This study examined changes in the health status of civil servants whose employment security was threatened.
Data were derived from a longitudinal cohort of 10 308 men and women, office staff in 20 British civil service departments.
Physiological measurements, self-reported morbidity, and health-related behaviors for 530 members of the department under threat were compared with those of 19 other departments, during the period of uncertainty and during stable employment 5 years earlier.
From a position of advantage or no difference at baseline, self-reported morbidity and physiological risk factors tended to increase among respondents from the threatened department compared with those from other departments.
For both sexes, increases were significant for body mass index (P<. 001) and sleeping 9 or more hours (odds ratio [OR]=1.88 ; 95% confidence interval [CI]=1.3 ; 2.8 ; P<. 01) ; modest but significant increases were seen in ischemia (OR=1.45 ; 95% CI=1.0,2.1) and cholesterol concentration (0.08 mmol/L ; 95% CI=0.01,0.14).
Among women only, a significant relative increase in blood pressure (P<. 01) was recorded.
Over the same period health-related behaviors changed little.
Threats to employment security have adverse consequences for health status that are unexplained by health selection or health-related behaviors.
Mots-clés Pascal : Changement social, Emploi, Privatisation, Risque, Santé, Homme, Fonctionnaire, Epidémiologie, Etude longitudinale, Royaume Uni, Europe
Mots-clés Pascal anglais : Social change, Employment, Privatisation, Risk, Health, Human, Civil servant, Epidemiology, Follow up study, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0387829
Code Inist : 002B30A01A2. Création : 25/01/1999.