2023-09-28 14:46:10 +00:00
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abstract: 'Background: Even though population health is strongly influenced by
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employment and working conditions, public health research has to a
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lesser extent explored the social determinants of health inequalities
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between people in different positions on the labour market, and whether
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these social determinants vary across the life course. This study
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analyses mental health inequalities between unemployed and employed in
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three age groups (youth, adulthood and mid-life), and identifies the
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extent to which social determinants explain the mental health gap
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between employed and unemployed in northern Sweden.
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Methods: The Health on Equal Terms survey of 2014 was used, with
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self-reported employment (unemployed or employed) as exposure and the
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General Health Questionnaire (GHQ-12) as mental health outcome. The
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social determinants of health inequalities were grouped into four
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dimensions: socioeconomic status, economic resources, social network and
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trust in institutional systems. The non-linear Oaxaca decomposition
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analysis was applied, stratified by gender and age groups.
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Results: Mental health inequality was found in all age groups among
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women and men (difference in GHQ varying between 0.12 and 0.20). The
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decomposition analysis showed that the social determinants included in
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the model accounted for 43-51\% of the inequalities among youths,
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42-98\% of the inequalities among adults and 60-65\% among middle-aged.
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The main contributing factors were shown to vary between age groups:
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cash margin (among youths and middle-aged men), financial strain (among
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adults and middle-aged women), income (among men in adulthood), along
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with trust in others (all age groups), practical support (young women)
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and social support (middle-aged men); stressing how the social
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determinants of health inequalities vary across the life course.
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Conclusions: The health gap between employed and unemployed was
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explained by the difference in access to economic and social resources,
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and to a smaller extent in the trust in the institutional systems.
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Findings from this study corroborate that much of the mental health
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inequality in the Swedish labour market is socially and politically
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produced and potentially avoidable. Greater attention from researchers,
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policy makers on unemployment and public health should be devoted to the
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social and economic deprivation of unemployment from a life course
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perspective to prevent mental health inequality.'
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affiliation: 'Brydsten, A (Corresponding Author), Stockholm Univ, Dept Publ Hlth Sci,
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SE-10691 Stockholm, Sweden.
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Brydsten, Anna, Stockholm Univ, Dept Publ Hlth Sci, SE-10691 Stockholm, Sweden.
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Hammarstrom, Anne, Uppsala Univ, Dept Publ Hlth \& Caring Sci, Publ Hlth Unit, SE-75122
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Uppsala, Sweden.
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San Sebastian, Miguel, Umea Univ, Dept Publ Hlth \& Clin Med, Epidemiol \& Global
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Hlth Unit, SE-90185 Umea, Sweden.'
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article-number: '59'
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author: Brydsten, Anna and Hammarstrom, Anne and San Sebastian, Miguel
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author-email: anna.brydsten@su.se
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author_list:
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- family: Brydsten
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given: Anna
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- family: Hammarstrom
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given: Anne
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- family: San Sebastian
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given: Miguel
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da: '2023-09-28'
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doi: 10.1186/s12939-018-0773-5
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Social determinants of health inequality; unemployment; Life course;
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Northern Sweden; Oaxaca decomposition analysis; Mental health'
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keywords-plus: 'QUALITY-OF-LIFE; WELFARE-STATE; LABOR-MARKET; IMPACT; WORK; JOB;
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EXCLUSION; ADULTHOOD; SYMPTOMS; PROGRAMS'
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language: English
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month: MAY 16
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number-of-cited-references: '66'
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orcid-numbers: 'Hammarstrom, Anne/0000-0002-4095-7961
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Brydsten, Anna/0000-0002-4118-6441'
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papis_id: 1c95cef0d5daf4c3807c1a275373df3a
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ref: Brydsten2018healthinequalities
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researcherid-numbers: 'Hammarström, Anne/HNI-3080-2023
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'
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times-cited: '23'
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title: 'Health inequalities between employed and unemployed in northern Sweden: a
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decomposition analysis of social determinants for mental health'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000432845100001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '21'
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volume: '17'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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