ArticleScandinavian journal of work, environment & health2022
Changes in health among 45-64-year-old Dutch persons before, during and after becoming unemployed or employed: a seven year follow-up study.
Article in Scandinavian journal of work, environment & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mental health effects of unemployment and re-employment: a systematic review and meta-analysis of longitudinal studies.Occupational and environmental medicine · 2025Pooled it
- A meta-analysis of unemployment risk factors for middle-aged workers.Scandinavian journal of work, environment & health · 2025Pooled it
- Late-career workforce participation in times of rising state pension age: the role of health and motivation.BMC public health · 2025Article
- 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 effect of job insecurity, employment type and monthly income on depressive symptom: analysis of Korean Longitudinal Study on Aging data.Annals of occupational and environmental medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to evaluate the extent to which physical and mental health and body mass index (BMI) changed before, during and after becoming unemployed or employed, and whether these associations differ across psychosocial and physical working conditions.
methodsParticipants from seven waves (2010-2017) of the Dutch longitudinal Study on Transitions in Employment, Ability, and Motivation (STREAM) aged 45-64 years were included. STREAM provides information on physical and mental health, BMI and working conditions, and was enriched with monthly information on income components from Statistics Netherlands to define employment status during 2010-2017. Annual changes in physical and mental health (0-100 scales), and BMI (kg/m
resultsBefore employed persons became unemployed they had poorer health than continuously employed persons, which worsened in the period before becoming unemployed. During the year of becoming unemployed, physical [b=1.45, 95% confidence interval (CI) 0.89-2.01] and mental health (b=1.46, 95% CI 0.85-2.07) improved, in particular among persons with unfavorable working conditions. After becoming unemployed physical health deteriorated (b=-0.52, 95% CI -0.80- -0.24) and BMI (b=0.11, 95% CI 0.03-0.19) increased, but mental health improved (b=0.33, 95% CI 0.02-0.63). Unemployed persons had better health before entering employment than continuously unemployed persons. The health of persons who entered employment did not statistically significantly change before or during the year of the transition. After entering employment, physical health deteriorated and BMI increased.
conclusionsMaintaining a healthy workforce and limiting unfavorable working conditions may contribute to the prevention of unemployment and the promotion of re-integration.
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