Page 35 - IJPS-11-4
P. 35

International Journal of
            Population Studies                                                              Stress in early adulthood



            the imputations, while standard errors were computed   to Danish legislation, written informed consent or approval
            using Rubin’s rule, a formula that accounts for multiple   from ethics or scientific committees is not required for
            imputations (results not shown) (Ruben, 1987). The   questionnaire- and register-based studies (NVK, 2021).
            dichotomization of scales  was performed after  multiple
            imputations of missing values.                     3. Results

              A correlation analysis between the two measures of   Table 1 displays the distribution of exposure variables
            young adult stress (work stress and perceived stress) at   in relation to perceived stress and work stress at age 28.
            age 28 revealed a correlation of  r = 0.32. In addition, a   Among those who reported feeling stressed between
            correlation analysis between all exposure variables showed   the ages of 15 and 21, the percentage reporting high
            the strongest correlation between the stress measures at ages   perceived  stress  at  age  28  increased  from  34%  to  44%
            15, 18, and 21, with correlations of r = 0.33 and r = 0.38. All   with increasing age, compared to percentages between
            the other correlations were below 0.3. All correlations were   18% and 22% among those who had not previously felt
            performed before dichotomization. Descriptive statistics   stressed. A  similar tendency was observed for work
            in relation to the two outcome measures were presented for   stress, where 23% to 26% of those who experienced stress
            all exposures and covariates as the number and percentile   during adolescence reported high work stress compared
            distribution of the scales. Multiple logistic regression   to between 15% and 16% of those who did not experience
            analyses were computed to study the associations between   stress during adolescence. Considering the accumulative
            perceived stress at ages 15, 18, and 21 and perceived stress   stress measure, individuals who reported stress at ≥2 time
            or work stress at age 28. The selection of covariates included   points during adolescence experienced higher proportions
            in the analyses was based on a priori considerations and   of high perceived stress and work stress at age 28, compared
            informed by a literature review. The associations between   to  those  who  had not  reported  feeling  stressed  during
            adolescent stress and young adult stress were analyzed   adolescence (46% vs. 13% and 27% vs. 13%). A  lower
            by two different models. First, the crude associations   proportion of the temporary employed experienced work
            between adolescent stress or covariates and young adult   stress compared to the permanently employed (16% vs.
            stress were performed. Second (model 1), the associations   19%). Regarding the work environment, the proportion
            between adolescent stress and young adult stress measures   of individuals who experienced high perceived stress and
            were adjusted for gender, own educational level, parental   work stress at age 28 was higher among those with a poor
            education, and level of income. Third, (model 2), the fully   psychosocial work environment compared to those with a
            adjusted analyses were performed, additionally adjusting   good psychosocial work environment. The proportions of
            for temporary employment and the four psychosocial   females who reported high perceived stress or work stress
            work environment factors.                          at age 28 were higher than in males.
              Finally, a stratified analysis was performed to investigate   Table 2 presents the associations between stress at ages
            the association between accumulated adolescent stress and   15, 18, and 21 and perceived stress or work stress at age
            young adult stress among individuals who had completed   28. Statistically significant crude associations were seen
            their education less or more than 2 years ago.     between high stress at ages 15, 18, or 21 and perceived
              All odds ratios (OR) were presented with 95%     stress or work stress at age 28, with increasing associations
            confidence  intervals  (95%  CIs)  with  a  significance  level   in relation to increasing age and the strongest associations
            of  p < 0.05. Data analysis was performed using Stata   in relation to perceived stress being seen at age 21 (crude
            version  16.0 (Stata Corporation, College Station, Texas,   association between  perceived stress  at  ages  21 and  28:
            USA).                                              OR = 4.0). Adjustments for gender and socioeconomic
                                                               variables in Model 1 changed the estimates by a maximum
            2.4. Ethics                                        of 0.1 in relation to both outcome measures.
            This study adheres to the principles outlined in the   When  additional  adjustments  for  temporary
            1975 Declaration of Helsinki (WMA, 2021). Approval for   employment and the four measures of psychosocial
            the study was obtained from the Danish Data Protection   work environment were performed (model 2), the
            Agency. Participants were provided with information   associations between adolescent stress and young adult
            regarding the project’s purpose, and their completion and   work stress decreased to non-significant ORs in the range
            return of the questionnaire were regarded as informed   of 1.1 – 1.4. After adjusting for temporary employment
            consent and willingness to participate in the study. These   and psychosocial work  environment  measures,  the  ORs
            procedures were consistent with the regulations in place   between adolescent stress and perceived stress at age 28
            during the data collection period in Denmark. According   decreased; however, statistically significant associations


            Volume 11 Issue 4 (2025)                        29                        https://doi.org/10.36922/ijps.0864
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