Abstract:
BACKGROUND:Modifications in working conditions can accommodate changing needs of chronically ill persons. The self-employed may have more possibilities than employees to modify their working conditions. We investigate how working conditions change following diagnosis of chronic disease for employed and self-employed older persons. METHODS:We used waves 2-7 from the English Longitudinal Study of Ageing (ELSA). We included 1389 participants aged 50-60 years who reported no chronic disease at baseline. Using fixed-effects linear regression analysis, we investigated how autonomy, physical and psychosocial job demands and working hours changed following diagnosis of chronic disease. RESULTS:For employees, on diagnosis of chronic disease autonomy marginally decreased (-0.10, 95% CI -0.20 to 0.00) and physical job demands significantly increased (0.13, 95% CI 0.01 to 0.25), whereas for the self-employed autonomy did not significantly change and physical job demands decreased on diagnosis of chronic disease (-0.36, 95% CI -0.64 to -0.07), compared with prediagnosis levels. Psychosocial job demands did not change on diagnosis of chronic disease for employees or the self-employed. Working hours did not change for employees, but dropped for self-employed (although non-significantly) by about 2.8 hours on diagnosis of chronic disease (-2.78, 95% CI -6.03 to 0.48). CONCLUSION:Improvements in working conditions after diagnosis of chronic disease were restricted to the self-employed. This could suggest that workplace adjustments are necessary after diagnosis of chronic disease, but that the self-employed are more likely to realise these. Policy seeking to extend working life should consider work(place) adjustments for chronically ill workers as a means to prevent early exit from work.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Fleischmann M,Carr E,Xue B,Zaninotto P,Stansfeld SA,Stafford M,Head Jdoi
10.1136/jech-2017-210328subject
Has Abstractpub_date
2018-10-01 00:00:00pages
951-957issue
10eissn
0143-005Xissn
1470-2738pii
jech-2017-210328journal_volume
72pub_type
杂志文章abstract:OBJECTIVE:To assess the relative importance of perceived health and health related lifestyle in adolescence in the production of educational differences. DESIGN:A longitudinal study: survey data from 1981 and 1985 linked with Educational Registry data from 1993. SETTING:The whole of Finland. PARTICIPANTS:A represent...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.12.794
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:Many youth deaths occur in the first year of life, from prematurity and anomalies. Detailing mortality after age 1 year may differentially guide preventive strategies in children, adolescents and young adults. METHODS:A cohort study in Ontario, Canada comprised 3 139 698 children born from 1990 to 2016. Adj...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213365
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Organisational justice has been proposed as a new way to examine the impact of psychosocial work environment on employee health. This article studied the justice of interpersonal treatment by supervisors (the relational component of organisational justice) as a predictor of health. DESIGN:Prospective cohort ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.019026
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Innovative strategies beyond the health system are required to reduce the prevalence of smoking. Early child development interventions are examples of interventions that can help set children on positive social and educational trajectories, which in turn may also reduce the prevalence of smoking. The aim of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.101840
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Antiretroviral therapy (ART) initiation is now recommended irrespective of CD4 count. However data on the relationship between CD4 count at ART initiation and loss to follow-up (LTFU) are limited and conflicting. METHODS:We conducted a cohort analysis including all adults initiating ART (2008-2012) at three...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech-2015-206629
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:Previous studies have implicated air pollution in increased mortality and morbidity, especially in the elderly population and children. More recently, associations with mortality in infants and with some reproductive outcomes have also been reported. The aim of this study is to explore the association betwee...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.58.1.11
更新日期:2004-01-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to identify any social class differences in health and care in the year before death emerging from a wider study of life before death. DESIGN AND SETTING:Data were collected at interviews, mainly of close relatives, with those who knew most about the people's lives in the year before they d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.1.54
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND:Few studies have examined the causal relationship between transport mode and body mass index (BMI). METHODS:We examined between-person differences and within-person changes in BMI by transport mode over four time points between 2007 and 2013. Data were from the How Areas in Brisbane Influence HealTh and AcT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209957
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:It is commonly believed that nature has positive impacts on children's health, including physical, mental and social dimensions. This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers. METHODS:Ten academic databases were used t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210436
更新日期:2018-10-01 00:00:00
abstract:STUDY OBJECTIVE:To estimate the incidence of occupational asthma seen by respiratory and occupational physicians in the UK in 1989 and 1990. DESIGN:New cases of occupational asthma were taken from a national reporting scheme, the Surveillance of Work-related and Occupational Respiratory Disease Project (SWORD). Estima...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.6.459
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:To assess the effect of the Demerit Point System (DPS), introduced in Spain on 1 July 2006, on the number of fatalities due to road traffic accidents, using a methodology that controls for the seasonal variation and trend in the data series. METHODS:Time-series analysis by ARIMA models of 29 113 fatalities ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.082461
更新日期:2010-03-01 00:00:00
abstract:STUDY OBJECTIVE:To explore the relationship between self reported environmental tobacco smoke exposure (or passive smoking), the serum cotinine concentration, and evidence of respiratory or coronary disease in men and women who have never smoked. DESIGN:Cross sectional random population survey identifying disease mark...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.2.139
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:Immigrants are at a higher risk of poor mental and physical health. Regular participation in physical activity (PA) and low levels of sedentary time are beneficial for both these aspects of health. The aim was to investigate levels and trends in domain-specific PA and sedentary behaviour in the US. immigrant...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-213754
更新日期:2020-08-01 00:00:00
abstract::Socioeconomic differentials in the uptake of medical care in men were investigated using data from the General Household Survey (1974-76 and 1979-80). Hospitalisation, attendance at out patient clinics, and consultation with doctors were higher in local authority tenants than in owner occupiers. Men belonging to the m...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.3.196
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND AND AIMS:Many economic factors are associated with diet, yet the evidence is generally cross-sectional. Older people are considered especially vulnerable to poor diets from negative changes to varied economic factors. This review extends current knowledge on known correlates to decipher actual economic deter...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2013-202513
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:This study examines the politics of appropriating Question 1 tobacco tax revenues in the first budget year after Massachusetts voters passed the ballot initiative in 1992. The initiative increased the tobacco tax on cigarettes by 25 cents per pack and on smokeless tobacco by 25% of the wholesale price. METHO...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.7.522
更新日期:2002-07-01 00:00:00
abstract::In a randomised controlled trial intensive individual anti-smoking advice given in parallel with hospital antenatal care did not influence the outcome of pregnancy. The belief that retardation of fetal growth caused by maternal smoking occurs in late pregnancy is not well based, and the advice may not have been given ...
