Unemployment and Mental Disorders Evidence from Danish Panel Data
Unemployment and Mental Disorders Evidence from Danish Panel Data
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DOI：
10.2753/imh0020-7411390203
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发表时间：
2010-01-01
影响因子：
2
通讯作者：
Westergaard-Nielsen, Niels
中科院分区：
文献类型：
--
作者：
Eriksson, Tor;Agerbo, Esben;Westergaard-Nielsen, Niels
这篇文章讨论了失业和相关的社会因素作为精神健康受损的风险因素。与早期关于失业和心理健康的研究不同，我们使用第一次进入精神病院或病房作为我们对精神疾病的衡量标准。我们通过合并一个纵向的，具有代表性的样本，年龄在15-64岁的丹麦人口，包含详细的年度信息，劳动力市场行为，收入和病假在12年的时间与面板，包括所有精神疾病的情况下，他们的诊断。我们估计条件logistic回归模型的病例对照数据与失业和其他劳动力市场状况在第一次入院前的几年作为关键的解释变量。我们发现，长期和中期失业的经验，其次是个人被接纳为第一次到精神病院的概率增加。虽然以往失业经验的影响在高失业率地区和低失业率地区之间没有区别，但在商业周期的不同阶段却有所不同。这一结果意味着，长期深度衰退的最终影响可能小于根据正常时期的经验所预期的影响。
This article addresses unemployment and related social factors as risk factors for impaired mental health. Departing from earlier studies of unemployment and mental health, we use first admissions to a psychiatric hospital or ward as our measure of mental illness. We construct the data by merging a longitudinal, representative sample of the Danish population aged 15-64 containing detailed annual information about labor market behaviour, incomes, and sick leaves during a 12-year period with a panel encompassing all cases of psychiatric illnesses and their diagnoses. We estimate conditional logistic regression models for case-control data with unemployment and other labor market statuses during the years preceding the first admission as the key explanatory variables. We find that experiences of long-and medium-term unemployment are followed by an increased probability of the individual being admitted for the first time to a psychiatric hospital. While the impact of previous unemployment experience does not differ between high and low unemployment regions, it differs across phases of the business cycle. This result implies that the eventual impact of a prolonged deep recession is likely to be smaller than expected from the experience from normal times.