Single transitions and persistence of unemployment are associated with poor health outcomes

G-C. Herber*, A. Ruijsbroek, M. Koopmanschap, K. Proper, F. van der Lucht, H. Boshuizen, J.J. Polder, E. Uiters

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

7 Downloads (Pure)

Abstract

Background
Although job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, the impact of an economic recession on this relationship is unclear. We investigated the associations of single transitions and persistence of unemployment with health. We subsequently examined whether these associations are affected by the latest recession, which began in 2008.

Methods
In total, 57,911 participants from the Dutch Health Interview Survey who belonged to the labour force between 2004 and 2014 were included. Based on longitudinal tax registration data, single employment transitions between time point 1 (t1) and time point 2 (t2) and persistent unemployment (i.e. number of years individuals were unemployed) between t1 and time point 5 (t5) were defined. General and mental health, smoking and obesity were assessed at respectively time point 3 (t3) and time point 6 (t6). Logistic regression models were performed and interactions with recession indicators (year, annual gross domestic product estimates and regional unemployment rates) were tested.

Results
Compared with individuals who stayed employed at t1 and t2, the likelihood of poor mental health at the subsequent year was significantly higher in those who became unemployed at t2. Persistent unemployment was associated with poor mental health, especially for those who were persistently unemployed for 5 years. Similar patterns, although less pronounced for smoking, were found for general health and obesity. Indicators of the economic recession did not modify these associations.

Conclusions
Single transitions into unemployment and persistent unemployment are associated with poor mental and general health, obesity, and to a lesser extend smoking. Our study suggests that re-employment might be an important strategy to improve health of unemployed individuals. The relatively extensive Dutch social security system may explain that the economic recession did not modify these associations.
Original languageEnglish
Article number740
Number of pages10
JournalBMC Public Health
Volume19
Issue number1
DOIs
Publication statusPublished - 2019

Fingerprint

Unemployment
Economic Recession
Mental Health
Logistic Models
Health Surveys
Interviews

Keywords

  • ECONOMIC-CRISIS
  • EMPLOYMENT TRANSITIONS
  • Economic recession
  • Health
  • Health related behavior
  • ILL HEALTH
  • JOB LOSS
  • Longitudinal study
  • MENTAL-HEALTH
  • MORTALITY
  • PERIOD
  • RECESSIONS
  • SELF-RATED HEALTH
  • Transitions
  • Unemployment
  • WOMEN

Cite this

Herber, G-C., Ruijsbroek, A., Koopmanschap, M., Proper, K., van der Lucht, F., Boshuizen, H., ... Uiters, E. (2019). Single transitions and persistence of unemployment are associated with poor health outcomes. BMC Public Health, 19(1), [740]. https://doi.org/10.1186/s12889-019-7059-8
Herber, G-C. ; Ruijsbroek, A. ; Koopmanschap, M. ; Proper, K. ; van der Lucht, F. ; Boshuizen, H. ; Polder, J.J. ; Uiters, E. / Single transitions and persistence of unemployment are associated with poor health outcomes. In: BMC Public Health. 2019 ; Vol. 19, No. 1.
@article{44174b225a12459085184d951f35df53,
title = "Single transitions and persistence of unemployment are associated with poor health outcomes",
abstract = "BackgroundAlthough job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, the impact of an economic recession on this relationship is unclear. We investigated the associations of single transitions and persistence of unemployment with health. We subsequently examined whether these associations are affected by the latest recession, which began in 2008.MethodsIn total, 57,911 participants from the Dutch Health Interview Survey who belonged to the labour force between 2004 and 2014 were included. Based on longitudinal tax registration data, single employment transitions between time point 1 (t1) and time point 2 (t2) and persistent unemployment (i.e. number of years individuals were unemployed) between t1 and time point 5 (t5) were defined. General and mental health, smoking and obesity were assessed at respectively time point 3 (t3) and time point 6 (t6). Logistic regression models were performed and interactions with recession indicators (year, annual gross domestic product estimates and regional unemployment rates) were tested.ResultsCompared with individuals who stayed employed at t1 and t2, the likelihood of poor mental health at the subsequent year was significantly higher in those who became unemployed at t2. Persistent unemployment was associated with poor mental health, especially for those who were persistently unemployed for 5 years. Similar patterns, although less pronounced for smoking, were found for general health and obesity. Indicators of the economic recession did not modify these associations.ConclusionsSingle transitions into unemployment and persistent unemployment are associated with poor mental and general health, obesity, and to a lesser extend smoking. Our study suggests that re-employment might be an important strategy to improve health of unemployed individuals. The relatively extensive Dutch social security system may explain that the economic recession did not modify these associations.",
keywords = "ECONOMIC-CRISIS, EMPLOYMENT TRANSITIONS, Economic recession, Health, Health related behavior, ILL HEALTH, JOB LOSS, Longitudinal study, MENTAL-HEALTH, MORTALITY, PERIOD, RECESSIONS, SELF-RATED HEALTH, Transitions, Unemployment, WOMEN",
author = "G-C. Herber and A. Ruijsbroek and M. Koopmanschap and K. Proper and {van der Lucht}, F. and H. Boshuizen and J.J. Polder and E. Uiters",
year = "2019",
doi = "10.1186/s12889-019-7059-8",
language = "English",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BMC",
number = "1",

