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Precarious Employment Raises Risk of Premature Death

by Colleen Fleiss on September 3, 2023 at 5:26 AM
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Securing a permanent job contract can lead to a 20% reduction in the risk of premature death for individuals lacking job security, revealed study from Karolinska Institutet published in The Journal of Epidemiology and Community . According to the researchers, the results indicate that job security on the Swedish labor market needs to improve ().


Precarious employment is a term that is used to describe jobs with short contracts (e.g. temping), low wages and a lack of influence and rights, all of which lead to a working life without predictability and security.

‘Individuals who transitioned from unstable to stable employment exhibited a 20% lower mortality risk, irrespective of subsequent events, when compared to those who remained in unstable employment. For those who maintained stable employment for 12 years, the risk of death decreased by 30%. #jobsecurity #deathrisk ’

In the present study, the researchers have examined how this affects the risk of death.

Secure Employment Linked to Reduced Risk of Premature Death

"This is the first study to show that changing from precarious employment to secure employment can reduce the risk of death," says the paper's last author Theo Bodin, assistant professor at the Institute of Environmental Medicine, Karolinska Institutet. "It's the same as saying that the risk of early death is higher if one keeps working in jobs without a secure employment contract."

The researchers used registry data from over 250,000 workers in Sweden between the ages of 20 and 55 gathered over a period from 2005 to 2017. The study included people who worked under insecure working conditions and who then shifted to secure working conditions.

"Using this large population database allowed us to take account of many factors that could influence mortality, such as age, other diseases that workers can suffer from or life changes like divorce," explains Nuria Matilla-Santander, assistant professor at the same institute and the study's first author. "Because of the methods we used, we can be relatively certain that the difference in mortality is due to the precariousness of employment rather than individual factors."

She continues: "The results are important since they show that the elevated mortality rate observed in workers can be avoided. If we reduce precariousness in the labor market, we can avoid premature deaths in Sweden."

Dr. Matilla-Santander says that the next stage of the research is to examine the specific causes of mortality in this regard.

The study was mainly financed by the Swedish Research Council for Health, Working Life and Welfare (Forte). The researchers report no conflicts of interest.

Reference:
  1. Causal effect of shifting from precarious to standard employment on all-cause mortality in Sweden: an emulation of a target trial - (https:jech.bmj.com/content/early/2023/08/23/jech-2023-220734)
Source: Eurekalert

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