Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011
OBJECTIVES: We examined associations between labor market and health (LM-H) trajectories in the United States between 1988 and 2011 and whether associations differed across macroeconomic expansion/recession periods. METHODS: Working-age cohorts, derived from the US Panel Study of Income Dynamics, we...
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2018-11-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3743
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| _version_ | 1818729354004267008 |
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| author | Jonathan K Fan Benjamin C Amick Lindsey Richardson Heather Scott-Marshall Christopher B McLeod |
| author_facet | Jonathan K Fan Benjamin C Amick Lindsey Richardson Heather Scott-Marshall Christopher B McLeod |
| author_sort | Jonathan K Fan |
| collection | DOAJ |
| description | OBJECTIVES: We examined associations between labor market and health (LM-H) trajectories in the United States between 1988 and 2011 and whether associations differed across macroeconomic expansion/recession periods. METHODS: Working-age cohorts, derived from the US Panel Study of Income Dynamics, were followed over time to characterize LM-H trajectories. Poisson regression provided relative risks (RR) with robust 95% confidence intervals (CI) for the association between trajectories, adjusting for demographic and socioeconomic variables. RESULTS: LM trajectories ending in unemployment (RR 1.7‒2.5 across periods) or inactivity (RR 2.3–3.2) had a greater risk of worsening health trajectories, compared to stable employment. In contrast, RR for individuals returning to work following an intermediary period of unemployment/inactivity were attenuated across most periods. Stable-employed individuals had the highest probability of remaining in good health, whereas trajectories ending in unemployment or inactivity had the lowest probability. These overall relationships were consistent across macroeconomic periods. CONCLUSIONS: We found strong and consistent relationships between LM-H trajectories across macroeconomic periods. The attenuated (but not eliminated) risk among individuals returning to work following a period of unemployment/inactivity suggests that health outcomes are not only dependent on the LM end-state, but also on the distinct pattern over time. |
| first_indexed | 2024-12-17T22:44:33Z |
| format | Article |
| id | doaj.art-a65ae1fae7a7420786a232760ab8568b |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-17T22:44:33Z |
| publishDate | 2018-11-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-a65ae1fae7a7420786a232760ab8568b2022-12-21T21:29:49ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2018-11-0144663964610.5271/sjweh.37433743Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011Jonathan K Fan0Benjamin C AmickLindsey RichardsonHeather Scott-MarshallChristopher B McLeodSchool of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6T 1Z3, Canada.OBJECTIVES: We examined associations between labor market and health (LM-H) trajectories in the United States between 1988 and 2011 and whether associations differed across macroeconomic expansion/recession periods. METHODS: Working-age cohorts, derived from the US Panel Study of Income Dynamics, were followed over time to characterize LM-H trajectories. Poisson regression provided relative risks (RR) with robust 95% confidence intervals (CI) for the association between trajectories, adjusting for demographic and socioeconomic variables. RESULTS: LM trajectories ending in unemployment (RR 1.7‒2.5 across periods) or inactivity (RR 2.3–3.2) had a greater risk of worsening health trajectories, compared to stable employment. In contrast, RR for individuals returning to work following an intermediary period of unemployment/inactivity were attenuated across most periods. Stable-employed individuals had the highest probability of remaining in good health, whereas trajectories ending in unemployment or inactivity had the lowest probability. These overall relationships were consistent across macroeconomic periods. CONCLUSIONS: We found strong and consistent relationships between LM-H trajectories across macroeconomic periods. The attenuated (but not eliminated) risk among individuals returning to work following a period of unemployment/inactivity suggests that health outcomes are not only dependent on the LM end-state, but also on the distinct pattern over time. https://www.sjweh.fi/show_abstract.php?abstract_id=3743 self-rated healtheconomic recessionwork and healthsocial determinants of healthlife courseunemploymentemploymentreturn to workunited stateslabor marketlongitudinalhealth trajectory |
| spellingShingle | Jonathan K Fan Benjamin C Amick Lindsey Richardson Heather Scott-Marshall Christopher B McLeod Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 Scandinavian Journal of Work, Environment & Health self-rated health economic recession work and health social determinants of health life course unemployment employment return to work united states labor market longitudinal health trajectory |
| title | Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 |
| title_full | Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 |
| title_fullStr | Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 |
| title_full_unstemmed | Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 |
| title_short | Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988‒2011 |
| title_sort | labor market and health trajectories during periods of economic recession and expansion in the united states 1988 2011 |
| topic | self-rated health economic recession work and health social determinants of health life course unemployment employment return to work united states labor market longitudinal health trajectory |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3743
|
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