Relation between socioeconomic status, employment, and health during economic change, 1973-93
Relation between socioeconomic status, employment, and health during economic change, 1973-93
复制标题
经济变革期间社会经济地位、就业和健康之间的关系，1973-93
作者：
M. Bartley;C. Owen
摘要目的：探讨1973- 1993年全国失业率与健康与就业关系的阶层差异之间的关系。设计：数据来自1973- 1993年的一般住户调查。不同社会经济群体中患有和不患有长期疾病的人的就业率、失业率和经济不活动率的比较，以及20年来这些比率的变化情况。对象：1973年至1993年间所有年龄在20-59岁之间的男性。主要结果测量：在有和没有限制长期疾病的人群中，特定阶层的就业率、失业率和经济不活动率随时间的变化。结果：当总体失业率上升时，社会经济第1组和第2组中没有长期疾病的男性从事有偿工作的机会几乎没有减少。受影响最严重的是患有有限长期疾病的男性。这种疾病对非体力劳动者有报酬就业的影响远小于体力劳动者。在第一组中，1979年约有85%患有这种疾病的男子从事有薪工作，到1993年这一比例为75%；第4组的等效比例分别为70%和40%。在体力劳动组中，患有有限长期疾病的男性，没有迹象表明就业率随着经济复苏而再次上升。结论：社会经济地位对疾病对维持有薪就业能力的影响有很大影响，这种影响随着失业率的上升而增加。在20世纪80年代后期的经济复苏期间，从事体力劳动的慢性病患者没有重新加入劳动力队伍。
Abstract Objective: To investigate the association between the national unemployment rate and class differences in the relation between health and employment during the period 1973-93. Design: Data from general household surveys, 1973-93. Comparison of rates of employment, unemployment, and economic inactivity among those with and without limiting longstanding illness in different socioeconomic groups and how these varied over 20 years. Subjects: All men aged 20-59 years in each survey between 1973 and 1993. Main outcome measures: Change over time in class specific rates of employment, unemployment, and economic inactivity in those with and without limiting longstanding illness. Results: Men in socioeconomic groups 1 and 2 with no longstanding illness experienced little decrease in their chances of being in paid employment as the general unemployment rate rose. Those most affected were men in manual groups with limiting longstanding illness. The likelihood of paid employment was affected far less by such illness in non-manual than in manual groups. In group 1 about 85% of men with such illness were in paid employment in 1979 and 75% by 1993; in group 4 the equivalent proportions were 70% and 40%. In men in manual groups with limiting longstanding illness there was no sign of employment rates rising again as the economy recovered. Conclusion: Socioeconomic status makes a large difference to the impact of illness on the ability to remain in paid employment, and this impact increases as unemployment rises. Men with chronic illness in manual occupations were not drawn back into the labour force during the economic recovery of the late 1980s.
影响因子：
6.6
作者：
HOUSE, JS;KESSLER, RC;HERZOG, AR
通讯作者：
HERZOG, AR