Self-rated health in relation to employment status during periods of high and of low levels of unemployment
Self-rated health in relation to employment status during periods of high and of low levels of unemployment
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DOI：
10.1093/eurpub/cki165
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发表时间：
2006-06-01
影响因子：
4.4
通讯作者：
Westerling, Ragnar
中科院分区：
文献类型：
--
作者：
Ahs, Annika;Westerling, Ragnar
背景：有必要对全国失业率变化对健康的影响进行更多的研究。因此，本研究旨在比较高失业率和低失业率时期的自测健康水平。研究方法：数据包括来自瑞典生活条件调查的横断面访谈，该调查是基于对居住在瑞典的16至64岁居民的随机抽样。收集了1983- 1989年期间的数据，当时失业率较低（n = 35 562; 2.5%），1992- 1997年期间失业率较高（n = 24 019; 7.1%）。结果如下：在对社会人口变量以及长期疾病或残疾进行调整后，失业者和就业者之间自评健康的差异在1990年代失业率高的时候比在1980年代失业率低的时候更大。与失业率低的时候相比，失业率高的时候有更多的失业群体健康状况不佳。1992- 1997年，已婚、生活在大城市或没有长期疾病或残疾不再缓冲对失业者健康的负面影响。结论：在高失业率期间，失业者的自我健康状况似乎是一个日益严重的公共卫生问题。
Background: There is a need for more research on the health impact of changes in the national unemployment rate. Therefore, the present study was carried out to compare levels of self-rated health during periods of high and low levels of unemployment. Methods: Data included cross-sectional interviews from the Swedish Survey of Living Conditions, which were based on random samples of inhabitants between 16 and 64 years of age living in Sweden. Data were collected for the period 1983-89, when unemployment levels were low (n = 35 562; 2.5%) and for the period 1992-97 when unemployment was high (n = 24 019; 7.1%). Results: After adjusting for sociodemographic variables as well as long-term disease or handicap, the differences in self-rated health between the unemployed and employed were larger when unemployment levels were high in the 1990s, than when they were low in the 1980s. More groups of the unemployed were afflicted with poor health when unemployment was high, compared with when it was low. In 1992-97, being married, living in larger cities, or not having a long-term disease or handicap no longer buffered the negative effects on health among the unemployed. Conclusions: Poorer self-rated health among the unemployed seems to be an increasing public health problem during high levels of unemployment.