Employment in low-skilled jobs as trigger and consequence of poor health-a longitudinal perspective from Germany.

IF 3.7 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH European Journal of Public Health Pub Date : 2024-11-06 DOI:10.1093/eurpub/ckae157
Arthur Kaboth, Lena Hünefeld, Ralf Himmelreicher
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Abstract

Despite evidence of correlations between low-skilled jobs and poor health, the longitudinal perspective on this research topic has been neglected in Germany for decades. Therefore, we investigate (i) the causal relationship between accumulated employment in low- or medium-skilled jobs on self-rated health and (ii) the selective association of self-rated health on transitions from medium- to low-skilled jobs. About 26 313 dependent employees and persons aged 25-50 from 2010 to 2020 in the German Socio-Economic Panel were included. Linear fixed-effects models were used to analyse the impact of accumulated employment in low- or medium-skilled jobs on self-rated health. Linear probability models with fixed effects were calculated to identify the effect of self-rated health on transitions between low- and medium-skilled jobs. Accumulated employment in low-skilled jobs impacts self-rated health significantly. There is no confirmation for accumulated employment in medium-skilled jobs concerning health. Poor self-rated health increases the probability of transitioning from medium- to low-skilled jobs but does not impact the reverse transition. Poor self-rated health can push employees into low-skilled jobs. Against the background of extended working lives and preserving the labour force potential, there is a need for action and research concerning employees in low-skilled jobs.

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从事低技能工作是健康状况不佳的诱因和后果--来自德国的纵向视角。
尽管有证据表明低技能工作与健康状况不佳之间存在相关性,但几十年来,德国一直忽视从纵向角度对这一研究课题进行研究。因此,我们调查了(i)低技能或中技能工作的累积就业与自我健康评价之间的因果关系,以及(ii)自我健康评价与从中技能工作过渡到低技能工作之间的选择性关联。研究对象包括德国社会经济小组 2010 年至 2020 年期间约 26 313 名受抚养雇员和 25-50 岁的人。我们使用线性固定效应模型来分析在低技能或中技能工作中的累积就业对自我健康评价的影响。计算了带有固定效应的线性概率模型,以确定自我评定健康状况对低技能和中技能工作之间转换的影响。低技能工作的累积就业对自评健康状况有显著影响。中技能工作的累积就业对健康的影响没有得到证实。自评健康不佳会增加从中等技术工作向低技术工作过渡的概率,但不会影响反向过渡。自评健康状况不佳会促使员工从事低技能工作。在延长工作年限和保护劳动力潜力的背景下,有必要针对低技能工作岗位的雇员开展行动和研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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