Selection from fixed term to permanent employment: prospective study on health, job satisfaction, and behavioural risks
Open Access
- 1 September 2002
- journal article
- research article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 56 (9), 693-699
- https://doi.org/10.1136/jech.56.9.693
Abstract
Study objective: To examine health, job satisfaction, and behavioural risks as antecedents of selection from fixed term to permanent employment. Design: Prospective cohort study of change in employment contract during a two year period. Self reported health, recorded sickness absence, job satisfaction, behavioural risks, demographics, and occupational characteristics were assessed at baseline. Setting: Hospital staff in two Finnish hospital districts. Participants: A cohort of 526 hospital employees (54 men, 472 women) aged 20 to 58 years with a fixed term job contract at baseline. Main results: During the follow up period, 137 became permanently employed. Men, employees in higher positions, full time workers, and those with five to eight years in the employ of the hospital were more likely to become permanently employed. After adjusting for these factors, obtaining a permanent job contract was predicted by self rated good health (odds ratio (OR) 3.90; 95% confidence intervals (CI) 1.34 to 11.36), non-caseness of psychological distress (OR 1.80; 95% CI 1.01 to 3.20), high job satisfaction (OR 1.86; CI 1.17 to 2.94), and non-sedentary life style (OR 2.64; CI 1.29 to 5.41), compared with the rest of the cohort. Conclusions: Investigation of fixed term employees yields new information about selective mechanisms in employment mobility. Good health seems to promote the chances for a fixed term employee to reach a better labour market status. These results correspond to earlier research on selective mechanisms in other forms of employment mobility and provide a partial explanation for the socioeconomic gradient of health.Keywords
This publication has 33 references indexed in Scilit:
- Temp-to-permanent employees: A longitudinal study of stress and selection success.Journal of Occupational Health Psychology, 2000
- Behavioural and biological correlates of physical functioning in middle aged office workers: the UK whitehall II studyJournal of Epidemiology and Community Health, 1998
- Effect of organisational downsizing on health of employeesThe Lancet, 1997
- Validation of the Arabic versions of the Thirty- and Twelve-Item General Health Questionnaires in Primary Care PatientsThe British Journal of Psychiatry, 1996
- Health status: does it predict choice in further education?Journal of Epidemiology and Community Health, 1995
- Unemployment and ill health: understanding the relationship.Journal of Epidemiology and Community Health, 1994
- The Relationship between Health and Labor Market StatusAnnual Review of Public Health, 1993
- Health and re-employment in a two year follow up of long term unemployed.Journal of Epidemiology and Community Health, 1993
- Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study.American Journal of Public Health, 1990
- Negative health selection into physically light occupations.Journal of Epidemiology and Community Health, 1988