Non-manual Employment Research Articles

Early adulthood socioeconomic trajectories contribute to inequalities in adult cardiovascular health, independently of childhood and adulthood socioeconomic position

BackgroundCardiovascular health shows significant socioeconomic inequalities, however there is little understanding of the role of early adulthood in generation of these inequalities. We assessed the contribution of socioeconomic trajectories during...

Factors and Inequality of Underweight and Overweight among Women of Reproductive Age in Myanmar: Evidence from the Demographic Health Survey 2015-2016.

(1) Background: This study aims to identify the factors of underweight and overweight/obesity among reproductive age (15-49 years) women in Myanmar, and assess the level of inequity in the double burden of malnutrition. (2) Methods: The study used Myanmar Demographic and Health Survey 2015-2016 data. Multinomial logistic regression models were fitted to identify the factors affecting underweight and overweight/obesity; and concentration indices (CI) were estimated to assess socioeconomic inequalities. (3) Results: A total of 12,643 reproductive age women were included in the analysis. Higher risk of underweight was found in women aged 20-29 years, aged 30-39 years, and 40-49 years compared to women aged 15-19 years; women who were unemployed or had manual occupation relative to those in non-manual employment. Women aged 40-49 years (compared to those who were 15-29 years); had primary education, and secondary education (compared to those who had no education); being married, and widowed/divorced/separated (compared to being never married); belonging to the poor quintile, middle quintile, richer, richest quintile (compared to the poorest quintile); having residence in urban areas (compared to rural areas) and in Kachin, Taninthayi, Yangon province (than those who lived in Naypytiaw province) had a higher risk of being overweight/obese. Socioeconomic inequalities were detected, with overweight/obesity strongly concentrated (CI: 0.19) amongst the higher quintiles and underweight concentrated (CI: -0.060) amongst the poorest. (4) Conclusions: Equity oriented nutrition interventions with a focus on improving the socioeconomic status of poor households may benefit undernourished women, while richer households should be focused to curb the overweight/obesity problem.

Oestrogen receptor α gene polymorphisms, insomnia, and cognitive functions in perimenopausal and postmenopausal women in non-manual employment.

IntroductionA potential way to explain the relationships between sleep disorders and cognitive disorders during menopausal transition is the identification of genetic markers related to changes in cognitive functions, as well as changes in quality of sleep during menopause. The objective was an analysis of the relationship between sleep disorders and cognitive disorders, according to the possessed oestrogen receptor α gene polymorphism (ESR1) in perimenopausal and postmenopausal women.Material and methodsThe study included 300 women aged 44–66 years, employed as non-manual workers. A computerised battery of the Central Nervous System Vital Signs (CNS VS) test was used to diagnose cognitive functions. ESR1 polymorphisms were genotyped using PCR-RFLP methods. The Athens Insomnia Scale was used to diagnose sleep disorders.ResultsMore severe insomnia was related to worse complex memory, visual memory, and simple attention in the total group of examined women. More severe insomnia was related to worse simple attention in women with genotypes AG Xba I or TC Pvu II ESR1, in perimenopausal women with genotypes AG Xba I or TC Pvu II ESR1. During the postmenopausal period, the severity of insomnia negatively correlated with visual memory in carriers of Pvu II TT, and with reaction time in carriers of Xba I AA.ConclusionsThe results indicate an important role of oestrogen receptor α gene polymorphism in the modulation of the effect of insomnia on cognitive functions in peri- and postmenopausal women.

Work ability, functional exercise capacity and prevalence of obesity in perimenopausal and postmenopausal women with non-manual employment

Objective. This study aimed to evaluate work ability and functional exercise capacity, and their correlation to each other and to obesity, in perimenopausal and postmenopausal women with non-manual employment. Materials and methods. The study included 300 women aged 44–66 years. The following measures were used: work ability index (WAI), 6-min walk test (6MWT), body mass index (BMI), waist–hip ratio (WHR) and adipose tissue accumulation. Regression models of the WAI and distance in the 6MWT were estimated. Results. The examined women obtained WAI 39.0 ± 5.0, BMI 26.2 ± 4.6, WHR 0.819 ± 0.060 and adipose tissue accumulation 30.1 ± 6.1%, on average. About 19% of women obtained a very good work ability score, 55% good, 23% medium and 3% poor. About 17% of women were obese, 39% overweight and 44% normal body mass, 29% had abdominal obesity, 19% had elevated accumulation of adipose tissue and 21% had high accumulation of adipose tissue. These results did not differ significantly between perimenopausal and postmenopausal women The postmenopausal women obtained a significantly lower functional exercise capacity score than perimenopausal women. Conclusion. Work ability correlates positively to functional exercise capacity, which correlates negatively to adipose tissue accumulation in perimenopausal women with non-manual employment, but not in postmenopausal cases.

