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首页> 美国卫生研究院文献>Springer Open Choice >Good jobs good pay better health? The effects of job quality on health among older European workers
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Good jobs good pay better health? The effects of job quality on health among older European workers

机译：好工作高薪健康吗？工作质量对欧洲老年工人健康的影响

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Using data from the Survey of Health, Ageing and Retirement in Europe, this study presents new evidence on the effects of job quality on the occurrence of severe acute conditions, the level of cardiovascular risk factors, musculoskeletal disorders, mental health, functional disabilities and self-assessed health among workers aged 50+. By combining intrinsic job quality with job insecurity and pay the study maps out multiple potential pathways through which work may affect health and well-being. Levering longitudinal data and external information on early retirement ages allows for accounting of unobserved heterogeneity, selection bias and reverse causality. The empirical findings suggest that inequities in health correlate with inequities in job quality, though a substantial fraction of these associations reflect time-constant unobserved heterogeneity. Still, there is evidence for genuine protective effects of better jobs on musculoskeletal disorders, mental health and general health. The effect could contribute to a substantial number of avoidable disorders among older workers, despite relatively modest effect sizes at the level of individuals. Mental health, in particular, responds to changes in job quality. Selection bias such as the healthy worker effect does not alter the results. But the influence of job quality on health may be transitional among older workers. An in-depth analysis of health dynamics reveals no evidence for persistence.
机译：使用欧洲健康，老龄化和退休调查的数据，本研究提供了新的证据，说明工作质量对严重急性疾病的发生，心血管疾病危险因素，肌肉骨骼疾病，心理健康，功能障碍和自我的影响对50岁以上工人进行健康评估。通过将内在的工作质量与工作中的不安全感和薪酬结合起来，研究得出了工作可能影响健康和福祉的多种潜在途径。利用有关提前退休年龄的纵向数据和外部信息，可以解决未观察到的异质性，选择偏见和反向因果关系。经验发现表明，健康不平等与工作质量不平等相关，尽管这些关联中的很大一部分反映了时间常数的未观察到的异质性。不过，有证据表明，更好的工作对肌肉骨骼疾病，心理健康和一般健康具有真正的保护作用。尽管在个人层面上影响程度相对较小，但这种影响仍可能导致老年工人中大量可避免的疾病。尤其是心理健康对工作质量的变化做出反应。选择偏见（例如健康工人效应）不会改变结果。但是，工作质量对健康的影响可能在老年工人中是过渡性的。对健康动态的深入分析没有发现持久性的证据。

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