Suicide, deprivation, and unemployment: record linkage study
Suicide, deprivation, and unemployment: record linkage study
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DOI：
10.1136/bmj.317.7168.1283
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发表时间：
1998-11-07
影响因子：
105.7
通讯作者：
Sloggett, A
中科院分区：
文献类型：
--
作者：
Lewis, G;Sloggett, A
Objectives To investigate the association between suicide and social-economic status，unemployment，and chronic illness.Design Longitudinal study.Setting England and Wales.Subjects Individuals from Office for National Statistics longitudinal study for whom 1981 census data was available.纵向研究是一个代表性的1%的样本人口的英格兰和威尔士人口普查变量与死亡率data.Main结果措施自杀和不明死亡发生在1983年和1992年之间。用logistic回归估计的优势比校正队列成员的损耗。结果有一个很强的独立关联自杀和个人谁是失业（比值比2.6; 95%置信区间2.0至3.4）和永久性疾病（2.5; 1.6至4.0），那些没有车的人的风险增加（1.3; 1.0至1.5），结论自杀与失业之间的联系比其他社会经济因素之间的联系更重要，社会经济措施。虽然一些潜在的重要混杂因素没有调整，但研究结果支持失业或缺乏工作保障会增加自杀风险的观点，以及减少失业的社会和经济政策也会降低自杀率。
Objectives To investigate the association between suicide and socioeconomic status, unemployment, and chronic illness.Design Longitudinal study.Setting England and Wales.Subjects Individuals from the Office for National Statistics longitudinal study for whom 1981 census data were available. The longitudinal study is a representative 1% sample of the population of England and Wales in which census variables are linked to mortality data.Main outcome measures Suicide and undetermined deaths occurring between 1983 and 1992. Odds ratios estimated with logistic regression adjusted for attrition of cohort members.Results There was a strong independent association between suicide and individuals who were unemployed (odds ratio 2.6; 95% confidence interval 2.0 to 3.4) and permanently sick (2.5; 1.6 to 4.0), Those without access to a car had an increased risk (1.3; 1.0 to 1.5), but other measures of socioeconomic status were not associated with suicide.Conclusions The association between suicide and unemployment is more important than the association with other socioeconomic measures. Although some potentially important confounders were not adjusted for, the findings support the idea that unemployment or lack of job security increases the risk of suicide and that social and economic policies that reduce unemployment will also reduce the rate of suicide.