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J Epidemiol Community Health 56:450-454 doi:10.1136/jech.56.6.450
  • Research report

Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil servants: the Whitehall II study

Table 2

Effects of loss or gain of job security and chronic job insecurity on morbidity and cardiovascular risk factors at follow-up (Phase 5), relative to continued security

Insecure to secure Secure to insecure Chronic insecurity
Women* OR (95% CI) p Value OR (95% CI) p Value OR (95% CI) p Value
Self rated health fair or poor 1.17 (0.7 to 2.0) p=0.57 1.80 (1.0 to 3.2) p=0.05 1.89 (1.2 to 3.1) p=0.01
Longstanding illness 1.25 (0.8 to 1.9) p=0.27 1.66 (1.0 to 2.7) p=0.04 1.24 (0.8 to 1.9) p=0.34
Diff (95% CI) p Value Diff (95% CI) p Value Diff (95% CI) p Value
GHQ (30) score 0.97 (−0.1 to 2.0) p=0.07 1.71 (0.5 to 3.0) p=0.008 3.86 (2.8 to 5.0) p<0.001
Depression score 0.30 (0.0 to 0.6) p=0.07 0.32 (−0.1 to 0.7) p=0.12 0.84 (0.5 to 1.2) p<0.001
Cholesterol mmol/l 0.09 (−0.1 to 0.2) p=0.21 −0.09 (−0.3 to 0.1) p=0.28 −0.09 (−0.2 to 0.1) p=0.24
Systolic blood pressure mm Hg 1.09 (−1.5 to 3.7) p=0.40 3.57 (0.5 to 6.7) p=0.02 −0.93 (−3.6 to 1.7) p=0.49
Diastolic blood pressure mm Hg 0.13 (−1.5 to 1.7) p=0.87 1.76 (−0.2 to 3.7) p=0.07 −0.51 (−2.2 to 1.1) p=0.53
Body mass index kg/m2 0.17 (−0.3 to 0.7) p=0.52 −0.16 (−0.8 to 0.5) p=0.61 −0.53 (−1.1 to 0.0) p=0.05
OR (95% CI) p Value OR (95% CI) p Value OR (95% CI) p Value
Alcohol ≥15 units/week 0.91 (0.5 to 1.5) p=0.71 0.61 (0.3 to 1.3) p=0.18 1.35 (0.8 to 2.3) p=0.26
Smoking 1.15 (0.5 to 2.5) p=0.72 1.27 (0.5 to 3.1) p=0.60 1.56 (0.7 to 3.3) p=0.26
Men* OR (95% CI) p Value OR (95% CI) p Value OR (95% CI) p Value
Self rated health fair or poor 1.12 (0.8 to 1.6) p=0.53 1.98 (1.3 to 3.1) p=0.002 2.18 (1.6 to 3.0) p<0.001
Longstanding illness 1.11 (0.9 to 1.4) p=0.39 0.95 (0.7 to 1.4) p=0.77 1.19 (0.9 to 1.6) p=0.20
Diff (95% CI) p Value Diff (95% CI) p Value Diff (95% CI) p Value
GHQ (30) score 0.94 (0.4 to 1.5) p<0.001 1.61 (0.9 to 2.4) p<0.001 3.13 (2.5 to 3.7) p<0.001
Depression score 0.24 (0.1 to 0.4) p=0.004 0.37 (0.1 to 0.6) p=0.002 0.72 (0.5 to 0.9) p<0.001
Cholesterol mmol/l 0.03 (−0.1 to 0.1) p=0.50 −0.11 (−0.2 to 0.0) p=0.08 −0.07 (−0.2 to 0.0) p=0.20
Systolic blood pressure mm Hg 0.80 (−0.6 to 2.2) p=0.24 0.19 (−1.8 to 2.2) p=0.85 −0.14 (−1.7 to 1.4) p=0.85
Diastolic blood pressure mm Hg 0.05 (−0.9 to 1.0) p=0.92 0.31 (−1.1 to 1.7) p=0.67 −0.23 (−1.4 to 0.9) p=0.69
Body mass index kg/m2 0.19 (0.0 to 0.4) p=0.08 0.23 (−0.1 to 0.5) p=0.16 0.06 (−0.2 to 0.3) p=0.64
OR (95% CI) p Value OR (95% CI) p Value OR (95% CI) p Value
*Adjusted for age at Phase 5 and employment grade and value of the outcome of interest at baseline.
Alcohol ≥22 units/week 1.14 (0.9 to 1.5) p=0.30 1.15 (0.8 to 1.7) p=0.43 0.85 (0.6 to 1.1) p=0.29
Smoking 1.43 (0.9 to 2.3) p=0.15 0.69 (0.3 to 1.4) p=0.32 1.33 (0.8 to 2.3) p=0.30

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