Citation

Khlat M, Legleye S, Falissard B, Chau N. Int. Arch. Occup. Environ. Health 2013; 87(7): 725-733.

Affiliation

Institut National d'Etudes Démographiques, 133 Boulevard Davout, 75980, Paris Cedex 20, France, khlat@ined.fr.

Copyright

(Copyright © 2013, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00420-013-0915-4

PMID

24136670

Abstract

PURPOSE: This study explores mortality related to temporary employment, about which very little is known to date. METHODS: In 1996, a health survey was carried out in the French region of Lorraine, and all members of 8,000 randomly chosen households were followed up for mortality over a 13-year period. Mortality of subjects in relation to their employment situation at baseline was analysed using a Cox survival regression. RESULTS: In comparison with permanent workers, for unemployed men, we found age and occupation-adjusted hazard ratios (HR) of 4.1 for all-causes of death and 3.9 for non-violent causes, and for male temporary workers a HR of 2.2 for both all-causes and non-violent causes of death. Bad health, tobacco smoking and alcohol misuse explained 17 % of the excess risk for the unemployed and 41 % of that for temporary workers. CONCLUSION: The observation of large mortality inequalities across the labour market core-periphery structure has important policy implications, particularly in terms of prevention focused on unhealthy behaviours among male unemployed and temporary workers.

Language: en