Jonsson, Johanna
A1  - Muntaner, Carles
A1  - Bodin, Theo
A1  - Alderling, Magnus
A1  - Rebeka, Rebeka
A1  - Burstrom, Bo
A1  - Davis, Letitia
A1  - Gunn, Virginia
A1  - Hemmingsson, Tomas
A1  - Julià, Mireia
A1  - Kjellberg, Katarina
A1  - Kreshpaj, Bertina
A1  - Orellana, Cecilia
A1  - Padrosa, Eva
A1  - Wegman, David H.
A1  - Matilla-Santander, Nuria
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE High-quality longitudinal evidence exploring the mental health risk associated with low-quality employment trajectories is scarce. We therefore aimed to investigate the risk of being diagnosed with common mental disorders, substance use disorders, or suicide attempt according to low-quality employment trajectories. <br><br>METHODS A longitudinal register-study based on the working population of Sweden (N=2 743 764). Employment trajectories (2005-2009) characterized by employment quality and pattern (constancy, fluctuation, mobility) were created. Hazard ratios (HR) were estimated using Cox proportional hazards regression models for first incidence (2010-2017) diagnosis of common mental disorders, substance use disorders and suicide attempt as dependent on employment trajectories. <br><br>RESULTS We identified 21 employment trajectories, 10 of which were low quality (21%). With the exception of constant solo self-employment, there was an increased risk of common mental disorders (HR 1.07-1.62) and substance use disorders (HR 1.05-2.19) for all low-quality trajectories. Constant solo self-employment increased the risk for substance use disorders among women, while it reduced the risk of both disorders for men. Half of the low-quality trajectories were associated with a risk increase of suicide attempt (HR 1.08-1.76). <br><br>CONCLUSIONS Low-quality employment trajectories represent risk factors for mental disorders and suicide attempt in Sweden, and there might be differential effects according to sex - especially in terms of self-employment. Policies ensuring and maintaining high-quality employment characteristics over time are imperative. Similar prospective studies are needed, also in other contexts, which cover the effects of the Covid-19 pandemic as well as the mechanisms linking employment trajectories with mental health.<p />  <p>Language: en</p>
LA  - en
SN  - 0355-3140
UR  - http://dx.doi.org/10.5271/sjweh.3978
ID  - ref1
ER  -