}

Herber, G-C, Ruijsbroek, A, Koopmanschap, M, Proper, K, van der Lucht, F, Boshuizen, H, Polder, JJ & Uiters, E 2019, 'Single transitions and persistence of unemployment are associated with poor health outcomes', BMC Public Health, vol. 19, no. 1, 740. https://doi.org/10.1186/s12889-019-7059-8

Single transitions and persistence of unemployment are associated with poor health outcomes. / Herber, G-C.; Ruijsbroek, A.; Koopmanschap, M.; Proper, K.; van der Lucht, F.; Boshuizen, H.; Polder, J.J.; Uiters, E.

In: BMC Public Health, Vol. 19, No. 1, 740, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Single transitions and persistence of unemployment are associated with poor health outcomes

AU - Herber, G-C.

AU - Ruijsbroek, A.

AU - Koopmanschap, M.

AU - Proper, K.

AU - van der Lucht, F.

AU - Boshuizen, H.

AU - Polder, J.J.

AU - Uiters, E.

PY - 2019

Y1 - 2019

N2 - BackgroundAlthough job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, the impact of an economic recession on this relationship is unclear. We investigated the associations of single transitions and persistence of unemployment with health. We subsequently examined whether these associations are affected by the latest recession, which began in 2008.MethodsIn total, 57,911 participants from the Dutch Health Interview Survey who belonged to the labour force between 2004 and 2014 were included. Based on longitudinal tax registration data, single employment transitions between time point 1 (t1) and time point 2 (t2) and persistent unemployment (i.e. number of years individuals were unemployed) between t1 and time point 5 (t5) were defined. General and mental health, smoking and obesity were assessed at respectively time point 3 (t3) and time point 6 (t6). Logistic regression models were performed and interactions with recession indicators (year, annual gross domestic product estimates and regional unemployment rates) were tested.ResultsCompared with individuals who stayed employed at t1 and t2, the likelihood of poor mental health at the subsequent year was significantly higher in those who became unemployed at t2. Persistent unemployment was associated with poor mental health, especially for those who were persistently unemployed for 5 years. Similar patterns, although less pronounced for smoking, were found for general health and obesity. Indicators of the economic recession did not modify these associations.ConclusionsSingle transitions into unemployment and persistent unemployment are associated with poor mental and general health, obesity, and to a lesser extend smoking. Our study suggests that re-employment might be an important strategy to improve health of unemployed individuals. The relatively extensive Dutch social security system may explain that the economic recession did not modify these associations.

AB - BackgroundAlthough job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, the impact of an economic recession on this relationship is unclear. We investigated the associations of single transitions and persistence of unemployment with health. We subsequently examined whether these associations are affected by the latest recession, which began in 2008.MethodsIn total, 57,911 participants from the Dutch Health Interview Survey who belonged to the labour force between 2004 and 2014 were included. Based on longitudinal tax registration data, single employment transitions between time point 1 (t1) and time point 2 (t2) and persistent unemployment (i.e. number of years individuals were unemployed) between t1 and time point 5 (t5) were defined. General and mental health, smoking and obesity were assessed at respectively time point 3 (t3) and time point 6 (t6). Logistic regression models were performed and interactions with recession indicators (year, annual gross domestic product estimates and regional unemployment rates) were tested.ResultsCompared with individuals who stayed employed at t1 and t2, the likelihood of poor mental health at the subsequent year was significantly higher in those who became unemployed at t2. Persistent unemployment was associated with poor mental health, especially for those who were persistently unemployed for 5 years. Similar patterns, although less pronounced for smoking, were found for general health and obesity. Indicators of the economic recession did not modify these associations.ConclusionsSingle transitions into unemployment and persistent unemployment are associated with poor mental and general health, obesity, and to a lesser extend smoking. Our study suggests that re-employment might be an important strategy to improve health of unemployed individuals. The relatively extensive Dutch social security system may explain that the economic recession did not modify these associations.

KW - ECONOMIC-CRISIS

KW - EMPLOYMENT TRANSITIONS

KW - Economic recession

KW - Health

KW - Health related behavior

KW - ILL HEALTH

KW - JOB LOSS

KW - Longitudinal study

KW - MENTAL-HEALTH

KW - MORTALITY

KW - PERIOD

KW - RECESSIONS

KW - SELF-RATED HEALTH

KW - Transitions

KW - Unemployment

KW - WOMEN

U2 - 10.1186/s12889-019-7059-8

DO - 10.1186/s12889-019-7059-8

M3 - Article

VL - 19

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 740

ER -

Herber G-C, Ruijsbroek A, Koopmanschap M, Proper K, van der Lucht F, Boshuizen H et al. Single transitions and persistence of unemployment are associated with poor health outcomes. BMC Public Health. 2019;19(1). 740. https://doi.org/10.1186/s12889-019-7059-8