Westin S
Nord Med. 1992;107(1):27-9.
In response to a recent article in Nord Med (No 11/91) this paper raises a critique of the reanalysis of two Nordic studies on the effects of unemployment on health: The model based on varying relationships between vocational ability and job requirement does not invalidate earlier findings. However, the interpretation of measurements of health in individual based follow-up studies warrants a discussion, as well as the external validity of their findings. Unemployment has been shown to affect health related behaviour, like consultation rates, referrals, sick leave and disability pension, in well controlled studies. These effects are of importance to the individuals and the health- and social services, regardless of their relation to disease in a biomedical sense.
针对《北欧医学》（第11/91期）最近发表的一篇文章，本文对两项关于失业对健康影响的北欧研究的重新分析提出了批评：基于职业能力与工作要求之间不同关系的模型并未使早期研究结果无效。然而，在基于个体的随访研究中，对健康测量的解释以及这些研究结果的外部有效性都值得探讨。在严格控制的研究中，失业已被证明会影响与健康相关的行为，如就诊率、转诊、病假和残疾抚恤金。这些影响对个人以及健康和社会服务都很重要，无论它们在生物医学意义上与疾病的关系如何。
