Association between socioeconomic position and occupational health service utilisation trajectories among young municipal employees in Finland

Hilla Sumanen , Jaakko Harkko , Kustaa Piha , Olli Pietiläinen , Ossi Rahkonen , Anne Kouvonen Piotrowska

Abstract

ObjectivesTo identify groups of municipal employees between the ages of 20 and 34 years with distinct utilisation trajectories of primary care services provided by occupational health service (OHS), measured as the annual number of OHS visits, and to identify demographic and socioeconomic risk factors that distinguish employees in the high utilisation trajectory group(s).MethodsThe present study is a retrospective register-based cohort study. All municipal employees of the City of Helsinki, Finland, aged 20–34 in the Helsinki Health Study, recruited from 2004 to 2013, with follow-up data for 4 years were included in the study (n=9762). The outcome measure was group-based trajectories of OHS utilisation, identified with a group-based trajectory analysis. The demographic and socioeconomic variables used to predict the outcome were age, first language, educational level and occupational class. The analyses were stratified by gender.ResultsA large proportion of the young employees do not use OHS. Trajectory groups of ‘No visits’ (50%), ‘Low/increasing’ (18%), ‘Low/decreasing’ (22%) and ‘High/recurrent’ (10%) use were identified. We found occupational class differences in OHS utilisation patterns showing that lower occupational classes had a higher propensity for ‘High/recurrent’ OHS utilisation for both genders.ConclusionsPreventive measures should be targeted particularly to the trajectory groups of ‘Low/increasing’ and ‘High/recurrent’ in order to intervene early. In addition, OHS utilisation should be closely monitored among the two lowest occupational classes. More research with longitudinal OHS data is needed.
Author Hilla Sumanen
Hilla Sumanen,,
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, Jaakko Harkko
Jaakko Harkko,,
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, Kustaa Piha
Kustaa Piha,,
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, Olli Pietiläinen
Olli Pietiläinen,,
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, Ossi Rahkonen
Ossi Rahkonen,,
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, Anne Kouvonen Piotrowska (Filia we Wrocławiu)
Anne Kouvonen Piotrowska,,
- Filia we Wrocławiu
Journal seriesBMJ Open, ISSN 2044-6055, (N/A 100 pkt)
Issue year2019
Vol9
No11
Pages1-10
Publication size in sheets0.5
Article numbere028742
ASJC Classification2700 General Medicine
DOIDOI:10.1136/bmjopen-2018-028742
Languageen angielski
File
Association_tekst.pdf 485.16 KB
Association_oswiadczenie.pdf 661.62 KB
Score (nominal)100
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.145; WoS Impact Factor: 2018 = 2.376 (2) - 2018=2.863 (5)
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