HEALTH-EFFECTS OF ANTICIPATION OF JOB CHANGE AND NONEMPLOYMENT - LONGITUDINAL DATA FROM THE WHITEHALL-II STUDY
HEALTH-EFFECTS OF ANTICIPATION OF JOB CHANGE AND NONEMPLOYMENT - LONGITUDINAL DATA FROM THE WHITEHALL-II STUDY
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DOI：
10.1136/bmj.311.7015.1264
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发表时间：
1995-11-11
影响因子：
--
通讯作者：
SMITH, GD
中科院分区：
文献类型：
--
作者：
FERRIE, JE;SHIPLEY, MJ;SMITH, GD
目的：探讨预期工作变动或失业对中年男性和女性白色领公务员自报健康状况的影响。设计：纵向队列研究（白厅II研究），在初始筛选时和四年后获得关于自我报告的健康状况和健康行为的问卷数据，在部门面临私有化的员工预期会转职或失业期间，提供服务。地点--666名成员的一个部门的威胁与早期私有化的成员进行了比较，与其他19个departments.Main结果measurements-自我报告的健康状况的措施和健康相关的行为，之前和期间的预期私有化。在私有化之前和预期私有化期间，面临私有化的队列成员的健康相关行为概况更为有利。有没有显着差异的队列成员之间的健康行为的变化进入一个时期的工作不安全和队列的其余部分。自我报告的健康状况，但是，往往恶化的员工预期私有化相比，其余的coherent. Conclusion纵向设计的应用，允许相同的个人被跟踪从工作保障到预期，提供了更有力的证据比以前已经提供的预期失业影响健康，甚至在就业状况已经改变。
Objective-To assess the effect of anticipating job change or non-employment on self reported health status in a group of middle aged male and female white collar civil servants.Design-Longitudinal cohort study (Whitehall II study), Questionnaire data on self reported health status and health behaviour were obtained at initial screening and four years later, during the period when employees of the department facing privatisation were anticipating job change or job loss.Setting-London based office staff in 20 civil service departments.Subject-666 members of one department threatened with early privatisation were compared with members of the 19 other departments.Main outcome measures-Self reported health status measures and health related behaviours, before and during anticipation of privatisation.Results-In comparison to the remainder of the cohort, the profile of health related behaviours of cohort members who faced privatisation was more favourable, both before and during anticipation of privatisation. There were no significant differences in the changes in health behaviours between cohort members moving into a period of job insecurity and the remainder of the cohort. Self reported health status, however, tended to deteriorate among employees anticipating privatisation when compared with that of the rest of the cohort.Conclusion-The application of a longitudinal design, allowing the same individuals to be followed from job security into anticipation, provides more robust evidence than has previously been available that anticipation of job loss affects health even before employment status has changed.