IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0232262.html
   My bibliography  Save this article

Association between unemployment and the co-occurrence and clustering of common risky health behaviors: Findings from the Constances cohort

Author

Listed:
  • Marie Plessz
  • Sehar Ezdi
  • Guillaume Airagnes
  • Isabelle Parizot
  • Céline Ribet
  • Marcel Goldberg
  • Marie Zins
  • Pierre Meneton

Abstract

Background: Unemployment is associated with a high prevalence of risky health behaviors. Mortality increases with the number of co-occurring risky behaviors but whether these behaviors co-occur with a greater than expected frequency (clustering) among unemployed people is not known. Methods: Differences according to unemployment status in co-occurrence and clustering of smoking, alcohol abuse, low leisure-time physical activity and unhealthy diet (marked by low fruit and vegetable intake) were assessed in 65,630 salaried workers, aged 18 to 65, who were participants in Constances, a French population-based cohort. Among them, 4573 (7.0%) were unemployed without (n = 3160, 4.8%) or with (n = 1413, 2.1%) past experience of unemployment. Results: Compared to the employed, unemployed participants without or with past experience of unemployment were similarly overexposed to each risky behavior (sex and age adjusted odds-ratios ranging from 1.38 to 2.19) except for low physical activity, resulting in higher rates of co-occurrence of two, three and four behaviors (relative risk ratios, RRR 1.20 to 3.74). Association between behavior co-occurrence and unemployment did not vary across gender, partnership status or income category. Risky behavior clustering, i.e., higher than expected co-occurrence rates based on the prevalence of each behavior, was similar across unemployment status. The same observations can be made in employed participants with past experience of unemployment, although overexposure to risky behaviors (ORs 1.15 to 1.38) and increased rates of co-occurrence (ORs 1.19 to 1.58) were not as pronounced as in the unemployed. Conclusions: Co-occurrence of risky behaviors in currently and/or formerly unemployed workers is not worsened by behavior clustering. Engagement in each of these behaviors should be considered an engagement in distinct social practices, with consequences for preventive policies.

