Self-reported job insecurity and health in the Whitehall II study: potential explanations of the relationship.

This paper examines the potential of demographic, personal, material and behavioural characteristics, other psychosocial features of the work environment and job satisfaction to explain associations between self-reported job insecurity and health in a longitudinal study of British white-collar civil servants. Strong associations were found between self-reported job insecurity and both poor self-rated health and minor psychiatric morbidity. After adjustment for age, employment grade and health during a prior phase of secure employment, pessimism, heightened vigilance, primary deprivation, financial security, social support and job satisfaction explained 68% of the association between job insecurity and self-rated health in women, and 36% in men. With the addition of job control, these factors explained 60% of the association between job insecurity and minor psychiatric morbidity, and just over 80% of the association with depression in both sexes.

[1]  R L Leeflang,et al.  Health effects of unemployment--I. Long-term unemployed men in a rural and an urban setting. , 1992, Social science & medicine.

[2]  D. Goldberg.  The detection of psychiatric illness by questionnaire : a technique for the identification and assessment of non-psychotic psychiatric illness , 1972 .

[3]  Cary L. Cooper,et al.  The organization in crisis : downsizing, restructuring, and privatization , 2000 .

[4]  J. Wardle,et al.  Social inequalities in depressive symptoms and physical functioning in the Whitehall II study: exploring a common cause explanation , 2003, Journal of epidemiology and community health.

[5]  C. Whelan.  The Role of Income, Life-Style Deprivation and Financial Strain in Mediating the Impact of Unemploy , 1991 .

[6]  J. Tivendell,et al.  Job Insecurity in a Sample of Canadian Civil Servants as a Function of Personality and Perceived Job Characteristics , 2000, Psychological reports.

[7]  K. Deneve,et al.  Happy as an Extraverted Clam? , 1999 .

[8]  M. Marmot,et al.  Employment status and health after privatisation in white collar civil servants: prospective cohort study , 2001, BMJ : British Medical Journal.

[9]  M G Marmot,et al.  The health effects of major organisational change and job insecurity. , 1998, Social science & medicine.

[10]  Sidney Dekker,et al.  The effects of job insecurity on psychological health and withdrawal: A longitudinal study , 1995 .

[11]  Gower Street,et al.  Health inequalities among British civil servants: the Whitehall II study , 1991, The Lancet.

[12]  J. Ferrie.  Is job insecurity harmful to health? , 2001, Journal of the Royal Society of Medicine.

[13]  Tom Cox,et al.  Downsizing, changes in work, and self-rated health of employees: A 7-year 3-wave panel study , 2001 .

[14]  E. Kelloway,et al.  Job insecurity and health : The moderating role of workplace control , 1996 .

[15]  K. Rook,et al.  Job and non‐job stressors and their moderators , 1987 .

[16]  Ethel Roskies,et al.  Coping with job insecurity: How does personality make a difference? , 1993 .

[17]  S A Stansfeld,et al.  Job control, personal characteristics, and heart disease. , 1998, Journal of occupational health psychology.

[18]  M G Marmot,et al.  Health effects of anticipation of job change and non-employment: longitudinal data from the Whitehall II study , 1995, BMJ.

[19]  U. Kinnunen,et al.  Job insecurity in Finland: Antecedents and consequences , 1994 .

[20]  M. Marmot,et al.  Explaining social class differences in depression and well-being , 1997, Social Psychiatry and Psychiatric Epidemiology.

[21]  J. Salonen,et al.  Hopelessness and Risk of Mortality and Incidence of Myocardial Infarction and Cancer , 1996, Psychosomatic medicine.

[22]  M. Kivimäki,et al.  Factors underlying the effect of organisational downsizing on the health of employees: a longitudinal cohort study of changes in work, social relationships and health behaviours , 2000 .

[23]  G. Mohr.  The changing significance of different stressors after the announcement of bankruptcy: A longitudinal investigation with special emphasis on job insecurity. , 2000 .

[24]  Robert Karasek,et al.  Job decision latitude and mental strain: Implications for job redesign , 1979 .

[25]  Hans De Witte,et al.  Job Insecurity and Psychological Well-being: Review of the Literature and Exploration of Some Unresolved Issues , 1999 .

[26]  M. Marmot,et al.  Job insecurity in white-collar workers: toward an explanation of associations with health. , 2001, Journal of occupational health psychology.

[27]  J Pentti,et al.  Hostility and ill health: role of psychosocial resources in two contexts of working life. , 2000, Journal of psychosomatic research.

[28]  B C Amick,et al.  Relationship of job strain and iso-strain to health status in a cohort of women in the United States. , 1998, Scandinavian journal of work, environment & health.

[29]  C. Aldwin,et al.  Personality and the incidence of hypertension among older men: longitudinal findings from the Normative Aging Study. , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[30]  M. Marmot,et al.  The contribution of job insecurity to socio-economic inequalities , 2001 .

[31]  S A Stansfeld,et al.  Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil servants: the Whitehall II study , 2002, Journal of epidemiology and community health.

[32]  D. Watson,et al.  Negative affectivity: the disposition to experience aversive emotional states. , 1984, Psychological bulletin.

[33]  M. Marmot,et al.  Effects of income and wealth on GHQ depression and poor self rated health in white collar women and men in the Whitehall II study , 2003, Journal of epidemiology and community health.

[34]  P. McDonough.  Job Insecurity and Health , 2000, International journal of health services : planning, administration, evaluation.

[35]  J Pentti,et al.  Factors underlying the effect of organisational downsizing on health of employees: longitudinal cohort study , 2000, BMJ : British Medical Journal.

[36]  M. Kivimäki,et al.  Employment security and health , 2002, Journal of epidemiology and community health.