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Trajectories of pre...
Trajectories of precarious employment and the risk of myocardial infarction and stroke among middle-aged workers in Sweden : A register-based cohort study
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- Matilla-Santander, Nuria (author)
- Karolinska Institute,Karolinska Institutet
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- Muntaner, Carles (author)
- University of Toronto
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- Kreshpaj, Bertina (author)
- Karolinska Institute,Karolinska Institutet
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- Gunn, Virginia (author)
- Karolinska Institute,Saint Michael's Hospital
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- Jonsson, Johanna (author)
- Karolinska Institute,Karolinska Institutet
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- Kokkinen, Lauri (author)
- University of Tampere
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- Selander, Jenny (author)
- Karolinska Institute
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- Baron, Sherry L. (author)
- City University of New York
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- Orellana, Cecilia (author)
- Karolinska Institute,Karolinska Institutet
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- Östergren, Per Olof (author)
- Lund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups
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- Hemmingsson, Tomas, 1954- (author)
- Stockholm University,Karolinska Institute,Stockholms universitet,Institutionen för folkhälsovetenskap,Karolinska Institutet, Sweden
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- Wegman, David H. (author)
- University of Massachusetts Lowell
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- Bodin, Theo (author)
- Karolinska Institute,Karolinska Institutet
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- English.
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In: The Lancet Regional Health. - : Elsevier BV. - 2666-7762. ; 15
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Abstract
Subject headings
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- Background The aim is to identify trajectories of precarious employment (PE) over time in Sweden to examine associations of these with the subsequent risk of myocardial infarction (MI) and stroke.Methods This is a nation-wide register-based cohort study of 1,583,957 individuals aged 40 to 61 years old residing in Sweden between 2003-2007. Trajectories of PE as a multidimensional construct and single PE components (contractual employment relationship, temporariness, income levels, multiple job holding, probability of coverage by collective agreements) were identified for 2003-2007 by means of group-based model trajectories. Risk Ratios (RR) for MI and stroke according to PE trajectories were calculated by means of generalized linear models with binomial family.Findings Adjusted estimates showed that constant PE and borderline PE trajectories increased the risk of MI (RR: 1.08, CI95%:1.05-1.11 and RR:1.13, CI95%: 1.07-1.20 respectively) and stroke (RR:1.14, CI95%: 1.10-1.18 and HR:1.24, CI95%: 1.16-1.33 respectively) among men. A higher risk of stroke in men was found for the following unidimensional trajectories: former agency employees (RR:1.32, CI95%:1.04-1.68); moving from high to a low probability of having collective agreements (RR: 1.10, CI95%:1.01-1.20). Having constant low or very low income was associated to an increased risk of MI and Stroke for both men and women.Interpretation The study findings provide evidence that PE increases the risk of stroke and possibly MI. It highlights the importance of being covered by collective bargaining agreements, being directly employed and having sufficient income levels over time.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Group-based model trajectories
- Cardiovascular
- Collective bargaining agreements
- Income
- Temporary agency work
- Multiple job holding
- Unstable employment
- Cardiovascular
- Collective bargaining agreements
- Group-based model trajectories
- Income
- Multiple job holding
- Temporary agency work
- Unstable employment
Publication and Content Type
- ref (subject category)
- art (subject category)
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Matilla-Santande ...
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Muntaner, Carles
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Kreshpaj, Bertin ...
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Gunn, Virginia
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Jonsson, Johanna
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Kokkinen, Lauri
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Selander, Jenny
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Baron, Sherry L.
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Orellana, Cecili ...
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Östergren, Per O ...
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Hemmingsson, Tom ...
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Wegman, David H.
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Bodin, Theo
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and General Practice
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MEDICAL AND HEAL ...
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and Occupational Hea ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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The Lancet Regio ...
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Stockholm University
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Karolinska Institutet
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Lund University