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Health and mass unemployment events—developing a framework for preparedness and response

BACKGROUND: Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health. METHODS: Framework informed by a narrative review of the impact of mass unempl...

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Autores principales: Davies, A R, Homolova, L, Grey, C N B, Bellis, M A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923517/
https://www.ncbi.nlm.nih.gov/pubmed/30289466
http://dx.doi.org/10.1093/pubmed/fdy174
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author Davies, A R
Homolova, L
Grey, C N B
Bellis, M A
author_facet Davies, A R
Homolova, L
Grey, C N B
Bellis, M A
author_sort Davies, A R
collection PubMed
description BACKGROUND: Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health. METHODS: Framework informed by a narrative review of the impact of mass unemployment on health (studies published in English from 1990 to 2016), and qualitative data from 23 semi-structured interviews with individuals connected to historical national and international events, addressing gaps in published literature on lessons learnt from past responses. RESULTS: Economic and employment shock triggered by mass unemployment events have a detrimental impact on workers, families and communities. We present a public health informed response framework which includes (i) identify areas at risk, (ii) develop an early warning system, (iii) mobilise multi-sector action including health and community, (iv) provision of support across employment, finance and health (v) proportionate to need, (vi) extend support to family members and (vii) communities and (viii) evaluate and learn. CONCLUSION: Mass unemployment events have an adverse impact on the health, financial and social circumstances of workers, families, and communities. This is the first framework for action to mitigate and address the detrimental impact of mass unemployment events on population health.
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spelling pubmed-69235172019-12-26 Health and mass unemployment events—developing a framework for preparedness and response Davies, A R Homolova, L Grey, C N B Bellis, M A J Public Health (Oxf) Original Article BACKGROUND: Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health. METHODS: Framework informed by a narrative review of the impact of mass unemployment on health (studies published in English from 1990 to 2016), and qualitative data from 23 semi-structured interviews with individuals connected to historical national and international events, addressing gaps in published literature on lessons learnt from past responses. RESULTS: Economic and employment shock triggered by mass unemployment events have a detrimental impact on workers, families and communities. We present a public health informed response framework which includes (i) identify areas at risk, (ii) develop an early warning system, (iii) mobilise multi-sector action including health and community, (iv) provision of support across employment, finance and health (v) proportionate to need, (vi) extend support to family members and (vii) communities and (viii) evaluate and learn. CONCLUSION: Mass unemployment events have an adverse impact on the health, financial and social circumstances of workers, families, and communities. This is the first framework for action to mitigate and address the detrimental impact of mass unemployment events on population health. Oxford University Press 2019-12 2018-10-05 /pmc/articles/PMC6923517/ /pubmed/30289466 http://dx.doi.org/10.1093/pubmed/fdy174 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Davies, A R
Homolova, L
Grey, C N B
Bellis, M A
Health and mass unemployment events—developing a framework for preparedness and response
title Health and mass unemployment events—developing a framework for preparedness and response
title_full Health and mass unemployment events—developing a framework for preparedness and response
title_fullStr Health and mass unemployment events—developing a framework for preparedness and response
title_full_unstemmed Health and mass unemployment events—developing a framework for preparedness and response
title_short Health and mass unemployment events—developing a framework for preparedness and response
title_sort health and mass unemployment events—developing a framework for preparedness and response
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923517/
https://www.ncbi.nlm.nih.gov/pubmed/30289466
http://dx.doi.org/10.1093/pubmed/fdy174
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