Early unemployment can contribute to adult health problems: results from a longitudinal study of school leavers

Study objective: To investigate the long term effects of early unemployment (a total of more than half a year of unemployment between the ages of 16 and 21) on health behaviour and psychological and somatic symptoms. Design: A 14 year follow up of a cohort of school leavers was conducted from 1981 t...

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Bibliographic Details
Published in:Journal of Epidemiology & Community Health
Main Authors: Hammarström, A, Janlert, U
Format: Text
Language:English
Published: British Medical Journal Publishing Group 2002
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Online Access:http://jech.bmj.com/cgi/content/short/56/8/624
https://doi.org/10.1136/jech.56.8.624
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Summary:Study objective: To investigate the long term effects of early unemployment (a total of more than half a year of unemployment between the ages of 16 and 21) on health behaviour and psychological and somatic symptoms. Design: A 14 year follow up of a cohort of school leavers was conducted from 1981 to 1995. Information was collected by questionnaires. Setting: An industrial town in northern Sweden. Participants: The original cohort was defined as all pupils in a middle sized municipality in the last year of compulsory school at age 16 (n=1083). The participants were followed up between the ages of 16 and 30. The analysis included 96% of the original sample, 547 men and 497 women Main results: After controlling for initial health behaviour and symptoms as well as for working class background and late unemployment, early unemployment among young men and women showed a significant explanatory effect on smoking, psychological symptoms and—among men only—somatic symptoms after a follow up of 14 years. No correlation was found between early unemployment and late excess alcohol consumption. Conclusions: Early unemployment can contribute to adult health problems. Thus, youth unemployment constitutes a significant public health problem, which to a certain extent remains in adult age.