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Childhood adversity and risk of later labor market marginalization in young employees in Sweden

BACKGROUND: The present study examined the independent and combined effects of childhood adversity (CA) and occupational class on the risk of future labor market marginalization (LMM) in young employees in Sweden. Occupational class (non-manual/manual workers) was also explored as a potential mediat...

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Autores principales: Björkenstam, Emma, Helgesson, Magnus, Mittendorfer-Rutz, Ellenor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066470/
https://www.ncbi.nlm.nih.gov/pubmed/36825449
http://dx.doi.org/10.1093/eurpub/ckad019
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author Björkenstam, Emma
Helgesson, Magnus
Mittendorfer-Rutz, Ellenor
author_facet Björkenstam, Emma
Helgesson, Magnus
Mittendorfer-Rutz, Ellenor
author_sort Björkenstam, Emma
collection PubMed
description BACKGROUND: The present study examined the independent and combined effects of childhood adversity (CA) and occupational class on the risk of future labor market marginalization (LMM) in young employees in Sweden. Occupational class (non-manual/manual workers) was also explored as a potential mediator. METHODS: This population-based longitudinal cohort study included 556 793 employees, 19–29 years, residing in Sweden in 2009. CAs included parental death, parental mental and somatic disorders, parental separation, household public assistance, single-parent household and residential instability. Measures of LMM included long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension. Estimates of risk of each LMM measure, between 2010 and 2016 were calculated as hazard ratios (HRs) with 95% confidence intervals (CIs), using a Cox regression analysis. RESULTS: Those exposed to CA had an elevated risk for all measures of LMM. Manual workers with a history of household public assistance had the highest risk estimates compared to non-manual workers with no CAs [adjusted HR spanning from 1.59 (LTSA) to 2.50 (LTU)]. Regardless of occupational class, the risk of LMM grew higher with increasing number of CAs (e.g. adjusted HR of LMM in manual workers with 3+ CAs: 1.87, 95% CI: 1.81–1.94). These patterns persisted after adjustments for a range of confounders, including psychiatric and somatic morbidity. Last, we found a small but significant mediating effect of occupational class in the association between CA and LMM. CONCLUSIONS: Information on CAs are important determinants of LMM in young adults, and especially in manual workers.
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spelling pubmed-100664702023-04-02 Childhood adversity and risk of later labor market marginalization in young employees in Sweden Björkenstam, Emma Helgesson, Magnus Mittendorfer-Rutz, Ellenor Eur J Public Health Work and Health BACKGROUND: The present study examined the independent and combined effects of childhood adversity (CA) and occupational class on the risk of future labor market marginalization (LMM) in young employees in Sweden. Occupational class (non-manual/manual workers) was also explored as a potential mediator. METHODS: This population-based longitudinal cohort study included 556 793 employees, 19–29 years, residing in Sweden in 2009. CAs included parental death, parental mental and somatic disorders, parental separation, household public assistance, single-parent household and residential instability. Measures of LMM included long-term unemployment (LTU), long-term sickness absence (LTSA) and disability pension. Estimates of risk of each LMM measure, between 2010 and 2016 were calculated as hazard ratios (HRs) with 95% confidence intervals (CIs), using a Cox regression analysis. RESULTS: Those exposed to CA had an elevated risk for all measures of LMM. Manual workers with a history of household public assistance had the highest risk estimates compared to non-manual workers with no CAs [adjusted HR spanning from 1.59 (LTSA) to 2.50 (LTU)]. Regardless of occupational class, the risk of LMM grew higher with increasing number of CAs (e.g. adjusted HR of LMM in manual workers with 3+ CAs: 1.87, 95% CI: 1.81–1.94). These patterns persisted after adjustments for a range of confounders, including psychiatric and somatic morbidity. Last, we found a small but significant mediating effect of occupational class in the association between CA and LMM. CONCLUSIONS: Information on CAs are important determinants of LMM in young adults, and especially in manual workers. Oxford University Press 2023-02-24 /pmc/articles/PMC10066470/ /pubmed/36825449 http://dx.doi.org/10.1093/eurpub/ckad019 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Work and Health
Björkenstam, Emma
Helgesson, Magnus
Mittendorfer-Rutz, Ellenor
Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title_full Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title_fullStr Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title_full_unstemmed Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title_short Childhood adversity and risk of later labor market marginalization in young employees in Sweden
title_sort childhood adversity and risk of later labor market marginalization in young employees in sweden
topic Work and Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066470/
https://www.ncbi.nlm.nih.gov/pubmed/36825449
http://dx.doi.org/10.1093/eurpub/ckad019
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