Evidence map›Paper›PMID 31196081›Full record

ArticleBMC public health2019

Single transitions and persistence of unemployment are associated with poor health outcomes.

Gerrie-Cor Herber, Annemarie Ruijsbroek, Marc Koopmanschap, Karin Proper, Fons van der Lucht, Hendriek Boshuizen, Johan Polder, Ellen Uiters

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% of its field
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Obesity, Employment, and Economic Productivity in Europe: A Systematic Literature Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. The Life Course of Unemployment and Midlife Health.Journal of aging and health · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 at 4 institutions in 1 country.

Gerrie-Cor HerberCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands. gerrie-cor.herber@rivm.nl.
Annemarie RuijsbroekCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Marc KoopmanschapCentre for Health and Society, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
Karin ProperCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Fons van der LuchtCentre for Health and Society, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
Hendriek BoshuizenCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Johan PolderCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Ellen UitersCentre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
National Institute for Public Health and the Environment · NLErasmus University Rotterdam · NLTilburg University · NLWageningen University & Research · NL

Funding

Rijksinstituut voor Volksgezondheid en Milieu 133
6 · The paper itself

Abstract

backgroundAlthough job loss has been associated with decline in health, the effect of long term unemployment is less clear and under-researched. Furthermore, the impact of an economic recession on this relationship is unclear. We investigated the associations of single transitions and persistence of unemployment with health. We subsequently examined whether these associations are affected by the latest recession, which began in 2008.

methodsIn total, 57,911 participants from the Dutch Health Interview Survey who belonged to the labour force between 2004 and 2014 were included. Based on longitudinal tax registration data, single employment transitions between time point 1 (t1) and time point 2 (t2) and persistent unemployment (i.e. number of years individuals were unemployed) between t1 and time point 5 (t5) were defined. General and mental health, smoking and obesity were assessed at respectively time point 3 (t3) and time point 6 (t6). Logistic regression models were performed and interactions with recession indicators (year, annual gross domestic product estimates and regional unemployment rates) were tested.

resultsCompared with individuals who stayed employed at t1 and t2, the likelihood of poor mental health at the subsequent year was significantly higher in those who became unemployed at t2. Persistent unemployment was associated with poor mental health, especially for those who were persistently unemployed for 5 years. Similar patterns, although less pronounced for smoking, were found for general health and obesity. Indicators of the economic recession did not modify these associations.

conclusionsSingle transitions into unemployment and persistent unemployment are associated with poor mental and general health, obesity, and to a lesser extend smoking. Our study suggests that re-employment might be an important strategy to improve health of unemployed individuals. The relatively extensive Dutch social security system may explain that the economic recession did not modify these associations.

Indexed as

Health StatusAdultCross-Sectional StudiesEconomic RecessionFemaleHealth SurveysHumansMaleMiddle AgedNetherlandsUnemploymentEconomic recessionHealthHealth related behaviorLongitudinal studyTransitionsUnemployment

Identifiers

PMID31196081
PMCPMC6567908
OpenAlexW2953261280

What OpenQuestion holds

Textmetadata
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.