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The European Journal of Public Health Advance Access published online on October 22, 2009

The European Journal of Public Health, doi:10.1093/eurpub/ckp171
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© The Author 2009. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Employment trajectories and changes in sense of coherence

Virpi Liukkonen1, Pekka Virtanen1, Jussi Vahtera2,3, Sakari Suominen2, Lauri Sillanmäki4 and Markku Koskenvuo4

1 Tampere School of Public Health, University of Tampere, Tampere, Finland
2 Department of Public Health, University of Turku, Turku, Finland
3 Finnish Institute of Occupational Health, Turku, Finland
4 Department of Public Health, University of Helsinki, Helsinki, Finland

Correspondence: Virpi Liukkonen, Tampere School of Public Health, University of Tampere, FIN 33014 Tampere, Finland, tel: +358 3 35516867, fax: +358 3 35516057, e-mail: virpi.liukkonen{at}uta.fi

Received July 3, 2009 , accepted September 19, 2009

Background: Knowledge of the associations between labour market position and sense of coherence (SOC) comes mainly from cross-sectional studies. We investigated whether change in employment status is associated with change in SOC and whether such an association varies when young (<30 years) and older employees are compared. Methods: Data were derived from two studies: a cohort of initially non-permanent employees (n = 1898) was followed up for four years, and a cohort representing the national workforce (n = 9623) was followed up for five years. Labour market position at baseline and at follow-up (permanent/fixed-term job/unemployed) was used to locate the participants into six or nine different employment trajectories depending on the cohort. SOC was measured with a 13-item questionnaire. Associations of the employment trajectories with changes in SOC were analysed with general linear models. Results: In both cohorts the change of SOC was significantly associated with type of employment trajectory. The results supported the hypothesis of more favourable development of SOC among those whose trajectories were directed upward: the associations of poor SOC with unemployment are indisputable, whereas the effects of fixed-term employment seem to be neutral or even positive. The analysis by age revealed that the effects of employment trajectory on SOC are particularly strong among individuals aged below 30 years. Conclusion: This longitudinal study provided evidence for the interpretation that stabilisation of SOC associates with stabilisation of the labour market position. Moreover, the fluctuations of SOC seem to depend on the type of trajectory throughout adult life.

Keywords: employment status, temporary employment, career, sense of coherence, follow-up study.


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