Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, SE-901 85 Umeå, Sweden.
Public Health. 2013 Mar;127(3):214-22. doi: 10.1016/j.puhe.2012.12.005. Epub 2013 Feb 1.
To analyse the associations between unemployment and suboptimal self-rated health as well as high alcohol consumption, and to examine the role of possible mediating factors explaining the associations from a gender perspective.
The sample, from a 14-year longitudinal study with a 96.4% response rate, consisted of 386 women and 478 men who were either employed or unemployed at 30 years of age.
The health outcomes studied were suboptimal self-rated health and high alcohol consumption at 30 years of age. Logistic regression was used for analysis, and the relational theory of gender was used to discuss the findings.
A strong relationship was found between unemployment and suboptimal self-rated health among women, and unemployment and high alcohol consumption among men, even after controlling for health-related selection, potential mediators and background factors. All mediating factors in the model were attributable to suboptimal self-rated health among unemployed women. Two mediating factors were also substantially related to high alcohol consumption among unemployed men.
Long-term unemployment at a young age could have various health effects in men and women. At present, the mechanisms behind the health consequences are better understood among women. Research would benefit from developing theories in order to explain how youth unemployment leads to gendered health consequences.
分析失业与自评健康状况不佳和酗酒之间的关联，并从性别视角探讨可能的中介因素在解释这些关联中的作用。
该样本来自一项 14 年的纵向研究，应答率为 96.4%，共有 386 名女性和 478 名男性，他们在 30 岁时处于就业或失业状态。
研究的健康结果是 30 岁时自评健康状况不佳和酗酒。采用逻辑回归进行分析，并利用性别关系理论讨论研究结果。
即使在控制了与健康相关的选择、潜在的中介因素和背景因素后，女性失业与自评健康状况不佳之间以及男性失业与酗酒之间仍存在很强的关联。模型中的所有中介因素都归因于失业女性自评健康状况不佳。两个中介因素也与失业男性酗酒高度相关。
年轻时长期失业可能对男性和女性的健康产生各种影响。目前，女性健康后果的机制更为人所理解。为了解释青年失业如何导致性别化的健康后果，研究将受益于发展理论。