Effect of symptoms of climacteric syndrome, depression and insomnia on self-rated work ability in peri- and post-menopausal women in non-manual employment.

The aim of the study was evaluation of the relationship between severity of symptoms of climacteric syndrome, depressive disorders and sleep problems, and the self-rated work ability of peri-menopausal and post-menopausal women in non-manual employment. The study included 287 women aged 45-60 years, employed in various institutions as non-manual workers. Work Ability Index, Greene Climacteric Scale, Beck Depression Inventory, and Athens Insomnia Scale were used. The examined peri-menopausal and post-menopausal women in non-manual employment obtained good work ability on the Work Ability Index. The severity of menopausal syndrome, according to the Greene Climacteric Scale, was moderate, placing the examined women between results for the general population of women and the pattern for menopausal women. Depressive disorders ranked between low mood and moderate depression. No depression was observed in 59% of the women, whereas moderate depression was observed in 39%, and severe depression in only 2%. Sleep disorders were on the border of normal range. As many as 46% of the women had no sleep problems, which was on the border of normal range in 36%. Only 19% of the examined women suffered from insomnia. Work ability correlated negatively with depression and insomnia severity, as well as with psychological and vasomotor symptoms of climacteric syndrome, but not to its somatic symptoms. Preventing the occurrence and treatment of menopausal symptoms, sleep and mood disorders may contribute to maintaining the work ability of women in peri- and post-menopausal age.

Stress at intellectual work and cardiovascular diseases in women at non-mobility working age.

Stress at the work place reduces efficiency, as well as increasing accidents and absences, which may cause various diseases, including cardiovascular diseases. The aim of the study is an analysis of the prevalence and causes of stress in intellectual work, and its correlation with the prevalence of cardiovascular diseases in women at non-mobility working age. The study was conducted in 2016-2017 in a group of 300 women aged 45-60 in non-manual employment. A questionnaire for subjective job evaluation was used. Logistic regression models for the occurrence of CVDs versus frequency of occurrence of individual causes of work stress among the respondents were estimated. Women at non-mobility working age with non-manual employment are especially exposed to stress, half of them experience high level of stress at work, most often caused by social contacts and lack of rewards and support. Cardiovascular diseases were found in 26.5% of the women studied who were also significantly higher exposed to the occurrence of health hazards due to exposure to harmful factors, or due to an accident at work, changes in the workplace, the need to compete with others,and the need to perform the task despite the lack of appropriate material resources, compared with women without such diseases. The study revealed a high prevalence of occupational stress in non-manual employment, indicated its main causes that correlated with the alence of cardiovascular diseases. Actions are needed to reduce the level of stress in the work of women at non-mobility working age, to maintain their work ability and quality of life.

Prevalence of breast cancer-related risk factors in underweight premenopausal women: the Korea National Health and Nutrition Examination Survey IV-VI.

This study aimed to examine the prevalence and trends of breast cancer-related risk factors and characteristics in premenopausal underweight Korean women according to birth year cohort. Socioeconomic and breast cancer-related risk factors were investigated in 13,415 premenopausal women using nationwide cross-sectional surveys performed between 2007 and 2015. Underweight was defined as body mass index < 18.5kg/m2. Multivariable models were created using complex sample procedures. Underweight women comprised 9.5% of the sample. Compared with those who were obese or of normal weight, underweight women were characterized by younger age, higher rate of metropolitan residence, higher economic status, more education, higher rates of non-manual employment and unmarried status, lower rate of early menarche, higher rates of nulliparity, lower parity, alcohol consumption, and never having breastfed, and lower levels of high physical activity. Multivariable analysis showed that underweight women had a significantly lower rate of early menarche, lower parity, higher nulliparity, older age at first delivery, and lower levels of high physical activity compared to premenopausal women with normal weight. These trends were more apparent among women born in recent years. Underweight Korean premenopausal women exhibit distinctive features associated with an increased risk of breast cancer, except for a lower rate of early menarche. These associations were prominent in recent generations. Assessment of the association between underweight and premenopausal breast cancer risk should focus on promoting healthy lifestyles to reduce breast cancer risk.

