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Unemployment and mo...
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Lundin, AndreasKarolinska Institutet
(author)
Unemployment and mortality : a longitudinal prospective study on selection and causation in 49 321 Swedish middle-aged men
- Article/chapterEnglish2010
Publisher, publication year, extent ...
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2009-03-15
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BMJ,2010
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-109417
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-109417URI
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https://doi.org/10.1136/jech.2008.079269DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-27718URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:119738018URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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BACKGROUND: Unemployment is associated with increased risk of mortality. It is, however, not clear to what extent this is causal, or whether other risk factors remain uncontrolled for. The aim of this study was to investigate the association between unemployment and all cause and cause specific mortality, adjusting for indicators of mental disorder, behavioural risk factors, and social factors over the life course. METHODS: This study was based on a cohort of 49 321 Swedish males born 1949/51, tested for compulsory military conscription in 1969/70. Data on employment/unemployment 1990-1994 was based on information from the Longitudinal Register of Education and Labour Market Statistics. Information on childhood circumstances was drawn from National Population and Housing Census 1960. Information on psychiatric diagnosis and behavioral risk factors was collected at conscription testing in 1969/70. Data on mortality and hospitalisation 1973-2004 was collected in national registers. RESULTS: An increased risk of mortality 1995-2003 was found among individuals who experienced 90 days or more of unemployment during 1992-1994, compared with those still employed (all cause mortality HR = 1.91, 95 % CI: 1.58-2.31. Adjustment for risk factors measured along the life-course considerably lowered the relative risk (all cause mortality HR = 1.30, 95 % CI: 1.06-1.58). Statistically significant increased relative risk was found during the first four years of follow up (all cause mortality, adjusted HR = 1.57, 95 % CI: 1.13-2.18, but not the following four (all cause mortality, adjusted HR = 1.17, 95 % CI: 0.91-1.50). CONCLUSION: Our results suggest that a substantial part of the increased relative risk of mortality associated with unemployment may be attributable to confounding by individual risk factors.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Lundberg, IngvarKarolinska Institutet,Uppsala universitet,Arbets- och miljömedicin,Eva Vingård(Swepub:uu)inglu103
(author)
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Hallsten, LennartKarolinska Institutet
(author)
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Ottosson, Jan,1958-Umeå universitet,Uppsala universitet,Ekonomisk-historiska institutionen,Institutionen för ekonomisk historia(Swepub:umu)jaot0003
(author)
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Hemmingsson, TomasKarolinska Institutet
(author)
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Karolinska InstitutetArbets- och miljömedicin
(creator_code:org_t)
Related titles
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In:Journal of Epidemiology and Community Health: BMJ64:1, s. 22-280143-005X1470-2738
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