Online Program

A longitudinal population based study of work marginalization as a consequence of exposure to life adversities

Monday, November 4, 2013

Ida Strom, M.A, Faculty of Medicine, University of Oslo, Norway, Norwegian Center for Violence and Traumatic Stress Studies, Oslo, Norway
Siri Thoresen, PhD, Norwegian Center of Violence and Traumatic Stress Studies, Oslo, Norway
Grete Dyb, MD, PhD, Norwegian Center for Violence and Traumatic Stress Studies/ Institute of Clinical Medicine, Oslo, Norway
Tore Wentzel-Larsen, MSc, Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
Ole Kristian Hjemdal, cand. sociol., Norwegian Center of Violence and Traumatic Stress Studies, Oslo, Norway
Lars Lien, MD, PhD, University of Oslo, Division of Mental Health and Addiction, Oslo, Norway
Background: Dropout from school and work among young adults is common, but the risk factors are not well understood and there is a lack of prospective studies. Purpose: To investigate early predictors of later work marginalization and the potential mediating role of high school completion. Significance: Results will point to areas of importance for long-term prevention of marginalization from education and work. Methods: Self-reported high school questionnaire data were linked to prospective registry data for eight consecutive years on 11 874 individuals' demographics, educational progress, employment activity and social benefits. Ordinal logistic regression were used to investigate the associations between exposure to single as well as multiple forms of victimization and later marginalization, using high school completion within 5 years as a mediator. Results: Self-reported exposure to violence and/or bullying at 15 years of age predicted marginalization from work 8years later, even when adjusted for other relevant factors. The mediating effect of education was minor (Completed high school: Odds Ratio, .26; 95% CI, .084-.298; P <.001). Conclusion: Marginalization from work may be predicted by factors that are present in early life. Exposure to violence and bullying increased the odds of marginalization, independent of high school completion. Increasing education level may have some preventive effect, but these results indicate that prevention efforts should be initiated at an early age and target adverse life experiences.

Learning Areas:

Public health or related education
Social and behavioral sciences

Learning Objectives:
Identify life adversities, such as violence and bullying, as possible risk factors for work marginalization. Discuss school based efforts to prevent later work marginalization.

Keyword(s): Youth Violence, Risk Factors

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been doing public health research for the past 4 years and I am currently completing the last year of my PhD degree in epidemiology. Among my interests are exposure to life adversities and school based efforts in preventing negative long term outcomes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.