Job loss from poor health, smoking and obesity: a national prospective survey in France.
Job loss from poor health, smoking and obesity: a national prospective survey in France.
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DOI：
10.1136/jech.2007.060772
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发表时间：
2008-04
影响因子：
6.3
通讯作者：
Serme C
中科院分区：
文献类型：
--
作者：
Jusot F;Khlat M;Rochereau T;Serme C
对失业的健康选择可能是直接的，也可能是参照与健康有关的行为而不是健康本身进行的（间接选择）。面板数据是理想的调查选择效果，这两种类型的选择过程可能是并发的。我们共同研究的作用，健康和健康相关的行为作为失业的前兆，以解开直接从间接的选择过程。根据1992年至1995年、1996年至1998年和2000年至2002年的三轮数据收集，对法国多轮全国代表性健康调查的数据进行了纵向分析。在私营部门领取工资的员工和30-54岁的基线，我们通过logistic回归探索非最佳自测健康，吸烟和肥胖对4年后被发现失业的风险的影响。在对自我评估的健康状况进行调整后，发现肥胖是女性失业的重要前兆，而大量吸烟对男性也有影响。在对吸烟和肥胖进行调整后，发现基线健康状况不佳是男女失业的重要前兆。这些调查结果证实了健康状况不佳和与健康有关的行为作为失业前兆的内在作用，后者具有针对性别的模式。关于保护雇员免受工作不安全之害的公共政策规定应纳入对健康限制的适当照顾，并应调查造成不利工作和健康行为的个人因素，以阻止间接选择现象。
Health selection into unemployment may be either direct or operate by reference to health-related behaviours rather than health per se (indirect selection). Panel data are desirable to investigate selection effects, and the two types of selection processes may be concurrent. We examine jointly the roles of health and health-related behaviours as precursors of unemployment, in order to disentangle direct from indirect selection processes. The data of a multi-round nationally representative health survey in France were analysed longitudinally, based on three data collection rounds: 1992–5, 1996–8 and 2000–2. Following employees salaried in the private sector and aged 30–54 years at baseline, we explored through logistic regression the influence of non-optimal self-rated health, smoking and obesity on the risk of being found unemployed 4 years later. After adjustment for self-rated health, obesity was found to be a significant precursor of unemployment in women, and heavy smoking had that role in men. After adjustment for smoking and obesity, poor health at baseline was found to be a significant precursor of unemployment in both genders. Those findings confirm the intrinsic role of poor health and of health-related behaviours as precursors of unemployment, with gender-specific patterns for the latter. Public policy prescriptions regarding employees’ protection from job insecurities should integrate appropriate accommodations of health limitations, and the personal factors underlying unfavourable work and health behaviours should be investigated, in order to thwart indirect selection phenomena.
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影响因子：
--
作者：
Leino-Arjas, P;Liira, J;Matikainen, E
通讯作者：
Matikainen, E
影响因子：
3.2
作者：
Cavelaars, A E;Kunst, A E;Mackenbach, J P
通讯作者：
Mackenbach, J P
影响因子：
4.4
作者：
Gutierrez-Fisac, J. L.;Regidor, E.;Rodriguez, C.
通讯作者：
Rodriguez, C.
影响因子：
5
作者：
Idler, EL;Benyamini, Y
通讯作者：
Benyamini, Y
影响因子：
5.4
作者：
Hammarström, A;Janlert, U
通讯作者：
Janlert, U