Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis

ObjectivesPolycystic ovary syndrome (PCOS) is an endocrine disorder in women of fertile age which may also affect the labor market attachment. We investigated labor market attachment trajectories among working age women diagnosed with PCOS.MethodsA cohort of 157,356 women born in 1975–1977 were foll...

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Main Authors: Beata Vivien Boldis, Ilona Grünberger, Jonas Helgertz, Agneta Cederström
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607889/full
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author Beata Vivien Boldis
Beata Vivien Boldis
Ilona Grünberger
Jonas Helgertz
Jonas Helgertz
Agneta Cederström
author_facet Beata Vivien Boldis
Beata Vivien Boldis
Ilona Grünberger
Jonas Helgertz
Jonas Helgertz
Agneta Cederström
author_sort Beata Vivien Boldis
collection DOAJ
description ObjectivesPolycystic ovary syndrome (PCOS) is an endocrine disorder in women of fertile age which may also affect the labor market attachment. We investigated labor market attachment trajectories among working age women diagnosed with PCOS.MethodsA cohort of 157,356 women born in 1975–1977 were followed annually between the ages of 30 and 39, using data from Swedish administrative registers. Multinomial logistic regression was employed to assess associations between being diagnosed with PCOS (after the age of 15) and belonging to the identified clusters of labor market attachment trajectories.ResultsWomen with PCOS spent less time in employment and were more dependent on sickness benefits during the follow-up time than those without PCOS. Five labor market attachment clusters were identified: stable employment, education into employment, labor market exclusion, continuously unstable position, long-term sickness. Compared to being in the stable employment cluster, women diagnosed with PCOS were more likely to experience long-term sickness [RRR (relative risk ratio): 1.97 (CI: 1.90–2.05)], and education into employment [RRR: 1.11 (CI: 1.07–1.15)].ConclusionPCOS can lead to disadvantaged labor market outcomes. Better strategies are needed to prevent economic exclusion among women diagnosed with PCOS.
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spelling doaj-art-d7979d0ea9874c81a39e48e653f4ca1d2025-08-20T02:11:47ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-04-017010.3389/ijph.2025.16078891607889Polycystic Ovary Syndrome and Labor Market Attachment: Sequence AnalysisBeata Vivien Boldis0Beata Vivien Boldis1Ilona Grünberger2Jonas Helgertz3Jonas Helgertz4Agneta Cederström5Department of Public Health Sciences, Stockholm University, Stockholm, SwedenEpidemiology, Population Studies and Infrastructures (EPI@LUND), Lund University, Lund, SwedenDepartment of Public Health Sciences, Stockholm University, Stockholm, SwedenCentre for Economic Demography, Lund University School of Economics and Management, Lund, SwedenDepartment of Economic History, Lund University, Lund, SwedenDepartment of Public Health Sciences, Stockholm University, Stockholm, SwedenObjectivesPolycystic ovary syndrome (PCOS) is an endocrine disorder in women of fertile age which may also affect the labor market attachment. We investigated labor market attachment trajectories among working age women diagnosed with PCOS.MethodsA cohort of 157,356 women born in 1975–1977 were followed annually between the ages of 30 and 39, using data from Swedish administrative registers. Multinomial logistic regression was employed to assess associations between being diagnosed with PCOS (after the age of 15) and belonging to the identified clusters of labor market attachment trajectories.ResultsWomen with PCOS spent less time in employment and were more dependent on sickness benefits during the follow-up time than those without PCOS. Five labor market attachment clusters were identified: stable employment, education into employment, labor market exclusion, continuously unstable position, long-term sickness. Compared to being in the stable employment cluster, women diagnosed with PCOS were more likely to experience long-term sickness [RRR (relative risk ratio): 1.97 (CI: 1.90–2.05)], and education into employment [RRR: 1.11 (CI: 1.07–1.15)].ConclusionPCOS can lead to disadvantaged labor market outcomes. Better strategies are needed to prevent economic exclusion among women diagnosed with PCOS.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607889/fullPCOSlabor market attachmentsequence analysissickness benefitunemployment
spellingShingle Beata Vivien Boldis
Beata Vivien Boldis
Ilona Grünberger
Jonas Helgertz
Jonas Helgertz
Agneta Cederström
Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
International Journal of Public Health
PCOS
labor market attachment
sequence analysis
sickness benefit
unemployment
title Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
title_full Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
title_fullStr Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
title_full_unstemmed Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
title_short Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis
title_sort polycystic ovary syndrome and labor market attachment sequence analysis
topic PCOS
labor market attachment
sequence analysis
sickness benefit
unemployment
url https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607889/full
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