Health effects of unemployment in Europe 2008–2011: a longitudinal analysis of income and financial strain as mediating factorsReportar como inadecuado




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International Journal for Equity in Health

, 15:75

Economic crisis in Europe and Equity in Health

Abstract

BackgroundUnemployment has a number of negative consequences, such as decreased income and poor self-rated health. However, the relationships between unemployment, income, and health are not fully understood. Longitudinal studies have investigated the health effect of unemployment and income separately, but the mediating role of income remains to be scrutinized. Using longitudinal data and methods, this paper investigates whether the effect of unemployment on self-rated health SRH is mediated by income, financial strain and unemployment benefits.

MethodsThe analyses use data from the longitudinal panel of European Union Statistics on Income and Living Conditions EU-SILC over the 4 years of 2008 to 2011. Individual fixed effects models are applied, estimating the longitudinal change in SRH as people move from employment to unemployment, and investigating whether this change is reduced after controlling for possible mediating mechanisms, absolute income change, relative income change, relative income rank, income deprivation, financial strain, and unemployment benefits.

ResultsBecoming unemployed is associated with decreased SRH −0.048, SE 0.012. This decrease is 19 % weaker −0.039, SE 0.010 after controlling for change in financial strain. Absolute and relative changes in household equalized income, as well as changes in relative rank and transitions into income deprivation, are not found to be associated with change in SRH.

ConclusionsFinancial strain is found to be a potential mediator of the individual health effect of unemployment, while neither absolute income, relative income, relative rank, income deprivation nor unemployment benefits are found to be mediators of this relationship.

KeywordsUnemployment Self-rated health Income Financial strain Europe Recession Fixed effects  Download fulltext PDF



Autor: Anne Grete Tøge

Fuente: https://link.springer.com/







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