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2023-10-09Zeitschriftenartikel
Health inequalities among young workers: the mediating role of working conditions and company characteristics
dc.contributor.authorReuter, Marvin
dc.contributor.authorPischke, Claudia R.
dc.contributor.authorRigo, Mariann
dc.contributor.authorDiehl, Katharina
dc.contributor.authorSpallek, Jacob
dc.contributor.authorRichter, Matthias
dc.contributor.authorHövener, Claudia
dc.contributor.authorDragano, Nico
dc.date.accessioned2023-11-13T14:24:52Z
dc.date.available2023-11-13T14:24:52Z
dc.date.issued2023-10-09none
dc.identifier.other10.1007/s00420-023-02010-6
dc.identifier.urihttp://edoc.rki.de/176904/11339
dc.description.abstractObjective Few studies have investigated health inequalities among young workers. The objectives of this study are to assess the extent of health inequalities in a sample of job starters and to explore the contribution of job demands and organisational factors. Methods We analyze data from the BIBB/BAuA Youth Employment Survey 2012. The cross-sectional survey includes a representative sample of 3214 German employees, apprentices, and trainees aged 15–24 years. Individuals were grouped by their years of schooling into low (< 12 years) and high levels of education (≥ 12 years). Regression analysis estimated the link between education and four health outcomes: self-rated health, number of health events, musculoskeletal symptoms, and mental health problems over the last 12 months. Counterfactual mediation analysis tested for indirect effects of educa- tion via working conditions (i.e., physical and psychosocial job demands) and company characteristics (i.e., company size, health prevention measures, financial situation, downsizing). All analyses were adjusted for age, sex, nationality, region, working hours, job tenure, employment relationship, and economic sector. Results Highly educated workers reported better self-rated health (b = 0.24, 95% CI 0.18–0.31) and lower numbers of health events (Rate Ratio (RR) = 0.74, 95% CI 0.67–0.82), musculoskeletal symptoms (RR = 0.73, 95% CI 0.66–0.80) and mental health problems (RR = 0.84, 95% CI 0.76–0.93). Total job demands explained between 21.6% and 87.2% of the educational differences (depending on health outcome). Unfavourable company characteristics were associated with worse health, but showed no or only small mediation effects. Conclusions Health inequalities are already present at the early working career due to socio-economically stratified working hazards. To enhance prevention measures that aim at reducing inequalities in workplace health, we propose shifting attention towards earlier stages of life.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectHealth inequalitieseng
dc.subjectYoung workerseng
dc.subjectMediationeng
dc.subjectJob demandseng
dc.subjectCompany leveleng
dc.subjectSocio-economic positioneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleHealth inequalities among young workers: the mediating role of working conditions and company characteristicsnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11339-7
dc.type.versionpublishedVersionnone
local.edoc.container-titleInternational Archives of Occupational and Environmental Healthnone
local.edoc.pages12none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.springer.com/journal/420none
local.edoc.container-publisher-nameSpringer Naturenone
local.edoc.container-issueDecember 2023none
local.edoc.container-reportyear2023none
local.edoc.container-firstpage1313none
local.edoc.container-lastpage1324none
dc.description.versionPeer Reviewednone

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