ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2019
Unemployment, unemployment duration, and health: selection or causation?
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Depression and Anxiety in Voluntarily Unemployed People: A Systematic Review.La Medicina del lavoro · 2024Pooled it
- Pooled it
- Health-improving interventions for obtaining employment in unemployed job seekers.The Cochrane database of systematic reviews · 2020Pooled it
- The impact of universal credit on mental, physical, and financial well-being: longitudinal evidence from the UK household longitudinal survey.Social psychiatry and psychiatric epidemiology · 2026Article
- The effect of health on refugees' labor market integration: Evidence from a natural experiment in Germany.PloS one · 2026Article
- Labour market trajectory clusters and utilisation of healthcare and benefits among the long-term unemployed: a Finnish population-based study.BMC public health · 2025Article
- Assessing the economic case for public health interventions provided in non-health public sector settings: a feasibility study in job centres in Cornwall, South West of England.Discover mental health · 2025Article
- Continuing exposure to disadvantageous material and perceived economic factors on self-rated health in different life stages: fixed effects analyses with data from the German Socioeconomic Panel.BMC public health · 2025Article
- Impact of early economic activity loss on all-cause mortality in gastric cancer survivors following curative treatment: a nationwide study in Korea.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Article
- Factors Impacting Quality of Life in a Group of Iranian Patients in Chronic Oral Mucosal Disease Following Treatment?Clinical and experimental dental research · 2024Article
- Incidence and intensity of catastrophic health expenditure and impoverishment among the elderly: an empirical evidence from India.Scientific reports · 2024Article
- Exploring the impact of age and socioeconomic factors on health-related unemployment using propensity score matching: results from Korea National Health and Nutrition Examination Survey (2015-2017).Annals of occupational and environmental medicine · 2024Article
- Decreased odds of depressive symptoms and suicidal ideation with higher education, depending on sex and employment status.PloS one · 2024Article
- A Threshold QuickDASH Score for Estimating a Diagnosis of Major Depression in Patients With Fingertip Injuries in the American and Dutch Population.Hand (New York, N.Y.) · 2023Observational
- Values, Health and Well-Being of Young Europeans Not in Employment, Education or Training (NEET).International journal of environmental research and public health · 2023Article
- Austerity, economic hardship and access to medications: a repeated cross-sectional population survey study, 2013-2020.Journal of epidemiology and community health · 2023Article
- Evaluation of functionality and socioeconomic status of patients with chronic pain.Revista da Associacao Medica Brasileira (1992) · 2023Article
- The Life Course of Unemployment and Midlife Health.Journal of aging and health · 2022Article
- Social inequalities in early exit from employment in Germany: a causal mediation analysis on the role of work, health, and work ability.Scandinavian journal of work, environment & health · 2022Article
- The Role of Microfinance in China's Rural Public Health: Evidence from the Anti-Poverty Microcredit Program.International journal of environmental research and public health · 2022Article
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Authors and funding
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Funding
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Abstract
This study aims at disentangling the causal effects of unemployment on physical and mental health from the selection of the unhealthy into unemployment. To identify causal effects, it explores hypotheses concerning how physical and mental health deterioration gain additional momentum with a longer duration of unemployment. In contrast, mere selection into unemployment implies time-constant effects of unemployment on physical and mental health. Fixed-effects models are applied to data from the German Socio-Economic Panel (GSOEP, 2002-2014, 74,572 observations). Pointing at causal effects of unemployment, the findings show that physical health does not deteriorate before, during or immediately after the period in which individuals lose their jobs, but that deterioration gains momentum later. The effect further depends on age at transition to unemployment. In contrast, a large part of the poorer mental health of the unemployed might be due to the selection of the unhealthy into unemployment; mental health declines even before job loss. Only for people who experience unemployment early in life, mental health deterioration gains some momentum in the time after the transition, indicating a (weak) causal effect of unemployment on mental health for younger individuals.
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