RESEARCH REPORT

Employment transitions and mental health: an analysis from the British household panel survey

Claudia Thomas¹, Michaela Benzeval¹ and Stephen A Stansfeld²

¹ Department of Geography, Queen Mary, University of London, London, UK
² Centre for Psychiatry, Queen Mary, University of London

Correspondence to:
Correspondence to:
Dr C Thomas
Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK; c.thomas{at}ich.ucl.ac.uk

Study objective: To describe the impact of changes between employment and various forms of non-employment, and vice versa, on the psychological wellbeing of men and of women.

Design: Separate multivariate models for men and for women were constructed to study the association between employment transitions and episodes of psychological distress (general health questionnaire).

Participants: 13 359 employment transitions from 5092 people aged 16–74 years in the British household panel survey from 1991 to 1998.

Main results: Transitions from paid employment to either unemployment or long term sick leave were associated with increased psychological distress for both men and women. Starting maternity leave or staying home to look after the family were also associated with psychological distress for women. Transitions from these roles to formal employment resulted in an improvement in mental health. There was some evidence that the effects were felt most strongly within six months of the transition.

Conclusions: This paper provides further evidence that movements between paid employment and various forms of non-employment, in addition to unemployment, have an impact on mental health. The emphasis on transitions between a full range of employment states for both men and women from a large population based longitudinal study and a comparison of the relative magnitude of effects are unique features of this analysis. Interventions are suggested to minimise the psychological distress associated with transitions.

Abbreviations: GHQ, general health questionnaire; BHPS, British household panel survey

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

Relevant Article

Values, rights, responsibilities, and public health—Oh yes, and avoid fornication!

Carlos Alvarez-Dardet and John R Ashton
J Epidemiol Community Health 2005 59: 177. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• Overland, S, Glozier, N, Henderson, M, Maeland, J G, Hotopf, M, Mykletun, A (2008). Health status before, during and after disability pension award: the Hordaland Health Study (HUSK). Occup. Environ. Med. 65: 769-773 [Abstract] [Full Text]  
• Andersen, S. H. (2008). The Short- and Long-Term Effects of Government Training on Subjective Well-being. Eur Sociol Rev 24: 451-462 [Abstract] [Full Text]  
• Schuring, M., Burdorf, L., Kunst, A., Mackenbach, J. (2007). The effects of ill health on entering and maintaining paid employment: evidence in European countries. J. Epidemiol. Community Health 61: 597-604 [Abstract] [Full Text]  
• Thomas, C., Benzeval, M., Stansfeld, S. (2007). Psychological distress after employment transitions: the role of subjective financial position as a mediator. J. Epidemiol. Community Health 61: 48-52 [Abstract] [Full Text]  
• De Vogli, R, Santinello, M (2005). Unemployment and smoking: does psychosocial stress matter?. Tobacco Control 14: 389-395 [Abstract] [Full Text]