ArticleScandinavian journal of work, environment & health2021
Low-quality employment trajectories and risk of common mental disorders, substance use disorders and suicide attempt: a longitudinal study of the Swedish workforce.
Article in Scandinavian journal of work, environment & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Employment and working conditions and risk of suicidal behaviors: a systematic review and meta-analysis of longitudinal studies.Scandinavian journal of work, environment & health · 2026Pooled it
- Insecure employment and the social determinants of suicide: a narrative synthesis review.Globalization and health · 2026Pooled it
- A Systematic Review of Evaluated Labor Market Initiatives Addressing Precarious Employment: Findings and Public Health Implications.International journal of social determinants of health and health services · 2025Pooled it
- Preventing depression in high-income countries-A systematic review of studies evaluating change in social determinants.PloS one · 2025Pooled it
- Initiatives Addressing Precarious Employment and Its Effects on Workers' Health and Well-Being: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- The association between parental involvement in developmental advance and mental health in Chinese preschoolers: a cross-sectional study.Frontiers in public health · 2026Article
- Employment quality and mortality in Canada.Journal of epidemiology and community health · 2025Article
- Workplace and non-workplace loneliness: a cross-sectional comparative study on risk factors and impacts on absenteeism and mental health among employees in Spain.Social psychiatry and psychiatric epidemiology · 2025Article
- Employment quality and suicide, drug poisoning, and alcohol-attributable mortality.American journal of epidemiology · 2025Article
- Is it the Past or the Present? Employment Quality, Unemployment History, Psychological Distress and Mental Wellbeing in the United Kingdom.International journal of social determinants of health and health services · 2025Article
- Parental employment quality and the mental health and school performance of children and youth.Journal of epidemiology and community health · 2025Article
- Parental precarious employment and the mental health of adolescents: a Swedish registry study.Scandinavian journal of work, environment & health · 2025Article
- Could Better-Quality Employment Improve Population Health? Findings From a Scoping Review of Multi-Dimensional Employment Quality Research and a Proposed Research Direction.American journal of industrial medicine · 2025Article
- Article
- Employment quality and mental health in China under the policy of expanding jobs and benefiting people's livelihood: gender differences between low-quality employment and work-family values.Frontiers in public health · 2025Article
- Risk factors for harmful alcohol consumption among employees and intervention strategies used in the workplace: current state of knowledge based on a literature review.Frontiers in public health · 2025Review
- A complex systems lens can help us understand drivers of emerging challenges in work and health.Scandinavian journal of work, environment & health · 2024Article
- Precarious work on the rise.BMC public health · 2024Article
- Associations between precarious employment trajectories and mental health among older workers in Germany: Vertical and horizontal inequalities.Scandinavian journal of work, environment & health · 2024Article
- Can psychosocial risk factors mediate the association between precarious employment and mental health problems in Sweden? Results from a register-based study.Scandinavian journal of work, environment & health · 2024Article
Corrections and comments
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Authors and funding
16 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHigh-quality longitudinal evidence exploring the mental health risk associated with low-quality employment trajectories is scarce. We therefore aimed to investigate the risk of being diagnosed with common mental disorders, substance use disorders, or suicide attempt according to low-quality employment trajectories.
methodsA longitudinal register-study based on the working population of Sweden (N=2 743 764). Employment trajectories (2005-2009) characterized by employment quality and pattern (constancy, fluctuation, mobility) were created. Hazard ratios (HR) were estimated using Cox proportional hazards regression models for first incidence (2010-2017) diagnosis of common mental disorders, substance use disorders and suicide attempt as dependent on employment trajectories.
resultsWe identified 21 employment trajectories, 10 of which were low quality (21%). With the exception of constant solo self-employment, there was an increased risk of common mental disorders (HR 1.07-1.62) and substance use disorders (HR 1.05-2.19) for all low-quality trajectories. Constant solo self-employment increased the risk for substance use disorders among women, while it reduced the risk of both disorders for men. Half of the low-quality trajectories were associated with a risk increase of suicide attempt (HR 1.08-1.76).
conclusionsLow-quality employment trajectories represent risk factors for mental disorders and suicide attempt in Sweden, and there might be differential effects according to sex - especially in terms of self-employment. Policies ensuring and maintaining high-quality employment characteristics over time are imperative. Similar prospective studies are needed, also in other contexts, which cover the effects of the Covid-19 pandemic as well as the mechanisms linking employment trajectories with mental health.
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