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Flourish, fight or flight: health in self-employment over time—associations with individual and business resources
Department of Psychology, Stockholm University, Stockholm, Sweden.ORCID iD: 0000-0002-8683-115X
Department of Psychology, Stockholm University, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-3965-1666
2024 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246Article in journal (Refereed) Published
Abstract [en]

PurposeUsing COR theory to study developments of health and other key resources in self-employed workers in Sweden over 6 years, this study: (1) explored whether the heterogenous group of self-employed workers contained subgroups with different health trajectories, (2) investigated whether these were more typical for certain individuals (with respect to age, gender, sector, education, employment status), and (3) compared the different health trajectories regarding resource development in mental well-being, business resources, employment status, work ability.

MethodThe study used data from the Swedish longitudinal occupational survey of health (SLOSH) and included participants working as self-employed or combiner (N = 2642).

ResultFive trajectories were identified with latent class growth curve model analysis (LCGM). Two health trajectories with (1) very good, respective (2) good stable health (together comprising 78.5% of the participants), (3) one with moderate stable health (14.8%), (4) one with a U-shaped form (1.9%), and (5) one with low, slightly increasing health (4.7%). The first two trajectories flourish: they maintained or increased in all key resources and were more likely to remain self-employed. Trajectories three and five consist of those who fight to maintain or increase their resources. Workers in the U-shaped health trajectory show signs of fight and flight after loss in health and other key resources.

ConclusionsStudying subgroups with different resource developments over time was suitable to understand heterogeneity in self-employed workers. It also helped to identify vulnerable groups that may benefit from interventions to preserve their resources.

Place, publisher, year, edition, pages
2024.
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-65698DOI: 10.1007/s00420-023-02041-zISI: 001147729800001Scopus ID: 2-s2.0-85182980922OAI: oai:DiVA.org:mdh-65698DiVA, id: diva2:1831283
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-01063Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1758Swedish Research Council, VR 2009-06192Swedish Research Council, 2013-01645Swedish Research Council, 2013-01646Swedish Research Council, 2015-06013Stockholm UniversityAvailable from: 2024-01-25 Created: 2024-01-25 Last updated: 2024-02-07Bibliographically approved

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Toivanen, Susanna

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