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Hospital admissions after transition into unemployment

Author

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  • Siegfried Geyer
  • Richard Peter

Abstract

¶ Objective:It was examined whether the rate of hospital admissions change after transition into unemployment.¶ Methods:Data from a German statutory health insurance comprising 105554 individuals (70.9% men, 29.1% women) with documented employment periods were used. Unemployment periods were divided into three intervals: up to eight months, more than eight up to 16, and more than 16 up to 24 months.¶ Results:The overall "risks" of hospital admissions dropped after transition into unemployment. The relative risk (RR) in men and women for unemployment up to eight months was RR=0.31 (95% CI: 0.28 – 0.34), for periods of more than eight up to 16 months it was RR=0.35 (95% CI: 0.32 – 0.39) and for more than 16 up to 24 months it was RR=0.27 (95% CI: 0.23 – 0.33). In contrast, for myocardial infarction they increased with length of unemployment: up to eight months: RR=1.49 (95% CI: 1.04 – 2.13), more than eight up to 16 months: RR=1.82 (95% CI: 1.21 – 2.74), more than 16 up to 24 months: RR=3.08 (95% CI:1.84 – 5.17).¶ Conclusion:For myocardial infarction the findings may reflect increased morbidity, for occupational diseases they may reflect a decrease following ceasing expositions at the workplace. For the remaining diagnostic groups decreasing health care utilisation may apply without morbidity having changed. Copyright Birkhäuser Verlag Basel, 2003

Suggested Citation

  • Siegfried Geyer & Richard Peter, 2003. "Hospital admissions after transition into unemployment," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 48(2), pages 105-114, April.
    • Handle: RePEc:spr:ijphth:v:48:y:2003:i:2:p:105-114
    DOI: 10.1007/s00038-003-2103-x
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    Cited by:

    1. Keyi Li & Paula Lorgelly & Sarah Jasim & Tiyi Morris & Manuel Gomes, 2023. "Does a working day keep the doctor away? A critical review of the impact of unemployment and job insecurity on health and social care utilisation," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(2), pages 179-186, March.
    2. Gerald Gogola, 2020. "Arbeitsplatzschaffende und personenbezogene Förderungen in Österreich und Deutschland - Ein Vergleich," Working Paper Reihe der AK Wien - Materialien zu Wirtschaft und Gesellschaft 202, Kammer für Arbeiter und Angestellte für Wien, Abteilung Wirtschaftswissenschaft und Statistik.
    3. Siegfried Geyer & Juliane Tetzlaff & Sveja Eberhard & Stefanie Sperlich & Jelena Epping, 2019. "Health inequalities in terms of myocardial infarction and all-cause mortality: a study with German claims data covering 2006 to 2015," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 387-397, April.

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