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Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study

BACKGROUND: 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...

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Autores principales: Chandola, Tarani, Zhang, Nan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837779/
https://www.ncbi.nlm.nih.gov/pubmed/29024973
http://dx.doi.org/10.1093/ije/dyx150
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author Chandola, Tarani
Zhang, Nan
author_facet Chandola, Tarani
Zhang, Nan
author_sort Chandola, Tarani
collection PubMed
description BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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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spelling pubmed-58377792018-03-09 Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study Chandola, Tarani Zhang, Nan Int J Epidemiol Social Determinants BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. Oxford University Press 2018-02 2017-08-10 /pmc/articles/PMC5837779/ /pubmed/29024973 http://dx.doi.org/10.1093/ije/dyx150 Text en © The Author 2017. Published by Oxford University Press on behalf of the International Epidemiological Association http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Social Determinants
Chandola, Tarani
Zhang, Nan
Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title_full Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title_fullStr Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title_full_unstemmed Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title_short Re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the UK Household Longitudinal Study
title_sort re-employment, job quality, health and allostatic load biomarkers: prospective evidence from the uk household longitudinal study
topic Social Determinants
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837779/
https://www.ncbi.nlm.nih.gov/pubmed/29024973
http://dx.doi.org/10.1093/ije/dyx150
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