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Employment trajectories and mental health-related disability in Belgium
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Warhurst, Christopher, Balogh, Rebeka, Vanroloen, Christophe, Sarkar, Sudipa, Gadeyne, Sylvie, Jonsson, Johanna and Van Aerden, Karen (2022) Employment trajectories and mental health-related disability in Belgium. International Archives of Occupational and Environmental Health . doi:10.1007/s00420-022-01923-y ISSN 0340-0131. [ 🗎 Public]. [ (✓) hoa:511 ] (In Press)
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Official URL: https://doi.org/10.1007/s00420-022-01923-y
Abstract
Objectives
An individual’s quality of employment over time has been highlighted as a potential determinant of mental health. With mental ill-health greatly contributing to work incapacities and disabilities in Belgium, the present study aims to explore whether mental health, as indicated by registered mental health-related disability, is structured along the lines of employment quality, whereby employment quality is assessed over time as part of individuals’ labour market trajectories.
Methods
Using administrative data from the Belgian Crossroads Bank for Social Security over 16 quarters between 2006 and 2009, transitions between waged jobs of varying quality (based on dimensions of income, working time, employment stability and multiple jobholding), self-employment, and unemployment are considered among individuals in the labour force aged 30–40 at baseline (n = 41,065 women and 45,667 men). With Multichannel Sequence Analysis and clustering, we constructed ideal types of employment trajectories. Fitting Cox regressions, we then evaluated individuals’ hazard of experiencing a disability from a mental disorder between 2010 and 2016.
Results
Our analysis highlights various gender-specific trajectories. Among both genders, individuals exposed to near-constant unemployment over the initial 4 years showed the highest hazard of subsequent mental health-related disability compared to a group characterised by stable full-time employment, single jobholding, and above-median income. Trajectories involving a higher probability of subsidised and non-standard employment and (potential) spells of unemployment and lower relative income were also strong predictors of cause-specific disabilities. Health selection and confounding might, however, be contributing factors.
Conclusions
Our study shows a gradient of mental disorders resulting in a disability along trajectory types. Our findings highlight the predictive power of labour market trajectories and their employment quality for subsequent mental disorder-related disability. Future research should examine the mechanisms, including selection effects in this association.
| Item Type: | Journal Article | |||||||||
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| Subjects: | H Social Sciences > H Social Sciences (General) H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Social Sciences > Institute for Employment Research | |||||||||
| Library of Congress Subject Headings (LCSH): | Mental health , Mentally ill -- Employment -- Belgium, People with mental disabilities -- Employment -- Belgium | |||||||||
| Journal or Publication Title: | International Archives of Occupational and Environmental Health | |||||||||
| Publisher: | Springer Nature | |||||||||
| ISSN: | 0340-0131 | |||||||||
| Official Date: | 2022 | |||||||||
| Dates: |
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| DOI: | 10.1007/s00420-022-01923-y | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | In Press | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 27 September 2022 | |||||||||
| Date of first compliant Open Access: | 14 October 2022 | |||||||||
| RIOXX Funder/Project Grant: |
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