Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study.
Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study.
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DOI：
10.1093/ije/dyx150
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发表时间：
2018-02-01
影响因子：
7.7
通讯作者：
Zhang N
中科院分区：
文献类型：
--
作者：
Chandola T;Zhang N
几乎没有证据表明，在质量较差的工作中重新就业是否比继续失业更有利于健康和福祉。我们在一组具有人口代表性的英国失业成年人队列中，研究了工作转变与健康和慢性压力相关生物标记物的关系。在英国家庭纵向研究的第一波(2009/10)中失业的1116名年龄在35岁至75岁之间的合格参与者的预期队列，在第二波(2010/11)和第三波(2011/12)进行了等静负荷生物标记物和自我健康报告的跟踪调查。负二项和多元回归模型估计了工作逆境和这些结果之间的关联。与仍然失业的成年人相比，过渡到低质量工作的以前失业的成年人总体平衡负荷水平更高(0.51，0.32-0.71)，LOG HbA1c(0.06，<；0.001-0.12)，对数甘油三酯(0.39，0.22-0.56)，对数C反应蛋白(0.45，0.16-0.75)，对数纤维蛋白原(0.09，0.01-0.17)和总胆固醇与高密度脂蛋白的比值(1.38，0.88-1.88)。此外，与那些仍然失业的人相比，第一波中身体健康的受访者更有可能在一年后过渡到质量好的和质量差的工作。与仍然失业的同龄人相比，过渡到低质量工作的以前失业的成年人的生物标记物的不利水平更高。选择更健康的失业成年人从事这些质量差或压力大的工作，不太可能解释他们长期压力相关生物标志物水平上升的原因。工作质量不能忽视失业者的就业成功，并可能对他们的健康和福祉产生重要影响。
There is little evidence on whether becoming re-employed in poor quality work is better for health and well-being than remaining unemployed. We examined associations of job transition with health and chronic stress-related biomarkers among a population-representative cohort of unemployed British adults. A prospective cohort of 1116 eligible participants aged 35 to 75 years, who were unemployed at wave 1 (2009/10) of the UK Household Longitudinal Study, were followed up at waves 2 (2010/11) and 3 (2011/12) for allostatic load biomarkers and self-reported health. Negative binomial and multiple regression models estimated the association between job adversity and these outcomes. Compared with adults who remained unemployed, formerly unemployed adults who transitioned into poor quality jobs had higher levels of overall allostatic load (0.51, 0.32–0.71), log HbA1c (0.06, <0.001–0.12), log triglycerides (0.39, 0.22–0.56), log C-reactive protein (0.45, 0.16–0.75), log fibrinogen (0.09, 0.01–0.17) and total cholesterol to high-density lipoprotein (HDL) ratio (1.38, 0.88–1.88). Moreover, physically healthier respondents at wave 1 were more likely to transition into good quality and poor quality jobs after 1 year than those who remained unemployed. Formerly unemployed adults who transitioned into poor quality work had greater adverse levels of biomarkers compared with their peers who remained unemployed. The selection of healthier unemployed adults into these poor quality or stressful jobs was unlikely to explain their elevated levels of chronic stress-related biomarkers. Job quality cannot be disregarded from the employment success of the unemployed, and may have important implications for their health and well-being.
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影响因子：
8.3
作者：
Cui, JSS;Hopper, JL;Harrap, SB
通讯作者：
Harrap, SB
DOI：
10.1093/geronb/55.3.s131
发表时间：
2000-05-01
影响因子：
6.2
作者：
Gallo, WT;Bradley, EH;Kasl, SV
通讯作者：
Kasl, SV
DOI：
10.1348/096317999166518
发表时间：
1999-03-01
影响因子：
6.2
作者：
Murphy, GC;Athanasou, JA
通讯作者：
Athanasou, JA
影响因子：
2.4
作者：
Michaud, Pierre-Carl;Crimmins, Eileen M.;Hurd, Michael D.
通讯作者：
Hurd, Michael D.
DOI：
10.2307/2981986
发表时间：
1980-01-01
影响因子：
2
作者：
LANCASTER, T;NICKELL, S
通讯作者：
NICKELL, S