Employment History Indicators and Mortality in a Nested Case-Control Study from the Spanish WORKing Life Social Security (WORKss) Cohort

Details

• Personal Author:
  Benavides FG ; Delclos GL ; López Gómez MA ; Serra L
• Description:
  Employment has transitioned from stable to more flexible schemes. Little is known about the effects of dynamic working lives and mortality. We examined the association of employment, unemployment and inactivity on mortality among workers born in 1926-1988, in a nested case-control study of workers from the Spanish WORKss cohort. Cases were all deaths that occurred during 2004-2013 and controls were living persons, matched for sex and age at the time the case occurred. We had information on employment from 1981 to 2013. Logistic regression was used to measure the associations between the 3 employment history indicators separately by sex. There were 53,989 cases and an equal number of controls (n = 107,978). More than 16 years employed showed a protective effect against mortality in women (OR = 0.88, 95%CI: 0.81, 0.94) and men (OR = 0.76, 95%CI: 0.70, 0.79). The number of spells and time in unemployment and inactivity were significantly related to mortality in men, but not women. Sensitivity analyses by labor relationship showed stronger associations of unemployment (OR = 1.42, 95%CI: 1.13, 1.78) and inactivity (OR = 1.34; 95%CI: 1.09, 1.65) for temporary workers. Employment gaps are detrimental to health and have worse effects if the gaps occur without unemployment benefits or after temporary contracts. These results may drive improvement of labor and social policies that protect workers against the potential negative effects of dynamic work lives. [Description provided by NIOSH]
• Subjects:
  Age Factors Cohort Studies Epidemiology Hazardous Substances Men Mortality Occupational Health Race Factors Safety Sex Characteristics Women

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• Keywords:
  Activity Levels Age Factors Cohort Studies Employees Health Hazards Labor Relations Mortality Data Mortality Rates Mortality Studies Nested Case Control Studies Part-time Workers Policy Racial Factors Regression Analysis Sex Factors Temporary Workers Unemployment Workers Work Experience Work Intervals

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• ISSN:
  1932-6203
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  12
• Issue:
  6
• NIOSHTIC Number:
  nn:20052737
• Citation:
  PLoS One 2017 Jun; 12(6):e0178486
• Contact Point Address:
  María Andrée López Gómez, Center for Research in Occupational Health (CiSAL), Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
• Email:
  mariaandree.lg@gmail.com
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  PLoS One
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2f84f43f61166e511eb3d4b6a09706984cb87bcb57a2e71031470eef0ac84ee5b77cdb77aaeef77c0c745976418af692e028d5c4568ca0e0cb194c7f92dc5860
• Download URL:
  https://stacks.cdc.gov/view/cdc/212215/cdc_212215_DS1.pdf
• File Type:
  [PDF - 1.58 MB ]