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作 者:Mo Wang Pia Svedberg Jurgita Narusyte Annina Ropponen
机构地区:[1]Department of Clinical Neuroscience,Division of Insurance Medicine,Karolinska Institutet,Stockholm,Sweden [2]Finnish Institute of Occupational Health,Helsinki,Finland
出 处:《Family Medicine and Community Health》2024年第2期12-22,共11页家庭医学与社区卫生(英文)
基 金:Vetenskapsradet(2017-00624,2017-00641,2021-00154);Forskningsradet om Hälsa,Arbetsliv och Välfärd(2019-01284).
摘 要:Objective Currently,little is known regarding changes in family situation with concurrent changes in working life.This study aimed to examine whether changes in family situation(based on living with children and/or marrying/divorcing)were associated with changes in working life and whether the associations were influenced by sex,genetics and early life environment.Design Prospective cohort study.Setting and participants Data from Swedish national registers of 16410 twins were used.Fixed-effects logistic regression models assessing ORs with 95%CIs were applied to examine associations between changes in family situation and working life controlling for time-invariant effects and adjusted for covariates,and conditional models to account for confounding of genetics and early life environment.Results Changes in individuals life situation from being single and living without children to married and living with children were associated with transitioning from unsustainable(ie,having unemployment or sickness absence/disability pension)to sustainable working life(men:OR 2.40,95%CI 2.26 to 2.56;women:OR 1.68,95%CI 1.59 to 1.78).Changes from being married to single,in contrast,attenuated the likelihood of transitioning to a sustainable working life.Moreover,changes in men’s working life seem to be more dependent on changes in family situation compared with women.Genetic factors and early life environment play a role in the associations.Conclusions Family formation increases the likelihood of a more stable working life whereas divorce is a risk factor for work interruptions.Our study emphasises that family formation improves the work life situation and to a higher degree for men.
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