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Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995

Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individu...

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Autores principales: Wiberg, Michael, Marklund, Staffan, Alexanderson, Kristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5272880/
https://www.ncbi.nlm.nih.gov/pubmed/28190908
http://dx.doi.org/10.1007/s11113-016-9412-2
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author Wiberg, Michael
Marklund, Staffan
Alexanderson, Kristina
author_facet Wiberg, Michael
Marklund, Staffan
Alexanderson, Kristina
author_sort Wiberg, Michael
collection PubMed
description Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individuals aged 20–40 living in Sweden in 1995, prospective cohort analyses were conducted. Individual annual labour market proximity 1995–2010 was estimated and categorised into three mutually exclusive categories: “Jobless”, “Self-sufficient” (i.e. main income from work), or “Disabled”. Individuals in the category “Jobless” (n = 638,622) in 1995 constituted the study population. Using autoregressive multinomial logistic regression, transitions between the three states during 1997–2010 were analysed. Socio-economic factors, previous inpatient care, and national unemployment rates in different time periods were included in the regression models. Among those “Jobless” in 1995, 17 % were also “Jobless” in 2010, while 10 % were “Disabled” and 61 % “Self-sufficient”. The transitions were stable over time periods for transitions into “Self-sufficient” and “Disabled” but less so for “Jobless”. Previous state was the best predictor of subsequent state. “Jobless” individuals with previous morbidity had a higher transition probability into “Disabled” and a lower transition probability into “Self-sufficient”. The transition rates into “Self-sufficient” were higher in periods with lower unemployment levels. The study supports the interpretation that return to work was affected both by the individuals’ previous health status and by the national unemployment level. Transition from being “Jobless” into “Disability” may be influenced by previous ill health and by negative health effects of being “Jobless”.
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spelling pubmed-52728802017-02-10 Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995 Wiberg, Michael Marklund, Staffan Alexanderson, Kristina Popul Res Policy Rev Article Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individuals aged 20–40 living in Sweden in 1995, prospective cohort analyses were conducted. Individual annual labour market proximity 1995–2010 was estimated and categorised into three mutually exclusive categories: “Jobless”, “Self-sufficient” (i.e. main income from work), or “Disabled”. Individuals in the category “Jobless” (n = 638,622) in 1995 constituted the study population. Using autoregressive multinomial logistic regression, transitions between the three states during 1997–2010 were analysed. Socio-economic factors, previous inpatient care, and national unemployment rates in different time periods were included in the regression models. Among those “Jobless” in 1995, 17 % were also “Jobless” in 2010, while 10 % were “Disabled” and 61 % “Self-sufficient”. The transitions were stable over time periods for transitions into “Self-sufficient” and “Disabled” but less so for “Jobless”. Previous state was the best predictor of subsequent state. “Jobless” individuals with previous morbidity had a higher transition probability into “Disabled” and a lower transition probability into “Self-sufficient”. The transition rates into “Self-sufficient” were higher in periods with lower unemployment levels. The study supports the interpretation that return to work was affected both by the individuals’ previous health status and by the national unemployment level. Transition from being “Jobless” into “Disability” may be influenced by previous ill health and by negative health effects of being “Jobless”. Springer Netherlands 2016-09-14 2017 /pmc/articles/PMC5272880/ /pubmed/28190908 http://dx.doi.org/10.1007/s11113-016-9412-2 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Wiberg, Michael
Marklund, Staffan
Alexanderson, Kristina
Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title_full Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title_fullStr Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title_full_unstemmed Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title_short Transitions Between Compensated Work Disability, Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995
title_sort transitions between compensated work disability, joblessness, and self-sufficiency: a cohort study 1997–2010 of those jobless in 1995
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5272880/
https://www.ncbi.nlm.nih.gov/pubmed/28190908
http://dx.doi.org/10.1007/s11113-016-9412-2
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