Employment status and the prevalence of poor self-rated health. Findings from UK individual-level repeated cross-sectional data from 1978 to 2004

Popham, F. , Gray, L. and Bambra, C. (2012) Employment status and the prevalence of poor self-rated health. Findings from UK individual-level repeated cross-sectional data from 1978 to 2004. BMJ Open, 2(6), e001342-e001342. (doi: 10.1136/bmjopen-2012-001342)

Full text not currently available from Enlighten.

Publisher's URL: http://dx.doi.org/10.1136/bmjopen-2012-001342

Abstract

<b>Objectives</b> To assess, using individual level data, how the proportion of people in different employment statuses may have played a role in the prevalence of poor self-rated health from 1978 to 2004 as there have been major changes in employment patterns in advanced market democracies and employment is an important correlate of health.<p></p> <b>Design</b> Individual-level analysis of repeated cross-sectional surveys.<p></p> <b>Setting</b> UK.<p></p> <b>Participants</b> 125 125 men and 139 535 women of working age (25–59).<p></p> <b>Outcome measure</b> Self-rated general health.<p></p> <b>Results</b> Compared to 1978 there was evidence of higher levels of poor health in the subsequent years. For example, in 2004, the prevalence of poor health was 2.8 (95% CI 1.7 to 3.9) and 1.3 (0.1 to 2.5) percentage points higher than 1978 for men and women, respectively, after adjusting for age. After additional adjustment for socio-economic characteristics, annual differences compared to 1978 increased (5.4 (4.2 to 6.5) and 4.4 (3.2 to 5.6) for men and women in 2004). Further adjustment for employment status, however, attenuated the annual differences in poor health (0.7 (−0.3 to 1.7) for men and 1.5 (0.3 to 2.6) for women in 2004).<p></p> <b>Conclusions</b> These results suggest that the proportion of people in different employment statuses, particularly the proportion in sickness- or disability-related economic inactivity, could play an important role in the prevalence of poor self-rated health in the UK. Whether decreasing economic inactivity would enhance population health is an open question that needs further investigation.<p></p> <b>Trial registration</b> This observational study was not registered.<p></p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Popham, Dr Frank and Gray, Dr Linsay
Authors: Popham, F., Gray, L., and Bambra, C.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
ISSN (Online):2044-6055
Related URLs:

University Staff: Request a correction | Enlighten Editors: Update this record