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Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: A health equity assessment

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  • Burström, B.
  • Nylén, L.
  • Barr, B.
  • Clayton, S.
  • Holland, P.
  • Whitehead, M.

Abstract

Many OECD countries are currently experiencing economic crisis and introducing counter-measures with unknown effects. To learn from previous experience, we explored whether there were delayed or differential effects of the Swedish recession in the 1990s and the government's response to it for people with limiting longstanding illness or disability (LLSI) from different socioeconomic groups (SEGs), by policy analysis and secondary data analysis of the Swedish Survey of Living Conditions (ULF) from 1978 to 2005. The government policy response involved cutting public expenditure, privatising some services and measures to boost private sector employment. There was a decline in overall employment rates from the early 1990s, particularly among men and women with LLSI and in lower SEGs. Public sector employment declined from 53 to 40 percent among women and from 23 to 14 percent among men. Private sector employment increased modestly for women (from 31 percent to 37 percent), and stayed stable at 59–60 percent among men. Following economic recovery, employment rates continued to decline among men and women with LLSI from manual SEGs, while the employment levels increased among most healthy men and women. There was a concomitant increase in rates of LLSI, sickness absence and rates of disability pension particularly among women in lower SEGs.

Suggested Citation

  • Burström, B. & Nylén, L. & Barr, B. & Clayton, S. & Holland, P. & Whitehead, M., 2012. "Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: A health equity assessment," Social Science & Medicine, Elsevier, vol. 75(12), pages 2431-2436.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:12:p:2431-2436
    DOI: 10.1016/j.socscimed.2012.09.022
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    References listed on IDEAS

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    1. Fritzell, Sara & Ringbäck Weitoft, Gunilla & Fritzell, Johan & Burström, Bo, 2007. "From macro to micro: The health of Swedish lone mothers during changing economic and social circumstances," Social Science & Medicine, Elsevier, vol. 65(12), pages 2474-2488, December.
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    6. Murcia López, Guillermo & Delclós Clanchet, Jordi & Ubalde López, Mònica & Calvo Bonacho, Eva & Benavides, Fernando G., 2016. "Has the Spanish economic crisis affected the duration of sickness absence episodes?," Social Science & Medicine, Elsevier, vol. 160(C), pages 29-34.
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    8. Lisa Harber-Aschan & Wen-Hao Chen & Ashley McAllister & Natasja Koitzsch Jensen & Karsten Thielen & Ingelise Andersen & Finn Diderichsen & Ben Barr & Bo Burström, 2020. "The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-16, February.

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