Resumé

Background: Although unemployment and high levels of perceived stress have been associated in cross-sectional studies, the direction of causation is unknown. We prospectively examined if high levels of perceived everyday life stress increased the risk of subsequent unemployment and further if differences existed between socioeconomic status-groups. Methods: We included 9335 18-64-year-old employed respondents of a health survey (North Denmark Health Profile 2010) in which Cohen's Perceived Stress Scale was used to assess the level of perceived stress. Data were linked individually to national administrative registers. Cox proportional hazards model was used to investigate the association between perceived stress quintiles and risk of unemployment during 98 weeks of follow-up. Analyses were further performed in subgroups defined by education and income. Results: In total, 224 people (10.4%) of the high stress group became unemployed during follow-up, which was higher than the lower stress groups. After adjusting for gender, age, education and income, the risk of unemployment was 1.64 (95% CI: 1.28;2.11) in the high stress group compared to the low stress group. After adjusting for gender and age, a similar trend was observed across different education levels and among the lower income groups, but no higher risk of unemployment due to perceived stress was found among the higher income groups. However, there was no statistically significant interaction between perceived stress and income level (p = 0.841) or perceived stress and education level (p = 0.587). Conclusion: Perceived everyday life stress nearly doubled the risk of subsequent unemployment in a working population. No statistically significant interactions between SES and perceived stress were found. This indicates that stress prevention among the working population should not solely focus on stress in the workplace but also include stress from everyday life.

OriginalsprogEngelsk
Artikelnummer728
TidsskriftBMC Public Health
Vol/bind18
Udgave nummer1
Sider (fra-til)728
Antal sider11
ISSN1471-2458
DOI
StatusUdgivet - 13 jun. 2018

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Unemployment
Cohort Studies
Psychological Stress
Education
Denmark
Health Surveys
Proportional Hazards Models
Social Class
Workplace
Causality
Population
Cross-Sectional Studies
Health

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title = "Perceived stress as a risk factor of unemployment: A register-based cohort study",
abstract = "Background: Although unemployment and high levels of perceived stress have been associated in cross-sectional studies, the direction of causation is unknown. We prospectively examined if high levels of perceived everyday life stress increased the risk of subsequent unemployment and further if differences existed between socioeconomic status-groups. Methods: We included 9335 18-64-year-old employed respondents of a health survey (North Denmark Health Profile 2010) in which Cohen's Perceived Stress Scale was used to assess the level of perceived stress. Data were linked individually to national administrative registers. Cox proportional hazards model was used to investigate the association between perceived stress quintiles and risk of unemployment during 98 weeks of follow-up. Analyses were further performed in subgroups defined by education and income. Results: In total, 224 people (10.4{\%}) of the high stress group became unemployed during follow-up, which was higher than the lower stress groups. After adjusting for gender, age, education and income, the risk of unemployment was 1.64 (95{\%} CI: 1.28;2.11) in the high stress group compared to the low stress group. After adjusting for gender and age, a similar trend was observed across different education levels and among the lower income groups, but no higher risk of unemployment due to perceived stress was found among the higher income groups. However, there was no statistically significant interaction between perceived stress and income level (p = 0.841) or perceived stress and education level (p = 0.587). Conclusion: Perceived everyday life stress nearly doubled the risk of subsequent unemployment in a working population. No statistically significant interactions between SES and perceived stress were found. This indicates that stress prevention among the working population should not solely focus on stress in the workplace but also include stress from everyday life.",
keywords = "Cohen's perceived stress scale, Perceived stress, Psychological stress, Socioeconomic status, Unemployment",
author = "M{\ae}hlisen, {Maiken Holm} and Pasgaard, {Alexander Arndt} and Mortensen, {Rikke N{\o}rmark} and Henrik Vardinghus-Nielsen and Christian Torp-Pedersen and Henrik B{\o}ggild",
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doi = "10.1186/s12889-018-5618-z",
language = "English",
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journal = "B M C Public Health",
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Perceived stress as a risk factor of unemployment : A register-based cohort study. / Mæhlisen, Maiken Holm; Pasgaard, Alexander Arndt; Mortensen, Rikke Nørmark; Vardinghus-Nielsen, Henrik; Torp-Pedersen, Christian; Bøggild, Henrik.

