title: Employment contracts and health selection: unhealthy employees out and healthy employees in?
abstract: OBJECTIVE
  The healthy worker effect implies that healthy workers go "up" in employment status whereas less healthy workers go "down" into precarious temporary employment or unemployment. These hypotheses were tested during an economic recession, by predicting various upward and downward contract trajectories, based on workers' health status, work-related well-being, and work ability.
  
  
  METHODS
  Two waves (2008 and 2009) of the Netherlands Working Conditions Cohort Study (N = 7112) were used and logistic regression analyses were performed to test the hypothesis of this study.
  
  
  RESULTS
  Lower general health and higher emotional exhaustion at baseline predicted future unemployment among permanent employees. Various downward trajectories were also predicted by lower work-related well-being and lower work ability, whereas the opposite was true for one of the upward trajectories.
  
  
  CONCLUSIONS
  Workers with lower health, lower work-related well-being, or lower work ability are at risk for ending up in precarious temporary employment or unemployment.
authors.affiliation: Behavioural Science Institute, Department of Work and Organizational Psychology, Radboud University Nijmegen, Nijmegen, the Netherlands. a.wagenaar@psych.ru.nl
authors.forename: Alfred F
authors.initials: AF
authors.lastname: Wagenaar
authors.forename: Michiel A J
authors.initials: MA
authors.lastname: Kompier
authors.forename: Irene L D
authors.initials: IL
authors.lastname: Houtman
authors.forename: Seth N J
authors.initials: SN
authors.lastname: van den Bossche
authors.forename: Toon W
authors.initials: TW
authors.lastname: Taris
mesh_terms: D000328:Adult; D032982:Contracts / Q000706:statistics & numerical data*; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D015989:Healthy Worker Effect; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D005222:Mental Fatigue / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D016272:Occupational Health / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires