The Swedish Longitudinal Occupational Survey of Health (SLOSH) is a unique prospective study on work environment and health. SLOSH was initiated by the Stress Research Institute at Stockholm University in 2006 and aims to study the complex relationships between work organization, work environment, labour market participation and health.

Commissioned by Stress Research Institute, Statistics Sweden (SCB) mails self-completion questionnaires to the participants every second. Registry data are linked both retrospectively and prospectively.

SLOSH is based on the Swedish Work Environment Surveys of 2003 and 2005 (SWES). The first follow-up was conducted in March 2006, when all the 9,200 participants of the SWES 2003 were mailed self-completion questionnaires. In 2008, the second follow-up was realized, where also participants of the 2005 SWES were invited to participate. The core of the SLOSH therefore consists of a total of 18 915 persons. The third follow-up was conducted in 2010, which also included 2,553 participants from Stockholm and Västra Götaland who has responded to SWES 2007, a fourth follow-up in 2012, and a fifth data collection during spring 2014. Continued follow-ups are planned for every other year.
The survey is available in two versions, one for participants in gainful employment and one for those who are not gainfully employed or work more than 30 percent. The survey for those in gainful employment is divided into three parts with the first part containing questions from SWES, but also new questions about changes in employment, demand and control at work, effort and reward, organizational justice, leadership etc. The second part is about health and wellbeing and the third section highlights the general life situation. Also the survey for those who have temporarily or permanently left the labour market is divided into three parts, where the second and third part is almost identical to the survey for workers. The first part deals with questions about current supply, reasons why for not working and the positive and negative aspects of not being gainfully employed. In order not to burden the participants with too many questions, questionnaire data is linked to register data on employment, sick leave, hospitalisation etc. both prospectively and back in time.

Purpose:

SLOSH is a unique prospective study on work environment and health. It is expected to provide a basis for improvements of work environment and to contribute to a better understanding regarding work-related ill-health in Sweden and other countries.

In March 2006 SCB mailed self-completion questionnaires (one for working, one for non-working persons) and a letter of invitation to all who had responded to SWES 2003, a total of 9,154 participants. Of these, 5,985 replied, i.e. 65.4 % of the study sample. Show less..

Data contains personal data

Method and outcome

Unit of analysis

Individual

Population

Personer i åldrarna 16-64 år i förvärvsarbete (i Sverige)

Time Method

Longitudinal: Cohort/Event-based

Sampling procedure

Probability: Stratified
Probability: Simple random

Urvalet till SLOSH utgörs av samtliga ca 18 915 personer som besvarade 2003 och 2005 års AMU samt de 2 572 deltagare i AMU 2007 som är bosatta i Stockholms eller Västra Götalands län. AMU drivs av Arbetsmiljöverket och Statistiska centralbyrån (SCB) och bygger i sin tur på de Arbetskraftsundersökningar (AKU), som görs varje år. I dessa tillfrågas slumpmässigt utvalda individer i arbetsför ålder om sysselsättning. Vid urvalsdragningen till AKU sker en indelning i strata efter län, kön, medborgarskap och sysselsättning enligt sysselsättningsregistret. Urvalet till Arbetsmiljöundersökningen är ett delurval av de personer som deltagit i AKU och som var sysselsatta vid intervjutillfället.

Time period(s) investigated

2006-03 – 2006-05

Number of individuals/objects

5985

Response rate/participation rate

65.4%

Data format / data structure

Numeric

Data collection

Mode of collection: Self-administered questionnaire: paper
Time period(s) for data collection: 2006 – 2006
Sample size: 9154
Non response size: 3169
Source of the data: Population group

Geographic coverage

Geographic spread

Geographic location: Sweden

Administrative information

Responsible department/unit

Stress Research Institute

Funding 1

Funding agency: FAS Centre for Global Health Research at the Medical Faculty of Umeå University

Funding 2

Funding agency: Swedish Research Council

Ethics Review

Stockholm

Topic and keywords

Research area

Working conditions (CESSDA Topic Classification)

Medical and health sciences (Standard för svensk indelning av forskningsämnen 2011)

Health sciences (Standard för svensk indelning av forskningsämnen 2011)

