ArticleHealth services research2016
The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
The trial behind it
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Who cites it
9 citing papers in PubMed.
- Effects of US state paid family leave policies on perinatal and postpartum health: a quasi-experimental analysis.American journal of epidemiology · 2026Article
- Sensitive Colorimetric Lateral Flow Assays Enabled by Platinum-Group Metal Nanoparticles with Peroxidase-Like Activities.Advanced healthcare materials · 2025Article
- Perceived job insecurity and task performance: what aspect of performance is related to which facet of job insecurity.Current psychology (New Brunswick, N.J.) · 2023Article
- The short-term effects of the earned income tax credit on health care expenditures among US adults.Health services research · 2019Article
- Layoffs and the mental health and safety of remaining workers: a difference-in-differences analysis of the US aluminium industry.Journal of epidemiology and community health · 2019Article
- Psychosocial Workplace Factors and Healthcare Utilization: A Study of Two Employers.International journal of health policy and management · 2018Article
- Quantitative Job Insecurity and Well-Being: Testing the Mediating Role of Hindrance and Challenge Appraisals.Frontiers in psychology · 2018Article
- Predicting later life health status and mortality using state-level socioeconomic characteristics in early life.SSM - population health · 2016Article
- Using "big data" to capture overall health status: properties and predictive value of a claims-based health risk score.PloS one · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the impacts of job insecurity during the recession of 2007-2009 on health care utilization among a panel of U.S. employees. DATA SOURCES/STUDY
settingLinked administrative and claims datasets on a panel of continuously employed, continuously insured individuals at a large multisite manufacturing firm that experienced widespread layoffs (N = 9,486). STUDY
designWe employed segmented regressions to examine temporal discontinuities in utilization during 2006-2012. To assess the effects of job insecurity, we compared individuals at high- and low-layoff plants. Because the dataset includes multiple observations for each individual, we included individual-level fixed effects. PRINCIPAL
findingsWe found discontinuous increases in outpatient (3.5 visits/month/10,000 individuals, p = .002) and emergency (0.4 visits/month/10,000 individuals, p = .05) utilization in the panel of all employees. Compared with individuals at low-layoff plants, individuals at high-layoff plants decreased outpatient utilization (-4.0 visits/month/10,000 individuals, p = .008), suggesting foregone preventive care, with a marginally significant increase in emergency utilization (0.4 visits/month/10,000 individuals, p = .08).
conclusionsThese results suggest changes in health care utilization and potentially adverse impacts on employee health in response to job insecurity during the latest recession. This study contributes to our understanding of the impacts of economic crises on the health of the U.S. working population.
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