2023-09-28 14:46:10 +00:00
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abstract: 'Unhealthy persons are more likely to lose their jobs than those who are
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healthy but whether this is affected by recession is unclear. We asked
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how healthy and unhealthy persons fared in labour markets during
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Europe''s 2008-2010 recessions and whether national differences in
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employment protection helped mitigate any relative disadvantage
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experienced by those in poor health. Two retrospective cohorts of
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persons employed at baseline were constructed from the European
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Statistics of Income and Living Conditions in 26 EU countries. The first
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comprised individuals followed between 2006 and 2008, n = 46,085
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(pre-recession) and the second between 2008 and 2010, n = 85,786 (during
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recession). We used multi-level (individual- and country-fixed effects)
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logistic regression models to assess the relationship (overall and
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disaggregated by gender) between recessions, unemployment, and health
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status, as well as any modifying effect of OECD employment protection
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indices measuring the strength of policies against dismissal and
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redundancy. Those with chronic illnesses and health limitations were
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disproportionately affected by the recession, respectively with a 1.5-
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and 2.5-fold greater risk of unemployment than healthy people during
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2008-2010. During severe recessions (>7\% fall in GDP), employment
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protections did not mitigate the risk of job loss (OR = 1.06, 95\% CI:
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0.94-1.21). However, in countries experiencing milder recessions (<7\%
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fall in GDP), each additional unit of employment protection reduced job
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loss risk (OR = 0.72, 95\% CI: 0.58 -0.90). Before the recession, women
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with severe health limitations especially benefited, with additional
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reductions of 22\% for each unit of employment protection (AOR(female) =
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0.78, 95\% CI: 0.62 -0.97), such that at high levels the difference in
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the risk of job loss between healthy and unhealthy women disappeared.
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Employment protection policies may counteract labour market inequalities
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between healthy and unhealthy people, but additional programmes are
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likely needed to protect vulnerable groups during severe recessions. (C)
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2014 Elsevier Ltd. All rights reserved.'
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affiliation: 'Reeves, A (Corresponding Author), Univ Oxford, Dept Sociol, Oxford OX1
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2JD, England.
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Reeves, Aaron; Stuckler, David, Univ Oxford, Dept Sociol, Oxford OX1 2JD, England.
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Karanikolos, Marina; McKee, Martin, London Sch Hyg \& Trop Med, ECOHOST, London,
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England.
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Karanikolos, Marina; McKee, Martin; Stuckler, David, London Sch Hyg \& Trop Med,
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European Observ Hlth Syst \& Policies, London, England.
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Mackenbach, Johan, Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, Rotterdam,
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Netherlands.'
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author: Reeves, Aaron and Karanikolos, Marina and Mackenbach, Johan and McKee, Martin
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and Stuckler, David
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author-email: aaron.reeves@sociology.ox.ac.uk
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author_list:
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- family: Reeves
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given: Aaron
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- family: Karanikolos
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given: Marina
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- family: Mackenbach
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given: Johan
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- family: McKee
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given: Martin
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- family: Stuckler
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given: David
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2014.09.034
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: Chronic illness; Recession; Disability; Employment protection
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keywords-plus: 'PAID EMPLOYMENT; ECONOMIC-CHANGE; HEALTH-STATUS; ILL HEALTH; JOB LOSS;
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UNEMPLOYMENT; MEN; DISABILITY; MORTALITY; IMPACT'
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language: English
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month: NOV
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number-of-cited-references: '36'
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orcid-numbers: 'Mckee, Martin/0000-0002-0121-9683
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McKee, Marc D/0000-0001-8349-965X
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Reeves, Aaron/0000-0001-9114-965X
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Stuckler, David/0000-0002-1288-8401
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Karanikolos, Marina/0000-0002-3824-8226'
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pages: 98-108
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papis_id: 4c3d10d22c3c89d5ec0c06e9639c8c60
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ref: Reeves2014doemployment
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researcherid-numbers: 'Stuckler, David/H-2261-2012
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Mckee, Martin/E-6673-2018
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McKee, Marc D/E-2187-2011
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'
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times-cited: '41'
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title: Do employment protection policies reduce the relative disadvantage in the labour
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market experienced by unhealthy people? A natural experiment created by the Great
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Recession in Europe
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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:000345183900013
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usage-count-last-180-days: '0'
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usage-count-since-2013: '35'
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volume: '121'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2014'
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