Labour Market Segregation and Gender Differences in Sickness Absence: Trends in 2005-2013 in Finland.

Women have higher sickness absence rate than men, but less is known of changes in this difference over time. We examined gender differences in sickness absence trends focusing on gender segregation in the labour market. We used large nationwide register data on Finnish wage earners aged 25-59 and generalized estimation equations based on repeated logistic regression to estimate the annual risk of sickness absence lasting at least 2 weeks. Between 2005 and 2013, the age-adjusted proportion (%) of employees with all-cause sickness absence decreased from the initial levels of 10.6 among men and 15.1 among women by 16.7 and 13.6%, respectively. Among both genders, the largest decrease in sickness absence coincided with the peak of the economic recession in 2009. In sickness absence due to all causes and musculoskeletal diseases, also the excess decrease among men mainly occurred in 2009, and in sickness absence due to mental disorders 2 years later. In sickness absence due to all causes and musculoskeletal diseases, the increasing gender difference was mainly attributable to a larger decrease in sickness absence at the time of the recession in male-dominated groups, such as in manual and manufacturing work, than in other sectors and occupational classes. In mental disorders, the increasing gender difference was partly attributable to a later smaller decrease in sickness absence among female-dominated lower non-manual and lower income employment groups. The increasing gender differences did not result from differential distributional changes in employment or sociodemographic factors among the employed male and female populations. In fact, widening of the gender gap in sickness absence due to all causes and musculoskeletal diseases would have been even larger without faster increase among women in the educational level and in non-manual employment. Sickness absence decreased especially in male-dominated employment groups, resulting in a larger decrease in absences among men compared with women. More research is needed to ascertain whether these differential changes are attributable, for example, to reduced willingness to seek medical advice or increased presenteeism in male-dominated groups, or to increased work pressures in female-dominated groups. Selection mechanisms, i.e. men's increased ill-health-related exit from work through other routes than sickness absence, also cannot be ruled out.

Serum Lipid, Vitamin D Levels, and Obesity in Perimenopausal and Postmenopausal Women in Non-Manual Employment.

BackgroundIncreasing age, increased body mass index (BMI), and abnormal lipid profiles contribute to an increased risk of vitamin D deficiency. Women who have a perimenopausal and postmenopausal reduction in estrogen levels are a high-risk group for vitamin D deficiency. The aims of this study were to compare the serum vitamin D levels, lipid profile, and BMI between perimenopausal and postmenopausal women in non-manual employment, and to determine whether there were any interdependent factors.Material/MethodsThree hundred women in non-manual employment, aged between 44–66 years, were divided into three groups: early perimenopausal; late perimenopausal; and postmenopausal. Laboratory tests included measurement of serum lipid profiles and vitamin D levels, the BMI, waist-hip ratio (WHR) and body fat were measured. Statistical analysis included F-test analysis of variance and the least significance difference (LSD) test was used for multiple comparisons.ResultsFor the 300 women who were in non-manual employment, and in the early and late perimenopausal and postmenopausal periods, serum vitamin D levels were reduced (mean 16.8±8.7 ng/mL); 29% of women had abdominal obesity; 41% had excessive body fat accumulation; and 56% had an increased body mass index (BMI) (>25 kg/m2) with raised total cholesterol, low-density lipoprotein (LDL) cholesterol, LDL/high-density lipoprotein (HDL), and total cholesterol/HDL ratios (p<0.05).ConclusionsThe findings of this study showed that in perimenopausal and postmenopausal women in non-manual employment, serum vitamin D levels were associated with serum lipid profile and degrees of obesity.