Public health, global health, social medicine and epidemiology (Standard för svensk indelning av forskningsämnen 2011)

Health (CESSDA Topic Classification)

Keywords

Occupations, Job characteristics, Labour and employment, Workloads, Sick leave, Part-time employment, Temporary employment, Personnel, Cohort studies, Workload, Workplace, Task performance and analysis, Psychology, industrial, Job satisfaction, Public health, Early retirement, Retirement, Termination of service, Unemployed, Full-time employment, Hours of work, Rewhard

Publications

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Bodin Danielsson C, Wulff C, Westerlund H. Is perception of leadership influenced by office environment? Journal of Corporate Real Estate 2013;15(3/4):194-212.

Magnusson Hanson LL, Westerlund H, Leineweber C, Rugulies R, Osika W, Theorell T, Bech P. The Symptom Checklist-core depression (SCL-CD6) scale: psychometric properties of a brief six item scale for the assessment of depression. Scand J Public Health. 2014 Feb;42(1):82-8. doi: 10.1177/1403494813500591. Epub 2013 Aug 27.
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Miyakawa M, Magnusson Hanson L, Theorell T, Westerlund H. Subjective social status and health measures and its predictors in Swedish men and women (the SLOSH study). Eur J Public Health. 2012;22(4):593-7. doi: 10.1093/eurpub/ckr064

Oxenstierna G, Magnusson Hanson LL, Widmark M, Finnholm K, Stenfors C, et al. Conflicts at work: The relationship with workplace factors, work characteristics and self-rated health. Ind Health 2011;49: 501-510. Epub 2011 Jun 21.

Oxenstierna G, Elofsson S, Gjerde M, Hanson LM, Theorell T. Workplace Bullying, Working Environment and Health. Ind Health. 2012;50(3):180-8. Epub 2012 Mar 28.
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Magnusson Hanson LL, Madsen IE, Westerlund H, Theorell T, Burr H, Rugulies R. Antidepressant use and associations with psychosocial work characteristics. A comparative study of Swedish and Danish gainfully employed. J Affect Disord. 2013 Jul;149(1-3):38-45. doi: 10.1016/j.jad.2012.08.023. Epub 2012 Sep 7.

Stenfors CU, Magnusson Hanson L, Oxenstierna G, Theorell T, Nilsson LG. Psychosocial working conditions and cognitive complaints among Swedish employees. PLoS One. 2013;8(4):e60637. doi: 10.1371/journal.pone.0060637. Epub 2013 Apr 1.
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Richter A, Schraml K, Leineweber C. Work-family conflict, emotional exhaustion and performance-based self-esteem: reciprocal relationships. Int Arch Occup Environ Health. 2015 Jan;88(1):103-12. doi: 10.1007/s00420-014-0941-x. Epub 2014 Mar 25.
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Kinsten A, Magnusson Hanson L, Hyde M, Oxenstierna G, Westerlund H, & Theorell T. Swedish Longitudinal Occupational Survey of Health (SLOSH): a nationally representative psychosocial survey of the Swedish working population. Stockholm: Stress Research Institute, Stockholm University, 2007.

Brenner MH, Andreeva E, Theorell T, Goldberg M, Westerlund H,Leineweber C, Hanson LL, Imbernon E, Bonnaud S. Organizational downsizing and depressive symptoms in the European recession: the experience of workers in France, Hungary, Sweden and the United kingdom. PLoS One. 2014 May 19;9(5):e97063. doi: 10.1371/journal.pone.0097063. eCollection 2014.
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Hanson LL, Leineweber C, Chungkham HS, Westerlund H. Work-home interference and its prospective relation to major depression and treatment with antidepressants. Scand J Work Environ Health. 2014 Jan;40(1):66-73. doi: 10.5271/sjweh.3378. Epub 2013 Aug 21.

Åkerstedt T, Garefeldt J, Richter A, Westerlund H, Magnusson Hanson LL, Sverke M, Kecklund G. Work and sleep- a prospective study of psychosocial work factors, physical work factors and work scheduling. Accepted SLEEP.

