Mortality gradient across the labour market core-periphery structure: a 13-year mortality follow-up study in north-eastern France

Int Arch Occup Environ Health. 2014;87(7):725-33. doi: 10.1007/s00420-013-0915-4. Epub 2013 Oct 18.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Alcoholism / epidemiology
  • Cause of Death*
  • Employment / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • France
  • Health Behavior
  • Health Status
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Mortality*
  • Occupations / statistics & numerical data*
  • Risk Factors
  • Smoking / epidemiology
  • Time Factors