Evidence map›Paper›PMID 23642156›Full record

ArticleBMC public health2013

Mortality following unemployment in Canada, 1991-2001.

Cameron A Mustard, Amber Bielecky, Jacob Etches, Russell Wilkins, Michael Tjepkema, Benjamin C Amick, Peter M Smith, Kristan J Aronson

Abstract read
In one paragraph

Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Employment Status and Alcohol-Attributable Mortality Risk-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  2. Employment quality and mortality in Canada.Journal of epidemiology and community health · 2025
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  8. Area-based socioeconomic disparities in mortality due to unintentional injury and youth suicide in British Columbia, 2009-2013.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cameron A MustardInstitute for Work & Health, 481 University Ave, Suite 800, Toronto, Ontario, Canada. cmustard@iwh.on.ca
Amber Bielecky
Jacob Etches
Russell Wilkins
Michael Tjepkema
Benjamin C Amick
Peter M Smith
Kristan J Aronson

Funding

Canadian Institutes of Health Research 62874
6 · The paper itself

Abstract

backgroundThis study describes the association between unemployment and cause-specific mortality for a cohort of working-age Canadians.

methodsWe conducted a cohort study over an 11-year period among a broadly representative 15% sample of the non-institutionalized population of Canada aged 30-69 at cohort inception in 1991 (888,000 men and 711,600 women who were occupationally active). We used cox proportional hazard models, for six cause of death categories, two consecutive multi-year periods and four age groups, to estimate mortality hazard ratios comparing unemployed to employed men and women.

resultsFor persons unemployed at cohort inception, the age-adjusted hazard ratio for all-cause mortality was 1.37 for men (95% confidence interval (CI): 1.32-1.41) and 1.27 for women (95% CI: 1.20-1.35). The age-adjusted hazard ratio for unemployed men and women was elevated for all six causes of death: malignant neoplasms, circulatory diseases, respiratory diseases, alcohol-related diseases, accidents and violence, and all other causes. For unemployed men and women, hazard ratios for all-cause mortality were equivalently elevated in 1991-1996 and 1997-2001. For both men and women, the mortality hazard ratio associated with unemployment attenuated with age.

conclusionsConsistent with results reported from other long-duration cohort studies, unemployed men and women in this cohort had an elevated risk of mortality for accidents and violence, as well as for chronic diseases. The persistence of elevated mortality risks over two consecutive multi-year periods suggests that exposure to unemployment in 1991 may have marked persons at risk of cumulative socioeconomic hardship.

Indexed as

AdultAgedCanadaCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk AssessmentUnemployment

Identifiers

PMID23642156
PMCPMC3665659

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.