Labour market segregation and gender differences in sickness absence: trends in 2005–2013 in Finland

Objectives Women have higher sickness absence rate than men, but less is known of changes in this difference over time. We examined gender differences in sickness absence trends focusing on gender segregation in the labour market. Methods We used large nationwide register data on Finnish wage earners aged 25-59 and generalized estimation equations based on repeated logistic regression to estimate the annual risk of sickness absence lasting at least 2 weeks. Results Between 2005 and 2013, the age-adjusted proportion (%) of employees with all-cause sickness absence decreased from the initial levels of 10.6 among men and 15.1 among women by 16.7 and 13.6%, respectively. Among both genders, the largest decrease in sickness absence coincided with the peak of the economic recession in 2009. In sickness absence due to all causes and musculoskeletal diseases, also the excess decrease among men mainly occurred in 2009, and in sickness absence due to mental disorders 2 years later. In sickness absence due to all causes and musculoskeletal diseases, the increasing gender difference was mainly attributable to a larger decrease in sickness absence at the time of the recession in male-dominated groups, such as in manual and manufacturing work, than in other sectors and occupational classes. In mental disorders, the increasing gender difference was partly attributable to a later smaller decrease in sickness absence among female-dominated lower non-manual and lower income employment groups. The increasing gender differences did not result from differential distributional changes in employment or sociodemographic factors among the employed male and female populations. In fact, widening of the gender gap in sickness absence due to all causes and musculoskeletal diseases would have been even larger without faster increase among women in the educational level and in non-manual employment. Conclusions Sickness absence decreased especially in male-dominated employment groups, resulting in a larger decrease in absences among men compared with women. More research is needed to ascertain whether these differential changes are attributable, for example, to reduced willingness to seek medical advice or increased presenteeism in male-dominated groups, or to increased work pressures in female-dominated groups. Selection mechanisms, i.e. men's increased ill-health-related exit from work through other routes than sickness absence, also cannot be ruled out.

The End of a Traditional Class Distinction in Neoliberal Society: ‘White-collar’ and ‘Blue-collar’ Work and its Impact on Chilean Workers’ Class Consciousness

For several decades, the distinction between ‘white-collar’ (non-manual) and ‘blue-collar’ (manual) work occupied a central place in the analysis of working-class consciousness. According to many scholars, the expansion of non-manual employment was key to dismantling traditional working-class identities. Although several analysts noted the irrelevance of the white-collar/blue-collar distinction as a determinant of class consciousness, the most recent research on class in Chile continues on the traditional argument. However, the empirical research supporting such a contention has been scarce. In this paper I test that hypothesis. Based on quantitative and qualitative data, I show that the distinction between manual and non-manual labor does not lead to significant variations in workers’ class consciousness. Therefore, its use in recent research on class (e.g. the contention that non-manual employment reinforces a ‘middle-class’ consciousness among workers) is deemed questionable.

한국인의 농산물 농약 오염 불안도 연구 -2008년도 사회조사를 바탕으로-

Objective: This study aimed to examine the level of risk perception related to pesticide contamination of food products and associated sociodemographic factors, as well as investigate the association with environmental pollution preventive behaviors. Methods: Based on data from Social Survey conducted in 2008 among a nationally representative sample of the population 15 years or older, we estimated proportions and 95% confidence intervals of the risk perception of pesticide contamination of food products. Logistic regression analyses were used to analyze the effects of sociodemographic status on risk perception. Results: Among respondents, those who feel anxious about the risks of pesticide contamination of domestic food products accounted for 40.4%, whereas the proportion rose to 87.0% with imported food products. These numbers showed that levels of anxiety about the pesticide contamination of imported food products were ranked at the top, and those for domestic products were at the bottom of the list of all environmental pollutants examined in the survey. Significantly related factors to anxiety about pesticide contamination of food products included women, the 40-50 age group, university graduates, married, non-manual employment, having school-aged children, and owning one's own home. The population attempting to prevent environmental pollution showed higher levels of anxiety about pesticide contamination of food products than did those who were not taking such steps. Conclusion: Compared to other forms of environmental pollution, Koreans show the highest levels of anxiety about pesticide contamination of imported food products. Therefore, it is necessary to establish appropriate regulations and transparent risk communication with the public about the safety of imported food.