Suggested Citation

  • Marie Plessz & Sehar Ezdi & Guillaume Airagnes & Isabelle Parizot & Céline Ribet & Marcel Goldberg & Marie Zins & Pierre Meneton, 2020. "Association between unemployment and the co-occurrence and clustering of common risky health behaviors: Findings from the Constances cohort," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-15, May.
    • Handle: RePEc:plo:pone00:0232262
    DOI: 10.1371/journal.pone.0232262
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232262
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0232262&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0232262?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Boden, Joseph M. & Lee, Jungeun Olivia & Horwood, L. John & Grest, Carolina Villamil & McLeod, Geraldine F.H., 2017. "Modelling possible causality in the associations between unemployment, cannabis use, and alcohol misuse," Social Science & Medicine, Elsevier, vol. 175(C), pages 127-134.
    2. Weden, Margaret M & Astone, Nan M & Bishai, David, 2006. "Racial, ethnic, and gender differences in smoking cessation associated with employment and joblessness through young adulthood in the US," Social Science & Medicine, Elsevier, vol. 62(2), pages 303-316, January.
    3. Dave, Dhaval M. & Kelly, Inas Rashad, 2012. "How does the business cycle affect eating habits?," Social Science & Medicine, Elsevier, vol. 74(2), pages 254-262.
    4. 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.
    5. Siegel, P.Z. & Brackbill, R.M. & Heath, G.W., 1995. "The epidemiology of walking for exercise: Implications for promoting activity among sedentary groups," American Journal of Public Health, American Public Health Association, vol. 85(5), pages 706-710.
    6. Jan Marcus, 2014. "Does Job Loss Make You Smoke and Gain Weight?," Economica, London School of Economics and Political Science, vol. 81(324), pages 626-648, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sanchez Rico, Marina & Plessz, Marie & Airagnes, Guillaume & Wiernik, Emmanuel & Hoertel, Nicolas & Goldberg, Marcel & Zins, Marie & Meneton, Pierre, 2024. "Lifetime exposure to unemployment and prior working conditions are associated with retiree's health: A retrospective study in a large population-based French cohort," Social Science & Medicine, Elsevier, vol. 341(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kaiser, Micha & Reutter, Mirjam & Sousa-Poza, Alfonso & Strohmaier, Kristina, 2018. "Smoking and local unemployment: Evidence from Germany," Economics & Human Biology, Elsevier, vol. 29(C), pages 138-147.
    2. Gregory Colman & Dhaval Dave, 2018. "Unemployment and Health Behaviors over the Business Cycle: A Longitudinal View," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 93-120, July.
    3. Nizalova, Olena & Norton, Edward C., 2021. "Long-term effects of job loss on male health: BMI and health behaviors," Economics & Human Biology, Elsevier, vol. 43(C).
    4. Monsivais, Pablo & Martin, Adam & Suhrcke, Marc & Forouhi, Nita G. & Wareham, Nicholas J., 2015. "Job-loss and weight gain in British adults: Evidence from two longitudinal studies," Social Science & Medicine, Elsevier, vol. 143(C), pages 223-231.
    5. Elena Andreyeva & Benjamin Ukert, 2018. "The impact of the minimum wage on health," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 337-375, December.
    6. Di Pietro, Giorgio, 2018. "Revisiting the impact of macroeconomic conditions on health behaviours," Economics & Human Biology, Elsevier, vol. 28(C), pages 173-181.
    7. Dave, Dhaval & Doytch, Nadia & Kelly, Inas Rashad, 2016. "Nutrient intake: A cross-national analysis of trends and economic correlates," Social Science & Medicine, Elsevier, vol. 158(C), pages 158-167.
    8. van den Berg, Gerard J. & Gerdtham, Ulf-G. & von Hinke, Stephanie & Lindeboom, Maarten & Lissdaniels, Johannes & Sundquist, Jan & Sundquist, Kristina, 2017. "Mortality and the business cycle: Evidence from individual and aggregated data," Journal of Health Economics, Elsevier, vol. 56(C), pages 61-70.
    9. Clémentine Garrouste & Mathilde Godard, 2016. "The lasting health impact of leaving school in a bad economy : Britons in the 1970s recession," Post-Print hal-01408637, HAL.
    10. Colombo, Emilio & Rotondi, Valentina & Stanca, Luca, 2018. "Macroeconomic conditions and health: Inspecting the transmission mechanism," Economics & Human Biology, Elsevier, vol. 28(C), pages 29-37.
    11. Hetschko, Clemens & Schöb, Ronnie & Wolf, Tobias, 2020. "Income support, employment transitions and well-being," Labour Economics, Elsevier, vol. 66(C).
    12. Madureira-Lima, Joana & Reeves, Aaron & Clair, Amy & Stuckler, David, 2018. "The Great Recession and inequalities in access to health care: a study of unemployment and unmet medical need in Europe in the economic crisis," LSE Research Online Documents on Economics 87740, London School of Economics and Political Science, LSE Library.
    13. Nizalova, Olena Y. & Norton, Edward C., 2017. "Long-Run Effects of Severe Economic Recessions on Male BMI Trajectories and Health Behaviors," IZA Discussion Papers 10776, Institute of Labor Economics (IZA).
    14. Pinar Mine Gunes & Magda Tsaneva, 2022. "Labour market conditions and adult health in Mexico," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 55(1), pages 106-137, February.
    15. Joelle Abramowitz, 2016. "The connection between working hours and body mass index in the U.S.: a time use analysis," Review of Economics of the Household, Springer, vol. 14(1), pages 131-154, March.
    16. 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).
    17. Everding, Jakob & Marcus, Jan, 2020. "The effect of unemployment on the smoking behavior of couples," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 29(2), pages 154-170.
    18. repec:dau:papers:123456789/11535 is not listed on IDEAS
    19. Jacques Simon Song & Hervé William Mougnol A Ekoula & Georges Ngnouwal Eloundou, 2024. "Alcohol consumption in developing countries: Does information and communication technology (ICT) diffusion matter?," Journal of International Development, John Wiley & Sons, Ltd., vol. 36(2), pages 1210-1240, March.
    20. Mathilde Godard, 2015. "Gaining weight through retirement? Results from the SHARE survey," Post-Print halshs-01521884, HAL.
    21. Andrea Rebecchi & Maddalena Buffoli & Marco Dettori & Letizia Appolloni & Antonio Azara & Paolo Castiglia & Daniela D’Alessandro & Stefano Capolongo, 2019. "Walkable Environments and Healthy Urban Moves: Urban Context Features Assessment Framework Experienced in Milan," Sustainability, MDPI, vol. 11(10), pages 1-18, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0232262. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.