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