Health and re-employment in a two year follow up of long term unemployed.
STUDY OBJECTIVE--The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed. DESIGN--This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, Gener...
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fthighwire:oai:open-archive.highwire.org:jech:47/1/14 2023-05-15T16:29:42+02:00 Health and re-employment in a two year follow up of long term unemployed. Claussen, B Bjørndal, A Hjort, P F 1993-02-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/47/1/14 https://doi.org/10.1136/jech.47.1.14 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/47/1/14 http://dx.doi.org/10.1136/jech.47.1.14 Copyright (C) 1993, BMJ Publishing Group Ltd Research Article TEXT 1993 fthighwire https://doi.org/10.1136/jech.47.1.14 2013-05-28T04:45:46Z STUDY OBJECTIVE--The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed. DESIGN--This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, General health questionnaire, and medical examination. Health related selection to continuous unemployment and recovery by re-employment was estimated by logistic regression with covariances deduced from the labour market theories of human capital and segmented labour market. SETTING--Four municipalities in Greenland, southern Norway. SUBJECTS--Participants were a random sample of 17 to 63 year old people registered as unemployed for more than 12 weeks. MAIN RESULTS--In the cross sectional study, the prevalence of depression, anxiety, and somatic illness was from four to 10 times higher than in a control group of employed people. In the follow up study, there was considerable health related selection to re-employment. A psychiatric diagnosis was associated with a 70% reduction in chances of obtaining a job. Normal performance on psychometric testing showed a two to three times increased chance of re-employment. Recovery of health following re-employment was less than expected from previous studies. CONCLUSIONS--Health related selection to long term unemployment seems to explain a substantial part of the excess mental morbidity among unemployed people. An increased proportion of the long term unemployed will be vocationally handicapped as years pass, putting a heavy burden on social services. Text Greenland HighWire Press (Stanford University) Greenland Norway Journal of Epidemiology & Community Health 47 1 14 18 |
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HighWire Press (Stanford University) |
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English |
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Research Article |
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Research Article Claussen, B Bjørndal, A Hjort, P F Health and re-employment in a two year follow up of long term unemployed. |
topic_facet |
Research Article |
description |
STUDY OBJECTIVE--The aim was to examine re-employment and changes in health during a two year follow up of a representative sample of long term unemployed. DESIGN--This was a cross sectional study and a two year follow up. Health was measured by psychometric testing, Hopkins symptom checklist, General health questionnaire, and medical examination. Health related selection to continuous unemployment and recovery by re-employment was estimated by logistic regression with covariances deduced from the labour market theories of human capital and segmented labour market. SETTING--Four municipalities in Greenland, southern Norway. SUBJECTS--Participants were a random sample of 17 to 63 year old people registered as unemployed for more than 12 weeks. MAIN RESULTS--In the cross sectional study, the prevalence of depression, anxiety, and somatic illness was from four to 10 times higher than in a control group of employed people. In the follow up study, there was considerable health related selection to re-employment. A psychiatric diagnosis was associated with a 70% reduction in chances of obtaining a job. Normal performance on psychometric testing showed a two to three times increased chance of re-employment. Recovery of health following re-employment was less than expected from previous studies. CONCLUSIONS--Health related selection to long term unemployment seems to explain a substantial part of the excess mental morbidity among unemployed people. An increased proportion of the long term unemployed will be vocationally handicapped as years pass, putting a heavy burden on social services. |
format |
Text |
author |
Claussen, B Bjørndal, A Hjort, P F |
author_facet |
Claussen, B Bjørndal, A Hjort, P F |
author_sort |
Claussen, B |
title |
Health and re-employment in a two year follow up of long term unemployed. |
title_short |
Health and re-employment in a two year follow up of long term unemployed. |
title_full |
Health and re-employment in a two year follow up of long term unemployed. |
title_fullStr |
Health and re-employment in a two year follow up of long term unemployed. |
title_full_unstemmed |
Health and re-employment in a two year follow up of long term unemployed. |
title_sort |
health and re-employment in a two year follow up of long term unemployed. |
publisher |
BMJ Publishing Group Ltd |
publishDate |
1993 |
url |
http://jech.bmj.com/cgi/content/short/47/1/14 https://doi.org/10.1136/jech.47.1.14 |
geographic |
Greenland Norway |
geographic_facet |
Greenland Norway |
genre |
Greenland |
genre_facet |
Greenland |
op_relation |
http://jech.bmj.com/cgi/content/short/47/1/14 http://dx.doi.org/10.1136/jech.47.1.14 |
op_rights |
Copyright (C) 1993, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech.47.1.14 |
container_title |
Journal of Epidemiology & Community Health |
container_volume |
47 |
container_issue |
1 |
container_start_page |
14 |
op_container_end_page |
18 |
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1766019408446095360 |