Unemployment and Mortality

A Comparative Study of Germany and the United States

Datos Bibliográficos

ID11029196
AutoresChris Mcleod (0000-0001-9268-3694, Learning Partnership), Christopher B McLeod (Christopher B. McLeod, Ying C. MacNab, and Clyde Hertzman are with the School of Population and Public Health at the University of British Columbia, Vancouver. Christopher B. McLeod and Clyde Hertzman are also with the Human Early Learning Partnership at the University of British Columbia and with the Successful Societies Program at the Canadian Institute for Advanced Research, Toronto, ON. Ying C. MacNab is also with the Child and Family Research Institute, Vancouver, BC. John N. Lavis is with the...), John N Lavis (0000-0001-7917-3657, Christopher B. McLeod, Ying C. MacNab, and Clyde Hertzman are with the School of Population and Public Health at the University of British Columbia, Vancouver. Christopher B. McLeod and Clyde Hertzman are also with the Human Early Learning Partnership at the University of British Columbia and with the Successful Societies Program at the Canadian Institute for Advanced Research, Toronto, ON. Ying C. MacNab is also with the Child and Family Research Institute, Vancouver, BC. John N. Lavis is with the...), Ying C Macnab (0000-0003-0704-6071, Christopher B. McLeod, Ying C. MacNab, and Clyde Hertzman are with the School of Population and Public Health at the University of British Columbia, Vancouver. Christopher B. McLeod and Clyde Hertzman are also with the Human Early Learning Partnership at the University of British Columbia and with the Successful Societies Program at the Canadian Institute for Advanced Research, Toronto, ON. Ying C. MacNab is also with the Child and Family Research Institute, Vancouver, BC. John N. Lavis is with the...), Clyde Hertzman (Christopher B. McLeod, Ying C. MacNab, and Clyde Hertzman are with the School of Population and Public Health at the University of British Columbia, Vancouver. Christopher B. McLeod and Clyde Hertzman are also with the Human Early Learning Partnership at the University of British Columbia and with the Successful Societies Program at the Canadian Institute for Advanced Research, Toronto, ON. Ying C. MacNab is also with the Child and Family Research Institute, Vancouver, BC. John N. Lavis is with the...)
Año2012
Volumen102
Número8
Páginas1542-1550
Fecha de publicación2012-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300475
PMID22698036
PMCIDPMC3464820
OpenAlexW2021788132
IdiomaEN
Citas recibidas13
Referencias citadas43

Objectives. We examined the relationship between unemployment and mortality in Germany, a coordinated market economy, and the United States, a liberal market economy. Methods. We followed 2 working-age cohorts from the German Socio-economic Panel and the US Panel Study of Income Dynamics from 1984 to 2005. We defined unemployment as unemployed at the time of survey. We used discrete-time survival analysis, adjusting for potential confounders. Results. There was an unemployment–mortality association among Americans (relative risk [RR] = 2.4; 95% confidence interval [CI] = 1.7, 3.4), but not among Germans (RR = 1.4; 95% CI = 1.0, 2.0). In education-stratified models, there was an association among minimum-skilled (RR = 2.6; 95% CI = 1.4, 4.7) and medium-skilled (RR = 2.4; 95% CI = 1.5, 3.8) Americans, but not among minimum- and medium-skilled Germans. There was no association among high-skilled Americans, but an association among high-skilled Germans (RR = 3.0; 95% CI = 1.3, 7.0), although this was limited to those educated in East Germany. Minimum- and medium-skilled unemployed Americans had the highest absolute risks of dying. Conclusions. The higher risk of dying for minimum- and medium-skilled unemployed Americans, not found among Germans, suggests that the unemployment–mortality relationship may be mediated by the institutional and economic environment

Association (psychology) · Confidence interval · Confounding · Demographic economics · Economic growth · Economics · Geography · German · Panel Study of Income Dynamics · Relative risk · Sociology · Unemployment · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Medicine · Psychology