ArticleThe Lancet regional health. Europe2022
Trajectories of precarious employment and the risk of myocardial infarction and stroke among middle-aged workers in Sweden: A register-based cohort study.
Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- 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
- Life in the Driver's Seat: A Qualitative Analysis of Rideshare Drivers' Perspectives of Their Work and Well-Being Using Reddit Posts.American journal of industrial medicine · 2026Article
- Article
- Bidirectional associations between anxiety disorders and myocardial infarction: a retrospective longitudinal cohort study.BMC cardiovascular disorders · 2026Article
- Precarious employment and mental health: the moderating role of household income and family type in Sweden.BMC public health · 2026Article
- Association Between Precarious Employment and Cognitive Decline: A Longitudinal Study of Middle-Aged and Older Workers in Korea.Journal of general internal medicine · 2025Article
- The healthcare system in Sweden.European journal of epidemiology · 2025Review
- 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
- Parental precarious employment and the mental health of adolescents: a Swedish registry study.Scandinavian journal of work, environment & health · 2025Article
- Precarious work and chronic disease: lessons learned from the US national agricultural worker survey (1999-2020).Frontiers in public health · 2025Article
- Article
- In or out of reach? Long-term trends in the reach of health assessments in the Swedish occupational setting.Scandinavian journal of work, environment & health · 2024Article
- Inequality in Mortality and Cardiovascular Risk Among Young, Low-Income, Self-Employed Workers: Nationwide Retrospective Cohort Study.JMIR public health and surveillance · 2024Article
- Precarious employment and mental health in the United States: Results from the Medical Expenditure Panel Survey (MEPS), 2008-2021.Preventive medicine · 2024Article
- A complex systems lens can help us understand drivers of emerging challenges in work and health.Scandinavian journal of work, environment & health · 2024Article
- A life marked by early school leaving: gendered working life paths linked to health and well-being over 40 years.BMC public health · 2024Article
- Article
- 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
- Association between precarious employment and the onset of depressive symptoms in men and women: a 13-year longitudinal analysis in Korea (2009-2022).Epidemiology and psychiatric sciences · 2024Article
Corrections and comments
- Commented on by
Authors and funding
13 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsThis 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.
findingsAdjusted 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.
interpretationThe 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.
fundingThe Swedish Research Council for Health, Working Life and Welfare, no. 2019-01226.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.