Labour market attachment among parents and self-rated health of their offspring:an intergenerational study

Background Unemployment influences the individual’s health, whether this effect passes through generations is less studied. The aim of this intergenerational study was to investigate whether parents’ labour market attachment (LMA) were associated with self-rated health (SRH) among adolescents using preceding labour market events. Methods The study was performed using questionnaire data from the Danish Future Occupation of Children and Adolescents cohort (the FOCA cohort) of 13 100 adolescents (mean age 15.8 years) and their accompanying parents identified through registers. Adolescents’ SRH was measured using one item from SF-36. Information on parents’ LMA was obtained from a national register, analyzed on a weekly basis in a 5-year period before the adolescents completed the questionnaire. An integration indicator was calculated from an initial sequence analysis to determine how well the parents were integrated in the labour market. The association between the adolescents’ SRH and parents’ LMA was examined by logistic regression and an extended sequence analysis stratified on adolescents’ SRH. Results Totally, 29.1% of the adolescents reported moderate SRH. The adjusted odds ratios (OR) of moderate SRH was higher among adolescents of parents with low labour market integration (OR: 1.5 95% CI: 1.3–1.6 for fathers and OR: 1.4 95% CI: 1.2–1.5 for mothers). Also, adolescents with moderate SRH had parents who were less integrated in the labour market and had more weeks on non-employment benefits compared with the adolescents, who reported high SRH. Conclusions Unstable LMA among parents affected SRH among their adolescent children, indicating a negative effect of labour market marginalization across generations.publishedVersio

"Når det dirrer i rommet" - sammenhenger mellom arbeidsmiljø og kvalitet i barnehagetjenesten

Problemstillingen som belyses er: hvilken betydning har arbeidsmiljø for kvaliteten av barnehagetjenesten? Studien er designet som en case-studie i ti barnehager med bruk av kvalitative intervjuer, der både ledere, ansatte og foreldre er intervjuet, til sammen 79 informanter. Som analytisk grep anvender vi en systemteoretisk modell. Hovedfunnet er at arbeidsmiljø og kvalitet er to sider av samme sak nemlig organisering, planlegging og gjennomføring. Barnehager er åpne systemer som organiserer, planlegger og gjennomfører arbeidet basert på de forventinger og krav som samfunnet og ulike aktører i samfunnet setter, gjennom lov og regulering, nasjonale og regionale føringer. Denne åpenheten virker inn både på strukturer og prosesser, og interne sammenhenger og dynamikker i barnehagene. Dette foregår innenfor rammen av lokale tilpasninger, inklusive barn og foreldre som aktører i dette. Arbeidsmiljø og kvalitet blir derfor dynamiske størrelser som samvirker/påvirker hverandre gjennom samspill og tilbakeføringssløyfer. Med dette perspektivet blir organisering noe mer enn en praktisk aktivitet, men omhandler utforming av den enkelte tjeneste med basis i organisatorisk utvikling og læring.publishedVersio

Labour market trajectories following sickness absence due to self-reported all cause morbidity—a longitudinal study

Abstract Background To investigate differences in return to work (RTW) and employment trajectories in individuals on sick leave for either mental health reasons or other health related reasons. Methods This study was based on 2036 new sickness absence cases who completed a questionnaire on social characteristics, expectations for RTW and reasons for sickness absence. They were divided into two exposure groups according to their self-reported sickness absence reason: mental health reasons or other health reasons. The outcome was employment status during the following 51 weeks and was measured both as time-to-event analysis and with sequence analysis. Results Individuals with mental health reasons for sickness absence had a higher risk of not having returned to work (RR 0.87 (0.80;0.93)). Adjusting for gender, age, education and employment did not change the estimate, however, after adding RTW expectations to the model, the excess risk was no longer present (RR 1.01 (0.95;1.08)). In relation to the sequence analysis, individuals with mental health related absence had significantly higher odds of being in the sickness absence cluster and significantly lower odds for being in the fast RTW cluster, but when adjusting for RTW expectations, the odds were somewhat attenuated and no longer significant. Conclusions Employees on sick leave due to self-reported mental health problems spent more weeks in sickness absence and temporary benefits and had a higher risk of not having returned to work within a year compared to employees on sick leave due to other health reasons. The difference could be explained by their lower RTW expectations at baseline. This emphasises the need to develop suitable and specific interventions to facilitate RTW for this group of sickness absentees

Systematic review of interventions targeting sickness absence among pregnant women in healthcare settings and workplaces

Objectives: The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective. The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women. Methods: Studies were eligible if they included pregnant women participating in any intervention in healthcare settings or workplaces. The outcome was length of sickness absence in days or number of episodes. Study design had to be either randomised controlled trials (RCTs) or quasi-experimental studies. The search for studies was conducted in PubMed, Scopus, CINAHL, PsycINFO, ClinicalTrials.gov and WHO trial registry. Risk of bias was assessed by the Joanna Briggs Institute standardised quality assessment instrument. Results: A total of nine studies were quality assessed and of these, four were excluded due to insufficient methodological quality. Five RCTs conducted in healthcare settings in Sweden and Norway were included. Due to heterogeneity, meta-analysis was not performed. Two RCTs examined complementary and alternative medicine and three RCTs the effect of physical exercise. In general, the frequency of women on sickness absence was lower in the intervention groups than the control groups, however, only among pregnant women who participated in a 12-week exercise programme, the frequency was significantly lower (22% vs 30%, p=0.04). Conclusion: The evidence of interventions targeting sickness absence among pregnant women in healthcare settings is sparse, and no studies were conducted at workplaces. Future interventions including physical activity provided in collaboration with healthcare settings and workplaces are requested. Studies should measure sickness absence based on valid methods, measure compliance to the intervention and provide transparency of statistical methods