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Regional employment and individual worklessness during the Great Recession and the health of the working-age population: Cross-national analysis of 16 European countries

Author

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  • Niedzwiedz, Claire L.
  • Thomson, Katie H.
  • Bambra, Clare
  • Pearce, Jamie R.

Abstract

Studies from single countries suggest that local labour market conditions, including rates of employment, tend to be associated with the health of the populations residing in those areas, even after adjustment for individual characteristics including employment status. The aim of this study is to strengthen the cross-national evidence base on the influence of regional employment levels and individual worklessness on health during the period of the Great Recession. We investigate whether higher regional employment levels are associated with better health over and above individual level employment. Individual level data (N = 23,078 aged 15–64 years) were taken from 16 countries (Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Hungary, Ireland, Netherlands, Norway, Poland, Portugal, Spain, Sweden and United Kingdom) participating in the 2014 European Social Survey. Regional employment rates were extracted from Eurostat, corresponding with the start (2008) and end (2013) of the Great Recession. Health outcomes included self-reported heart or circulation problems, high blood pressure, diabetes, self-rated health, depression, obesity and allergies (as a falsification test). We calculated multilevel Poisson regression models, which included individuals nested within regions, controlling for potential confounding variables and country fixed effects. After adjustment for individual level socio-demographic factors, higher average regional employment rates (from 2008 to 2013) were associated with better health outcomes. Individual level worklessness was associated with worsened health outcomes, most strongly with poor self-rated health. In models including both individual worklessness and the average regional employment rate, regional employment remained associated with heart and circulation problems, depression and obesity. There was evidence of an interaction between individual worklessness and regional employment for poor self-rated health and depression. The findings suggest that across 16 European countries, for some key outcomes, higher levels of employment in the regional labour market may be beneficial for the health of the local population.

Suggested Citation

  • Niedzwiedz, Claire L. & Thomson, Katie H. & Bambra, Clare & Pearce, Jamie R., 2020. "Regional employment and individual worklessness during the Great Recession and the health of the working-age population: Cross-national analysis of 16 European countries," Social Science & Medicine, Elsevier, vol. 267(C).
    • Handle: RePEc:eee:socmed:v:267:y:2020:i:c:s0277953619303624
    DOI: 10.1016/j.socscimed.2019.112377
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    References listed on IDEAS

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    1. Tøge, Anne Grete & Blekesaune, Morten, 2015. "Unemployment transitions and self-rated health in Europe: A longitudinal analysis of EU-SILC from 2008 to 2011," Social Science & Medicine, Elsevier, vol. 143(C), pages 171-178.
    2. Colman, Gregory & Dave, Dhaval, 2013. "Exercise, physical activity, and exertion over the business cycle," Social Science & Medicine, Elsevier, vol. 93(C), pages 11-20.
    3. Hopkins, Sandra, 2006. "Economic stability and health status: Evidence from East Asia before and after the 1990s economic crisis," Health Policy, Elsevier, vol. 75(3), pages 347-357, February.
    4. Richard J Shaw & Michaela Benzeval & Frank Popham, 2014. "To What Extent Do Financial Strain and Labour Force Status Explain Social Class Inequalities in Self-Rated Health? Analysis of 20 Countries in the European Social Survey," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-11, October.
    5. Benzeval, Michaela, 1998. "The self-reported health status of lone parents," Social Science & Medicine, Elsevier, vol. 46(10), pages 1337-1353, March.
    6. Platt, Stephen & Micciolo, Rocco & Tansella, Michele, 1992. "Suicide and unemployment in Italy: Description, analysis and interpretation of recent trends," Social Science & Medicine, Elsevier, vol. 34(11), pages 1191-1201, June.
    7. Roelfs, David J. & Shor, Eran & Davidson, Karina W. & Schwartz, Joseph E., 2011. "Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality," Social Science & Medicine, Elsevier, vol. 72(6), pages 840-854, March.
    8. Platt, Stephen, 1984. "Unemployment and suicidal behaviour: A review of the literature," Social Science & Medicine, Elsevier, vol. 19(2), pages 93-115, January.
    9. Fone, David & Dunstan, Frank & Williams, Gareth & Lloyd, Keith & Palmer, Stephen, 2007. "Places, people and mental health: A multilevel analysis of economic inactivity," Social Science & Medicine, Elsevier, vol. 64(3), pages 633-645, February.
    10. Sundquist, Kristina & Theobald, Holger & Yang, Min & Li, Xinjun & Johansson, Sven-Erik & Sundquist, Jan, 2006. "Neighborhood violent crime and unemployment increase the risk of coronary heart disease: A multilevel study in an urban setting," Social Science & Medicine, Elsevier, vol. 62(8), pages 2061-2071, April.
    11. Nattavudh Powdthavee, 2007. "Are there Geographical Variations in the Psychological Cost of Unemployment in South Africa?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 80(3), pages 629-652, February.
    12. Ioana Popovici & Michael T. French, 2013. "Does Unemployment Lead to Greater Alcohol Consumption?," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 52(2), pages 444-466, April.
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