Temporary employment and risk of overall and cause-specific mortality
Temporary employment and risk of overall and cause-specific mortality
复制标题
DOI：
10.1093/aje/kwg185
复制
发表时间：
2003-10-01
影响因子：
5
通讯作者：
Ferrie, JE
中科院分区：
文献类型：
--
作者：
Kivimäki, M;Vahtera, J;Ferrie, JE
非正式雇员的人数正在增加，但这一群体的死亡率却很少受到关注。作者研究了临时就业与全因和特定原因死亡率之间的关系。芬兰10个城镇的纵向数据涉及26 592名男子和65 759名妇女，其中1 332人在1990年至2001年期间死亡。根据年龄、职业地位、工资和职称变化调整的考克斯比例风险模型显示，男性和女性临时雇员的总体死亡率是长期雇员的1.2-1.6倍。临时就业与酒精相关原因的死亡增加相关（男性风险比（HR）= 2.0，95%置信区间（CI）：1.4，2.9;女性风险比（HR）= 1.7，95% CI：1.1，2.5），男性与吸烟相关癌症相关（HR = 2.8，95% CI：1.3，6.0）。失业者面临的相应风险更大。从临时工作转为永久工作的死亡风险低于继续从事永久工作的死亡风险（HR = 0.7，95% CI：0.5，男女合计0.9）。这些研究结果表明，传统的研究做法，就业作为一个单一的群体可能会削弱就业状况和死亡率之间的关联。
The number of nonpermanent employees is rising, but mortality in this group has received little attention. The authors examined the associations between temporary employment and all-cause and cause-specific mortality. Longitudinal data from 10 towns in Finland related to 26,592 men and 65,759 women, of whom 1,332 died between 1990 and 2001. Cox proportional hazards models adjusted for age, occupational status, salary, and change in occupational title showed that overall mortality was 1.2-1.6 times higher among male and female temporary employees compared with permanent employees. Temporary employment was associated with increased deaths from alcohol-related causes (hazard ratio (HR) = 2.0, 95% confidence interval (Cl): 1.4, 2.9 for men; HR = 1.7, 95% Cl: 1.1, 2.5 for women) and, for men, smoking-related cancer (HR = 2.8, 95% Cl: 1.3, 6.0). Corresponding risks were greater for the unemployed. Moving from temporary to permanent employment was associated with a lower risk of death than remaining continuously in permanent employment (HR = 0.7, 95% Cl: 0.5, 0.9 for men and women combined). These findings suggest that the conventional research practice of treating the employed as a single group may attenuate the associations between employment status and mortality.