RT Journal Article
SR Electronic
T1 Unemployment, intragenerational social mobility and mortality in Finland: heterogeneity by age and economic context
JF Journal of Epidemiology and Community Health
JO J Epidemiol Community Health
FD BMJ Publishing Group Ltd
SP 1003
OP 1008
DO 10.1136/jech-2018-210457
VO 72
IS 11
A1 Uggla, Caroline
A1 Billingsley, Sunnee
YR 2018
UL http://jech.bmj.com/content/72/11/1003.abstract
AB Background We explore how mortality is related to unemployment and intragenerational social mobility in Finland. Unemployment and social mobility are two labour market experiences that are largely studied separately, despite the fact that selection processes into unemployment and downward mobility are intertwined. Because both causal and health selection mechanisms may vary depending on the timing of these experiences, we consider heterogeneity by age and economic context.Methods We run discrete time event history analysis for death (at age 30–75 years) in two periods (economic recession and growth) and analyse younger and older individuals and men and women separately.Results The odds of mortality were particularly high for individuals experiencing unemployment and when unemployment occurred during economic growth (OR ranging between 1.39 and 2.77). Younger men had high odds of mortality following unemployment (OR 1.86–2.77). In contrast, downward mobility was associated with higher odds of mortality only among older men and women and only during economic growth. The benefits of upward mobility were experienced mainly by younger men (OR ranging between 0.86 and 0.87) and were not experienced by women at all.Conclusion Results show that when in an individual’s life and the economic cycle unemployment and social mobility occur matters for whether these experiences are associated with mortality.