What is healthy work for women and men? - A case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence

The aim of the study was to investigate the relevance of the demand-control model and social support in predicting long-term sickness absence (LTSA). Identifying gender- and sector- (private vs. public) specific patterns was in focus. The study uses a cross-sectional design with a case and a control group. The cases are a sample of 2 327 long-term sick listed (>60 days) and the controls are a Swedish population-based sample of 2 063. Data on sickness absence were retrieved from the Swedish national social insurance registers. Data on health, working and living conditions were gathered through a self-administered questionnaire. The results show that employed women have a notably higher risk for LTSA than employed men. High-strain jobs increase the odds for LTSA among both women and men. Active jobs were also associated with LTSA among women. The study confirms the demand-control model (job strain hypothesis) and social support and their associations with LTSA. However, the job strain hypothesis is more evident in the private sector. Active jobs with high psychological demands and high decision latitude seem to be problematic for many women, especially in the private sector. Thus, the active learning hypothesis receives no support for women in the Swedish working population in general.     

The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model

The 1990s were characterised by strong pressure for organisational reform at the municipality level in the Swedish welfare provision. In social care services for older people, care management reform was one of the many proposals circulating. Within a short time span, a large number of municipalities had implemented this new model and this paper reports and analyses the process of change. A key finding was that the success of the new organisational model was ascribed to new problem-solving functions and a lack of internal (professional) resistance.     

Talking with like-minded people—Equality and efficacy in enclave deliberation

Enclaves of like-minded people are often seen as problematic from a democratic point of view, as they have been found to lead to both group polarization and an amplification of cognitive errors. Nevertheless, enclaves can also act as protected spaces have the opportunity to discuss politics with their peers. As a result, people who are less well-endowed to face political disagreement can find it easier to engage in politics. In order to study the ‘empowering’ potential of enclave deliberation, we use data from a population-based experiment (n = 207). The participants were randomly allocated to two treatments. Some participants deliberated in groups consisting of people with similar baseline views on immigration (like-minded treatment), whereas others deliberated in groups where both restrictive and permissive participants were present (mixed treatment). We hypothesize that (1) discussion in like-minded groups is more equal than in mixed opinion groups and that (2) participants with lower resources feel politically more efficacious after deliberation in like-minded than in mixed groups. Our results suggest that people with higher resources tend to be more active regardless of treatment. Nevertheless, we also find that among those with lower resources deliberation in like-minded groups generates a higher sense of equality than discussion in mixed opinion groups.     

Why do they stay? A study of resilient child protection workers in three European countries

Whilst 50% of child protection workers across much of Europe and the affluent ‘West’ leave after two years, many stay and develop substantial professional careers. This paper discusses research in Italy, Sweden and England examining what factors explain ‘remaining’ for more than three years in this stressful job. Underpinned by a hermeneutic epistemology, qualitative interviews were undertaken and subject to an interpretative thematic analysis. The findings proved to be complex and multi-layered and this paper presents an overview of these. The theoretical framework for the project mainly drew on organisations and resilience, and the initial sections of the paper consider how formulations of resilience as contextual and relational can elucidate professional sustainability. Organisational issues are considered, including the impact of work management, of supervision and of allocation in different national contexts. The paper also focuses on the role of friendships and informal support at work. Threaded through these established themes are more, perhaps surprising, concepts: for example, creativity, power, reflexive spaces and interpersonal relations as explanatory of remaining in child protection work.     

Organizational impact on psychosocial working conditions

Using a multilevel approach, this study explores how job demands and control are dependent on the organizational context in which work is performed. The data set consisted of 3,485 employees at 51 establishments divided into 141 sub-units and belonging to 10 parent organizations. Data were collected by means of a survey answered by the employees and structured interviews conducted with operative managers at participating establishments. The results showed that a significant proportion of the variance in job demands and control was attributed to the organization, and that the three organizational levels varied in terms of their impact on the two psychosocial dimensions. More specifically, job demands were mostly affected by the establishment level, while the sub-unit level seemed to be the most important for job control. It is concluded that in studies of working conditions, the organizational context should be considered.     

Traits of a representative welfare state: the Swedish example

Järkestig Berggren U, Blomberg S, Petersson J. Traits of a representative welfare state: the Swedish example Int J Soc Welfare 2010: 19: 402–411 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. The care manager reform and the case manager reform are new reforms in the social care services in Sweden, which are evolving during the 2000s. Together they shape the social care services introducing a new way of decision‐making where representatives for the organisation (care manager) and the users (case manager) negotiate. The reforms have been analysed in two studies with results presented in this article. Using the concepts of role, orientation, function and assignments, it is argued that the managers come to the negotiations on rights from different positions that are both conflicting and complementary. They further mediate the development towards a welfare mix, where the market, social networks and users interact to obtain the public welfare provision. Through this negotiated rights model, it is argued that traits of a representative welfare state emerge, with the distinction of moving the focus to the administrative practices and their differences away from political ideologies.     

Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions,legislation, demography,work environment and alcohol consumption

Lidwall U, Marklund S. Trends in long‐term sickness absence in Sweden 1992–2008: the role of economic conditions, legislation, demography, work environment and alcohol consumption Int J Soc Welfare 2011: 20: 167©179 © 2010 The Author(s), International Journal of Social Welfare © 2010 Blackwell Publishing Ltd and the International Journal of Social Welfare. In Sweden, absence from work because of illness or injury has fluctuated considerably over time. This study aimed to identify potentially important factors behind variations in long‐term sickness absence. Aggregated data were used to assess factors correlated with the number of ongoing cases of sickness absence lasting more than 59 days. Trends were analysed using statistics from national social insurance records, labour force surveys and other official statistics. Although specific changes in the degree of generosity in the sickness insurance scheme were important in some cases, the results showed no consistent associations for the study period 1992–2008. Men were generally more sensitive to macroeconomic factors than women. Furthermore, compared with earlier findings, workforce composition had less impact on variations in long‐term sickness absence. Notably, public health indicators such as alcohol sales and working conditions were clearly related to long‐term sick leave during the period under investigation.