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J Epidemiol Community Health. 1993 Feb; 47(1): 14–18.
PMCID: PMC1059702

Health and re-employment in a two year follow up of long term unemployed.


STUDY OBJECTIVE--The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed. DESIGN--This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, General health questionnaire, and medical examination. Health related selection to continuous unemployment and recovery by re-employment was estimated by logistic regression with covariances deduced from the labour market theories of human capital and segmented labour market. SETTING--Four municipalities in Greenland, southern Norway. SUBJECTS--Participants were a random sample of 17 to 63 year old people registered as unemployed for more than 12 weeks. MAIN RESULTS--In the cross sectional study, the prevalence of depression, anxiety, and somatic illness was from four to 10 times higher than in a control group of employed people. In the follow up study, there was considerable health related selection to re-employment. A psychiatric diagnosis was associated with a 70% reduction in chances of obtaining a job. Normal performance on psychometric testing showed a two to three times increased chance of re-employment. Recovery of health following re-employment was less than expected from previous studies. CONCLUSIONS--Health related selection to long term unemployment seems to explain a substantial part of the excess mental morbidity among unemployed people. An increased proportion of the long term unemployed will be vocationally handicapped as years pass, putting a heavy burden on social services.

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Selected References

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  • Martikainen PT. Unemployment and mortality among Finnish men, 1981-5. BMJ. 1990 Sep 1;301(6749):407–411. [PMC free article] [PubMed]
  • Smith R. Unemployment: here we go again. BMJ. 1991 Mar 16;302(6777):606–607. [PMC free article] [PubMed]
  • Kagan AR. Unemployment causes ill health: the wrong track. Soc Sci Med. 1987;25(2):217–218. [PubMed]
  • Morris JK, Cook DG. A critical review of the effect of factory closures on health. Br J Ind Med. 1991 Jan;48(1):1–8. [PMC free article] [PubMed]
  • Warr P, Jackson P. Factors influencing the psychological impact of prolonged unemployment and of re-employment. Psychol Med. 1985 Nov;15(4):795–807. [PubMed]
  • Brenner SO, Levi L. Long-term unemployment among women in Sweden. Soc Sci Med. 1987;25(2):153–161. [PubMed]
  • Westin S. The structure of a factory closure: individual responses to job-loss and unemployment in a 10-year controlled follow-up study. Soc Sci Med. 1990;31(12):1301–1311. [PubMed]

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