Beale N, Nethercott S
J R Coll Gen Pract. 1988 May;38(310):197-9.
The case records of one group practice have been used as the data base for a longitudinal, controlled study of unemployment and health. Previous numerical analyses have shown increases in reported morbidity in families threatened with and experiencing unemployment. The illnesses reported have now been classified by diagnostic category. The illnesses normally most prevalant were presented less frequently when patients' jobs were insecure and lost, contradicting the suggestion that excess morbidity reported by the unemployed results only from lowered symptom tolerance. On reassembling the data according to the number of consultations per episode a genuine unemployment morbidity was indicated. After job loss among the male employees there was a significant increase in the number of episodes for which there were four or more consultations. It is postulated that unemployment leads to chronic ill health.
一组联合诊所的病例记录被用作一项关于失业与健康的纵向对照研究的数据库。先前的数值分析表明，面临失业和正在经历失业的家庭所报告的发病率有所上升。现在已按诊断类别对所报告的疾病进行了分类。当患者的工作不稳定或失去工作时，通常最常见的疾病出现的频率较低，这与失业者所报告的发病率过高仅源于症状耐受性降低的观点相矛盾。根据每次发病的就诊次数重新整理数据后，显示出了真正的失业发病率。男性员工失业后，就诊次数达到四次或更多次的发病数量显著增加。据推测，失业会导致慢性健康问题。