journal_title:Journal of epidemiology and community health
pub_type: 传,古典文章,历史文章,杂志文章
doi:10.1136/jech.50.3.232
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:The aims of this study are to generalise the concept of gap length between partners and to estimate the duration of four types of measures for heterosexual partnerships, called status lengths: (1) time spent as single before becoming monogamous (S-M, positive gap), (2) duration of concurrency before monogamy...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.085936
更新日期:2010-08-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the representativeness of survey participants by systematically comparing volunteers in a national health and sexuality survey with the Australian population in terms of self reported health status (including the SF-36) and a wide range of demographic characteristics. DESIGN:A cross sectional...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.10.748
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Disparities in health among blacks and Hispanics compared to whites individuals exist for a number of health measures; however, the health profile of individuals who are both black and Hispanic is not well known. We sought to determine whether race and ethnicity have synchronous or independent effects on hea...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.103879
更新日期:2012-07-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the differences in health behaviours in disparate marital status groups and to estimate the extent to which these can explain differences in health associated with marital status. DESIGN:Baseline data of a prospective cohort study were used. Directly age standardised percentages of each mar...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.5.482
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:Urban green spaces have been linked to different health benefits, but longitudinal studies on the effect of green spaces on mental health are sparse and evidence often inconclusive. Our objective was to study the effect of changes in green spaces in the residential environment on changes in mental health usi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212704
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:We investigated the current temporal trends of suicide in Zhejiang, China, from 2006 to 2016 to determine possible health disparities in order to establish priorities for intervention. METHODS:We collected mortality surveillance data from 2006 to 2016 from the Zhejiang Chronic Disease Surveillance Informati...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211556
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Children are particularly vulnerable to the effects of extreme temperatures. OBJECTIVE:To examine the relationship between extreme temperatures and paediatric emergency department admissions (EDAs) in Brisbane, Australia, during 2003-2009. METHODS:A quasi-Poisson generalised linear model combined with a di...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202725
更新日期:2014-04-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate age, period, and cohort effects on functional status. DESIGN:A prospective cohort study with measurements in 1981, 1990, and 1996. SETTING:Three municipalities in north east Finland. PARTICIPANTS:A regionally representative sample of 19 to 63 year old men and women was drawn from the c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.12.905
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:To measure the geographical variation in prevalence of cardiovascular disease, risk factors, and their control in a nationally representative sample of older British women. METHODS:Baseline survey using general practitioner record review, a self completed questionnaire, research nurse interview, and physica...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.2.134
更新日期:2003-02-01 00:00:00
abstract::In a study of selenium status in 391 apparently healthy subjects resident in the south of England statistical examination of the data showed a significant effect with regard to age, smoking, alcohol, and oral contraceptives. The most important of these factors seems to be a combination of alcohol and smoking habits in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.3.213
更新日期:1983-09-01 00:00:00
abstract:BACKGROUND:Several studies have examined the effects of sample selection on the exposure-outcome association estimates in cohort studies, but the reasons why this selection may induce bias have not been fully explored. AIMS:To investigate how sample selection of the web-based NINFEA birth cohort may change the confoun...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200065
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:An association between socioeconomic status (SES) and the incidence of type 2 diabetes mellitus (T2DM) has been found for younger and middle-aged individuals, but studies of this relationship in elderly populations are rare. METHODS:In a population-based cohort in southern Germany (KORA S4/F4: 1223 subjects...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.094086
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:Investigate the impact of social, economic, and family circumstances on participation in weekly leisure time exercise. DESIGN:Longitudinal regression analysis of the British household panel survey. PARTICIPANTS:9473 people (4521 men and 4952 women) giving 27,881 person years of responses across eight years...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.041194
更新日期:2006-03-01 00:00:00