ArticleInternational journal of epidemiology2019
Adverse employment histories and health functioning: the CONSTANCES study.
Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 40 citations in OpenAlex.
- Employment trajectories and biological aging: Racial and ethnic disparities in work instability and epigenetic age acceleration.SSM - population health · 2026Article
- Effort-reward imbalance at work and health: Review and critical appraisal of three decades of research.Scandinavian journal of work, environment & health · 2026Review
- Non-linear relationships between lifetime unemployment exposure, major health outcomes and all-cause mortality: a retrospective and prospective study in a large population-based French cohort.BMC public health · 2025Article
- The predictive power of employment trajectories on cognition of older adults: Evidence from Chile.Social science & medicine (1982) · 2025Article
- Factors associated with increased work participation in aged and mildly impaired persons.Work (Reading, Mass.) · 2025Observational
- Employment trajectories and mental health-related disability in Belgium.International archives of occupational and environmental health · 2023Article
- Article
- Early retirement intentions: the impact of employment biographies, work stress and health among a baby-boomer generation.European journal of ageing · 2022Article
- Adverse employment histories and allostatic load: associations over the working life.Journal of epidemiology and community health · 2022Article
- Adverse employment histories, work stress and self-reported depression in the French CONSTANCES study.European journal of public health · 2021Article
- Working Hard and Pushing Through: A Thematic Analysis of Humanitarian Migrants' Experiences in the Australian Workforce.International journal of environmental research and public health · 2021Article
- The role of pension contributions in explaining inequalities in depressive symptoms. Results from SHARE.Scandinavian journal of public health · 2021Article
- Adverse Employment Histories, Later Health Functioning and National Labor Market Policies: European Findings Based on Life-History Data From SHARE and ELSA.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Lifetime employment, tobacco use, and alcohol consumption trajectories and cardiovascular diseases in old age.SSM - population health · 2021Article
- Defining 'Integration' for Total Worker Health®: A New Proposal.Annals of work exposures and health · 2020Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith changing employment histories in European labour markets, occupational health research needs to be supplemented by an approach that integrates adverse characteristics of entire employment histories, in terms of precarious, discontinued and disadvantaged employment careers. We analyse associations of adverse employment histories and six measures of health functioning, including affective, physical and cognitive functioning.
methodsWe use baseline data from the CONSTANCES study with detailed retrospective data on previous employment histories that are linked to current health functioning among people aged 45-60 years (men = 15 134; women = 16 584). The following career characteristics are assessed (all referring to careers between ages 25 and 45 years): number of jobs with temporary contracts, number of job changes, number of unemployment periods, years out of work, mode occupational position and lack of job promotion. The measures of health functioning range from depressive symptoms, standing balance, walking speed, lung function, to verbal memory and semantic fluency.
resultsFor both men and women, multilevel regressions (participant nested in health-examination centre) revealed that adverse employment histories are associated with poor health functioning later on, in particular persistent disadvantage in terms of low occupational position, repeated periods of unemployment and weak labour-market ties (years out of work). Findings remain consistent after excluding respondents who had a health-related career interruption or already retired before age 45 years and, additionally, after adjusting for age, partnership and education.
conclusionFindings call for increased intervention efforts among more disadvantaged groups of the labour market at early-career stages.
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