2023-09-28 14:46:10 +00:00
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abstract: 'ObjectivesTo estimate the strength of association between having an
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inflexible job and health-related quality of life and healthcare
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utilisation; and to explore heterogeneity in the effects by gender, age
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and area-level deprivation.DesignRetrospective cross-sectional
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study.SettingSeven waves of the English General Practice Patient Survey
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between 2012 and 2017.Participants1 232 884 people aged 16-64 years and
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in full-time employment. We measured job inflexibility by inability to
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take time away from work during usual working hours to seek medical
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care.Primary and secondary outcome measuresHealth-related quality of
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life (EQ-5D-5L); number of months since the respondent last saw a
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general practitioner (GP) or nurse; use of out-of-hours general practice
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in the past 6 months. We used regression analyses to estimate the
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strength of association between outcomes and having an inflexible job,
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adjusting for person and area-level characteristics.ResultsOne-third of
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respondents reported job inflexibility. The probability of job
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inflexibility was higher at younger ages and in more deprived areas. Job
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inflexibility was associated with lower EQ-5D-5L utility scores of 0.017
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(95\% CI 0.016 to 0.018) for women and 0.016 (95\% CI 0.015 to 0.017)
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for men. Women were more affected than men in the mental health domain.
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The reduction in health-related quality of life associated with having
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an inflexible job was greater for employees who were older or lived in
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more deprived areas. Having an inflexible job was associated with a
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longer time since the last visit to their GP of 0.234 (95\% CI 0.201 to
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0.268) months for women and 0.199 (95\% CI 0.152 to 0.183) months for
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men.ConclusionsInequalities in the prevalence of inflexible jobs
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contribute to inequalities in health. One mechanism may be through
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reduced access to healthcare. Policymakers and employers should ensure
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that all employees have sufficient job flexibility to protect their
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health.'
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affiliation: 'Moss, C (Corresponding Author), Univ Manchester, Ctr Primary Care \&
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Hlth Serv Res, Sch Hlth Sci, Hlth Org Policy \& Econ HOPE, Manchester, England.
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Moss, Charlie; Munford, Luke Aaron; Sutton, Matt, Univ Manchester, Ctr Primary Care
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\& Hlth Serv Res, Sch Hlth Sci, Hlth Org Policy \& Econ HOPE, Manchester, England.
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Sutton, Matt, Univ Melbourne, Melbourne Inst Appl Econ \& Social Res, Melbourne,
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Vic, Australia.'
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article-number: e062942
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author: Moss, Charlie and Munford, Luke Aaron and Sutton, Matt
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author-email: charlie.moss@manchester.ac.uk
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author_list:
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- family: Moss
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given: Charlie
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- family: Munford
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given: Luke Aaron
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- family: Sutton
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given: Matt
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2022-062942
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords: 'public health; occupational \& industrial medicine; primary care; social
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medicine'
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keywords-plus: 'WORKPLACE INTERVENTION; WORKTIME CONTROL; WORKING HOURS; TIME CONTROL;
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RECOVERY; FATIGUE'
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language: English
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month: DEC
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number: '12'
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number-of-cited-references: '32'
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orcid-numbers: 'Moss, Charlie/0000-0002-4694-378X
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Munford, Luke/0000-0003-4540-6744
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Sutton, Matt/0000-0002-6635-2127'
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papis_id: b05e1cf32ecd75ec2dbd6832bb643d55
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ref: Moss2022associationsinflexib
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times-cited: '2'
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title: 'Associations between inflexible job conditions, health and healthcare utilisation
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in England: retrospective cross-sectional study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000896654600015
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '12'
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web-of-science-categories: Medicine, General \& Internal
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year: '2022'
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