I: BMC Public Health, Bind 18, Nr. 1, 728, 13.06.2018, s. 728.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Perceived stress as a risk factor of unemployment

T2 - A register-based cohort study

AU - Mæhlisen, Maiken Holm

AU - Pasgaard, Alexander Arndt

AU - Mortensen, Rikke Nørmark

AU - Vardinghus-Nielsen, Henrik

AU - Torp-Pedersen, Christian

AU - Bøggild, Henrik

PY - 2018/6/13

Y1 - 2018/6/13

N2 - Background: Although unemployment and high levels of perceived stress have been associated in cross-sectional studies, the direction of causation is unknown. We prospectively examined if high levels of perceived everyday life stress increased the risk of subsequent unemployment and further if differences existed between socioeconomic status-groups. Methods: We included 9335 18-64-year-old employed respondents of a health survey (North Denmark Health Profile 2010) in which Cohen's Perceived Stress Scale was used to assess the level of perceived stress. Data were linked individually to national administrative registers. Cox proportional hazards model was used to investigate the association between perceived stress quintiles and risk of unemployment during 98 weeks of follow-up. Analyses were further performed in subgroups defined by education and income. Results: In total, 224 people (10.4%) of the high stress group became unemployed during follow-up, which was higher than the lower stress groups. After adjusting for gender, age, education and income, the risk of unemployment was 1.64 (95% CI: 1.28;2.11) in the high stress group compared to the low stress group. After adjusting for gender and age, a similar trend was observed across different education levels and among the lower income groups, but no higher risk of unemployment due to perceived stress was found among the higher income groups. However, there was no statistically significant interaction between perceived stress and income level (p = 0.841) or perceived stress and education level (p = 0.587). Conclusion: Perceived everyday life stress nearly doubled the risk of subsequent unemployment in a working population. No statistically significant interactions between SES and perceived stress were found. This indicates that stress prevention among the working population should not solely focus on stress in the workplace but also include stress from everyday life.

AB - Background: Although unemployment and high levels of perceived stress have been associated in cross-sectional studies, the direction of causation is unknown. We prospectively examined if high levels of perceived everyday life stress increased the risk of subsequent unemployment and further if differences existed between socioeconomic status-groups. Methods: We included 9335 18-64-year-old employed respondents of a health survey (North Denmark Health Profile 2010) in which Cohen's Perceived Stress Scale was used to assess the level of perceived stress. Data were linked individually to national administrative registers. Cox proportional hazards model was used to investigate the association between perceived stress quintiles and risk of unemployment during 98 weeks of follow-up. Analyses were further performed in subgroups defined by education and income. Results: In total, 224 people (10.4%) of the high stress group became unemployed during follow-up, which was higher than the lower stress groups. After adjusting for gender, age, education and income, the risk of unemployment was 1.64 (95% CI: 1.28;2.11) in the high stress group compared to the low stress group. After adjusting for gender and age, a similar trend was observed across different education levels and among the lower income groups, but no higher risk of unemployment due to perceived stress was found among the higher income groups. However, there was no statistically significant interaction between perceived stress and income level (p = 0.841) or perceived stress and education level (p = 0.587). Conclusion: Perceived everyday life stress nearly doubled the risk of subsequent unemployment in a working population. No statistically significant interactions between SES and perceived stress were found. This indicates that stress prevention among the working population should not solely focus on stress in the workplace but also include stress from everyday life.

KW - Cohen's perceived stress scale

KW - Perceived stress

KW - Psychological stress

KW - Socioeconomic status

KW - Unemployment

U2 - 10.1186/s12889-018-5618-z

DO - 10.1186/s12889-018-5618-z

M3 - Journal article

VL - 18

SP - 728

JO - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

IS - 1

M1 - 728

ER -