Leineweber C, Westerlund H, Hagberg J, Svedberg P, Alexanderson K. Sickness presence is more than an alternative to sickness absence: results from the population-based SLOSH study. Int Arch Occup Environ Health. 2012 Nov;85(8):905-14. doi: 10.1007/s00420-012-0735-y. Epub 2012 Jan 24.

Fransson EI, Heikkilä K, Nyberg S, Zins M, Westerlund H, et al. Job Strain as a Risk Factor for Leisure-Time Physical Inactivity: An Individual-Participant Meta-analysis of up to 170,000 Men and Women. The IPD-Work Consortium. Am J Epidemiol. 2012 Dec 15;176(12):1078-89. doi: 10.1093/aje/kws336. Epub 2012 Nov 9.
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Taloyan M, Leineweber C, Hyde M, Westerlund H. Self-rated health amongst male and female employees in Sweden: a nationally representative study. Int Arch Occup Environ Health. 2014 Dec 21. [Epub ahead of print]

Hébert S, Canlon B, Hasson D, Magnusson Hanson LL, Benka Wallén M, et al. Tinnitus severity is reduced with reduction of depressive mood – a prospective population study in Sweden. PLoS One. 2012;7(5):e37733. doi: 10.1371/journal.pone.0037733. Epub 2012 May 22.
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Fransson EI, Nyberg ST, Heikkilä K, Alfredsson L, et al.Job strain and the risk of stroke: an individual-participant data meta-analysis. Stroke. 2015 Feb;46(2):557-9. doi: 10.1161/STROKEAHA.114.008019. Epub 2015 Jan 6.

Hebert S, Canlon B, Hasson D. Emotional exhaustion as a predictor of tinnitus. Psychother Psychosom 2012; 81: 324-326.

Theorell T, Andreeva E, Leineweber C, Hanson Magnusson L, Oxenstierna G, Westerlund H (2009) Restructuring and Employee Health. In: Grassbauer M, Sakalauskas L, Zavadskas E.K (Eds.). 5th international Vilnius Conference, Knowledge-Based Technologies and OR Methodologies for Strategic Decisions of Substainable Development, pp. 331-336 - P2758

Chungkham HS, Ingre M, Karasek R, Westerlund H, Theorell T. Factor structure and longitudinal measurement invariance of the demand control support model: an evidence from the Swedish Longitudinal Occupational Survey of Health (SLOSH). PLoS One. 2013 Aug 12;8(8):e70541. doi: 10.1371/journal.pone.0070541. eCollection 2013.
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Nyberg ST, Heikkila K, Fransson EI, Alfredsson L, De Bacquer D, et al. Job strain in relation to body mass index: pooled analysis of 160,000 adults from 13 cohort studies. Journal of Internal Medicine. 2012; 272(1):65-73. doi: 10.1111/j.1365-2796.2011.02482.x. Epub 2011 Dec 5.
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Wallen MB, Hasson D, Theorell T, Canlon B. The correlation between the hyperacusis questionnaire and uncomfortable loudness levels is dependent on emotional exhaustion. Int J Audiol 2012;51: 722-729.

Magnusson Hanson LL, Theorell T, Bech P, Rugulies R, Burr H, Hyde M, Oxenstierna G, Westerlund H. Psychosocial working conditions and depressive symptoms among Swedish employees. International Archives of Occcupational and Environmental Health, 2009; 82(8):951-960. Epub 2009 Feb 24, DOI: 10.1007/s00420-009-0406-9.

Magnusson Hanson LL, Theorell T, Oxenstierna G, Hyde M, Westerlund H. Demand, control, and social climate as predictors of emotional exhaustion symptoms in working Swedish men and women. Scand J Public Health, 2008;36(7):737-743

Magnusson Hanson LL, Akerstedt T, Naswall K, Leineweber C, Theorell T, et al. Cross-lagged relationships between workplace demands, control, support and sleep problems. Sleep 2011;34:1403-1410.

Miyakawa M, Magnusson Hanson LL, Theorell T, Westerlund H. Subjective social status: its determinants and association with health in the Swedish working population (the SLOSH study). Eur J Public Health. 2012 Aug;22(4):593-7. doi: 10.1093/eurpub/ckr064. Epub 2011 Jun 6.
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Canlon B, Theorell T, Hasson D. Associations between stress and hearing problems in humans. Hear Res 2013; 295: 9-15.