Education and Labour Market Outcomes: Evidence from India

The effect of education on labour market outcomes is analysed using both survey and administrative data from The Brazilian PNAD and RAIS-MIGRA series, respectively. Occupational destination is examined using both multinomial logit analyses and structural dynamic discrete choice modelling. The latter approach is particularly useful as a means of evaluating policy impacts over time. We find that policy to expand educational provision leads initially to an increased take-up of education, and in the longer term leads to an increased propensity for workers to enter non-manual employment.

The Uses of Nostalgia

ABSTRACTRecent characterizations of post-war working class autobiography as predominantly nostalgic require revision. Brighton's QueenSpark publications demonstrate a greater diversity in tone, style and form than has previously been recognized. I argue that while council housing and slum clearance transformed working class communities between the 1920s and the 1960s, the social and political contexts in which these experiences were later remembered also deserve consideration. The 1970s and 1980s saw a decline in skilled manual work, a rise in non-manual employment, the gentrification of older working class neighbourhoods, and the residualization of certain inter-war estates. Attention needs to be paid to the local character of such changes and to the socio-spatial trajectories of individual writers. Such narratives may fruitfully be understood as part of a radical attempt to recover working class experience, contesting dominant representations of working class people and places.

Patterns of Absolute and Relative Social Mobility: A Comparative Study of England, Wales and Scotland

We use the British Household Panel Study to analyse change over birth cohorts in patterns of social mobility in England, Scotland and Wales. In several respects, our conclusions are similar to those reached by other authors on the basis of wider comparisons. There has been a large growth in non-manual employment since the middle of the twentieth century. This led first to a rise in upward mobility, but, as parents of younger people have now themselves benefited from that, has more recently forced people downward from their middle-class origins. These changes have largely not been a growth in relative social mobility: it is change induced by the occupational structure. The conclusions apply both to current class and to the class which people entered when they first entered the labour market. The patterns of relative mobility could not be explained statistically by measures of the respondents’ educational attainment. The conclusions were broadly the same for the three countries, but there was some evidence that in the youngest cohort (people born between 1967 and 1976) experience of people from Wales was diverging from that of people from England and Scotland, with rather greater amounts of downward mobility. There were two methodological conclusions. Out-migration from country of birth within the UK did not seem to make any important difference to our results. That is encouraging for analysis of surveys confined to one of the three countries, because it suggests that losing track of out-migrants would not distort the results. The second methodological conclusion is that the comparative study of social mobility can find interesting topics to investigate at social levels lower than that of the state, here the comparison of the three countries which make up Britain.

Risk factors for specific upper limb disorders as compared with non-specific upper limb pain: assessing the utility of a structured examination schedule

Few community-based epidemiological investigations of upper limb disorders (ULDs) have classified cases by validated procedures involving a structured clinical examination. To compare risk factor profiles for different diagnostic categories of ULD using one such examination scheme. A questionnaire about upper limb pain and demographic, occupational and psychosocial risk factors was mailed to 10,264 adults from two English general practices, followed by standardized physical examination in those with arm or neck pain. Logistic regression was used to compare those with specific ULDs and non-specific arm pain with those who had no neck or arm symptoms. There was a 59% response rate. A total of 1,197 subjects with arm or neck pain underwent standardized physical examination and were classified as having one or more of 11 specific ULDs or non-specific regional pain. Among these, 250 subjects with specific ULDs and 176 with only non-specific arm pain were compared with 2,248 subjects who had no neck or arm symptoms. Certain physical risk factors were more strongly associated with specific disorders than with non-specific pain. In comparison with pain-free subjects, the odds ratios (ORs) in keyboard users (>or=1 h versus <1 h/day) were 3.1 (95% CI 1.3, 7.8) for hand-wrist tendonitis but 1.3 (0.8, 2.1) for non-specific hand-wrist pain. Other differential associations were found with age, sex, manual versus non-manual employment and smoking. Unexpectedly, low vitality was similarly associated with both specific disorders and non-specific pain. These findings suggest that the schedule may usefully distinguish disorders that differ in their association with physical risk factors.

