文章基本信息

标题：An uncertain future: the health effects of threats to employment security in white-collar men and women.
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作者：J E Ferrie ; M J Shipley ; M G Marmot 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：1998
卷号：88
期号：7
页码：1030-1036
出版社：American Public Health Association
摘要：OBJECTIVES: This study examined changes in the health status of civil servants whose employment security was threatened. METHODS: Data were derived from a longitudinal cohort of 10,308 men and women, office staff in 20 British civil service departments. Physiological measurements, self-reported morbidity, and health-related behaviors for 530 members of the department under threat were compared with those of 19 other departments, during the period of uncertainty and during stable employment 5 years earlier. RESULTS: From a position of advantage or no difference at baseline, self-reported morbidity and physiological risk factors tended to increase among respondents from the threatened department compared with those from other departments. For both sexes, increases were significant for body mass index (P < .001) and sleeping 9 or more hours (odds ratio [OR] = 1.88; 95% confidence interval [CI] = 1.3, 2.8; P < .01); modest but significant increases were seen in ischemia (OR = 1.45; 95% CI = 1.0, 2.1) and cholesterol concentration (0.08 mmol/L; 95% CI = 0.01, 0.14). Among women only, a significant relative increase in blood pressure (P < .01) was recorded. Over the same period health-related behaviors changed little. CONCLUSIONS: Threats to employment security have adverse consequences for health status that are unexplained by health selection or health-related behaviors.