Nyberg A, Leineweber C, Magnusson Hanson L. Gender differences in psychosocial work factors, work-personal life interface, and well-being among Swedish managers and non-managers. Int Arch Occup Environ Health. 2015 Mar 12. [Epub ahead of print]

Fransson EI, Nyberg ST, Heikkila K, Alfredsson L, De Bacquer D, et al. Comparison of alternative versions of the job demand-control scales in 17 European cohort studies: the IPD-Work consortium. BMC Public Health 2012;12: 62.

Theorell T, Nyberg A, Leineweber C, Magnusson Hanson LL, Oxenstierna G, Westerlund H. Non-listening and self centered leadership - relationships to socioeconomic conditions and employee mental health. PLoS ONE, 2012;7(9):e44119. doi: 10.1371/journal.pone.0044119. Epub 2012 Sep 24.

Hasson D, Theorell T, Westerlund H, Canlon B. Prevalence and characteristics of hearing problems in a working and non-working Swedish population. Journal of Epidemiology and Community Health, 2010;64(5):453-60

Madsen IE, Hannerz H, Nyberg ST, Magnusson Hanson LL, et al.;IPD-Work Consortium. Study protocol for examining job strain as a risk factor for severe unipolar depression in an individual participant meta-analysis of 14 European cohorts. Version 2. F1000Res. 2013 Nov 5 [revised 2014 Feb 26];2:233. doi: 10.12688/f1000research.2-233.v2. eCollection 2013.
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Bodin Danielsson C, Chungkham HS, Wulff C, Westerlund H. Office design's impact on sick leave rates. Ergonomics. 2014;57(2):139-47. doi: 10.1080/00140139.2013.871064. Epub 2014 Jan 27.
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Leineweber C, Kecklund G, Theorell T, Åkerstedt T, Alexanderson K, Westerlund H. Inflytande över arbetstiden och sjuknärvaro/sjukfrånvaro [Work-time control and sickness absence/presenteeism]. Arbetsliv & Arbetsmarknad 2013; 4. Accepted June 2013.

Wallen MB, Hasson D, Theorell T, Canlon B, Osika W. Possibilities and limitations of the polar RS800 in measuring heart rate variability at rest. Eur J Appl Physio 2011; 112(3):1153-65. doi: 10.1007/s00421-011-2079-9.

Hasson D, Theorell T, Bergquist J, Canlon B. Acute Stress Induces Hyperacusis in Women with High Levels of Emotional Exhaustion. PloS one 2013; 8: e52945.

Magnusson Hanson LL, Chungkham HS, Ferrie J, Sverke M. Threats of dismissal and symptoms of major depression: a study using repeated measures in the Swedish working population. JECH, In press

Siegrist J, Dragano N, Nyberg ST, Lunau T, et al.; 1. for the IPD-Work Consortium. Validating abbreviated measures of effort-reward imbalance on work in 15 European Cohort studies: the IPD-Work consortium. Int Arch Occup Environ Health. 2014 Apr;87(3):249-56. doi: 10.1007/s00420-013-0855-z. Epub 2013 Mar 2.

Griep Y, Hyde M, Vantilborgh T, Bidee J, De Witte H, Pepermans R. Voluntary work and the relationship with unemployment, health, and well-being: A two-year follow-up study contrasting a materialistic and psychosocial pathway perspective. J Occup Health Psychol. 2015 Apr;20(2):190-204. doi: 10.1037/a0038342. Epub 2014 Nov 17.

Magnusson Hanson LL, Chungkham HS, Åkerstedt T, Westerlund H. The role of sleep disturbances in the longitudinal relationship between psychosocial working conditions, measured by work demands and support, and depression. Sleep. 2014 Dec 1;37(12):1977-85. doi: 10.5665/sleep.4254.

Heikkilä K, Nyberg ST, Fransson EI, Alfredsson L, et al.; 1. for the IPD-Work Consortium. Job strain and alcohol intake: A collaborative meta-analysis of individual-participant data from 140 000 men and women. PLoS ONE, 2012;7(7):e40101.