Women scientists in British industry: technical library and information workers, c.1918-1960

Technical librarianship and information work emerged as a new scientific career in interwar Britain and rapidly became one of the few types of professional industrial employment that was routinely open to both women and men. Drawing on a range of sources, including the records of professional organisations, industrial firms and individual practitioners, this article uses a study of the patterns and practices surrounding women's work in technical libraries and information bureaux to illuminate the ways in which ideas about gender shaped their early non-manual employment in industry. It argues that the hybrid and ambiguously gendered nature of the work involved, which spanned scientific research, librarianship and clerical work, opened up the field to female science graduates but frequently left them confined to those posts which did not confer full recognition of their status as scientists and offered few prospects for career progression. Nevertheless, within these limitations a striking number of women were able to carve out responsible, even pioneering, careers. They did so chiefly as technical librarians who, although usually expected to relinquish any pretensions to equal status alongside their scientific colleagues, could claim distinctive knowledge and expertise within an industrial organisation.

The Paradigm Contingent Career? Women in Regional Newspaper Journalism

Current commentary on non-manual employment suggests that we are moving into an era of ‘contingent careers’ where current performance is the only valid criterion for reward and advancement. New-style jobs may be intensive and insecure, it is argued, but they are also less freighted with gender-based assumptions. Newspaper journalism, with its lack of bureaucratic organization, varied tasks, tradition of high employee mobility, and deep-seated belief in meritocracy would seem to fit well within this model. Interviews with women working in the UK regional press indicate, however, that the occupation is less egalitarian that many in the industry believe. Newspaper organisations and status hierarchies continue to be built around ‘hard news’, despite the commercial importance of other elements of content. Consequently management experience in newsgathering is a key stage in promotion, but this work as currently structured is incompatible with primary domestic responsibility for dependants. Even those without such concerns, or with limited ambitions, find the intensified work règime in today's regional press hard to sustain. Considering why these working practices have remained largely unchallenged, the paper identifies five contributing factors. The epistemological individualism characteristic of women and well as men in journalism, a culture of vocation, the construction of editorial power as charismatic rather than bureaucratic, the commonsense populist style of most regional papers and, not least, journalists’ own entrenched belief in the contingent nature of their employment combine to make the profession particularly resistant to acknowledging structural barriers to advancement.

Wage Premia and Skill Upgrading in Italy: Why Didn't the Hound Bark?

This Paper presents firm level evidence on the dynamics of non-manual wage premia and employment shares in Italian manufacturing during the nineties. We find that the relative stability of aggregate wage premia and employment shares hides offsetting disaggregate forces. First, while technical progress raises the relative demand for skilled labor within firms, demand changes associated with exports reduce the relative demand for skills. Second, within the class of non-manual workers, wage premia and employment shares of executives rise substantially, whereas those of clerks fall in a similar proportion. We also find that the export status of firms plays a key role in explaining labor market dynamics, as exporters account for most of both demand-related and technology-related shifts. Overall, our results for Italy question the general validity of the conventional view that emphasizes the role of labor market institutions, as opposed to trade and technology, in determining wage and employment dynamics in continental Europe.

Factors influencing use of digital prostheses in workers' compensation recipients.

The purposes of this study were to retrospectively identify factors associated with decreased use of digital prostheses in workers' compensation recipients 6 months after fitting and to identify characteristics of those individuals who requested and received a second set of prostheses after demonstrating consistent use of the first set. One hundred seventy-eight patients fitted with 281 digital prostheses completed a questionnaire 6 months after fitting. Forty-nine patients (28%) stated they never or occasionally used their prosthesis (low utilization) and 42 (24%) stated they used them more than 4 hours per day (high utilization). One hundred ten patients (62%) reported stump problems; 37 (21%) stated that the problem interfered with the use of the prosthesis. High utilization was associated with nonmanual employment after the injury. Low utilization was associated with male gender, stump problems, and a distal amputation level. Ring finger prostheses were least likely to be used; small finger prostheses, most likely. The country of origin of the patient was not associated with frequency of use. One hundred sixty-one patients had received the prostheses at least 3 years before the end of the study; 45% of these patients had requested and received a second set of prostheses. Women were more likely to request and receive a second set than men. We could not accurately predict future use of digital prostheses. Each case must be evaluated on an individual basis. (J Hand Surg 2000; 25A:80-85.