Hyde M, Hanson LM, Chungkham HS, Leineweber C, Westerlund H. The impact of involuntary exit from employment in later life on the risk of major depression and being prescribed anti-depressant medication. Aging Ment Health. 2015;19(5):381-9. doi: 10.1080/13607863.2014.927821. Epub 2014 Jun 19.

Madsen IE, Hanson LL, Rugulies R, Theorell T, Burr H, Diderichsen F, Westerlund H. Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment? A prospective study from two Nordic countries. Soc Psychiatry Psychiatr Epidemiol. 2014 Aug;49(8):1209-18. doi: 10.1007/s00127-014-0836-x. Epub 2014 Feb 20.
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Stenfors CU, Marklund P, Magnusson Hanson LL, Theorell T, Nilsson LG. Subjective cognitive complaints and the role of executive cognitive functioning in the working population: a case-control study. PLoS One. 2013 Dec 26;8(12):e83351. doi: 10.1371/journal.pone.0083351. eCollection 2013.
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Heikkilä K, Nyberg ST, Fransson EI, Alfredsson L, et al.; for the IPD-Work Consortium. Job strain and tobacco smoking: An individual-participant data meta-analysis of 166 130 adults in 15 European studies. PLoS ONE, One. 2012;7(7):e35463.

Nyberg A, Westerlund H, Magnusson Hanson LL, Theorell T. Managerial leadership is associated with self-reported sickness absence and sickness presenteeism among Swedish men and women. Scandinavian Journal of Public Health, 2008;36:803-311

Odéen M, Westerlund H, Theorell T, Leineweber C, Eriksen HR, Ursin H. Expectancies, socioeconomic status, and self-rated health: Use of the simplified TOMCATS questionnaire. International Journal of Behavioral Medicine, 2013 Jun; 20(2):242-51. Epub ahead of print 2012 Feb 1.

Theorell T, Hammarström A, Gustafsson PE, Magnusson Hanson L, Janlert U, Westerlund H. Job strain and depressive symptoms in men and women: a prospective study of the working population in Sweden. J Epidemiol Community Health. 2014 Jan;68(1):78-82. doi: 10.1136/jech-2012-202294. Epub 2013 Sep 19.
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Taloyan M, Aronsson G, Leineweber C, Magnusson Hanson L, Alexanderson K, Westerlund H. Sickness Presenteeism Predicts Suboptimal Self-Rated Health and Sickness Absence: A Nationally Representative Study of the Swedish Working Population. PLoS ONE 2012;7(9): e44721. doi:10.1371/journal.pone.0044721

Leineweber C, Wege N, Westerlund H, Theorell T, Wahrendorf M, Siegrist J. How valid is a short measure of effort-reward imbalance at work? A replication study from Sweden. Occup Environ Med 2010; 67 (8):526-531. Epub 2010 Jun 23, DOI: 10.1136/oem.2009.050930

Nyberg ST, Fransson EI, Heikkilä K, Ahola K, Alfredsson L, et al.; IPD-Work Consortium. Job strain as a risk factor for type 2 diabetes: a pooled analysis of 124,808 men and women. Diabetes Care. 2014 Aug;37(8):2268-75. doi:10.2337/dc13-2936.
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Theorell T, Osika W, Leineweber C, Magnusson Hanson LL, Bojner Horwitz E, et al. Is cultural activity at work related to mental health in employees? Int Arch Occup Environ Health. 2013 Apr;86(3):281-8. doi: 10.1007/s00420-012-0762-8. Epub 2012 Mar 29.
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Leineweber C, Baltzer M, Magnusson Hanson LL, Westerlund H. Work-family conflict and health in Swedish working women and men: a 2-year prospective analysis (the SLOSH study). Eur J Public Health. 2013 Aug;23(4):710-6. doi: 10.1093/eurpub/cks064. Epub 2012 Jun 8.
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Hasson D, Theorell T, Benka Wallén M, Leineweber C, Canlon B. Stress and prevalence of hearing problems in the Swedish working population. BMC Public Health. 2011; 11: 130.
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