Dooley D, Fielding J, Levi L
School of Social Ecology, University of California, Irvine 92717, USA.
Annu Rev Public Health. 1996;17:449-65. doi: 10.1146/annurev.pu.17.050196.002313.
This paper reviews the relationship between health and inadequate employment, especially unemployment. Poor physical or mental health can lead, via poor work performance, to job loss; however, studies that control for such selection effects are still scarce except for a few health outcomes. For example, aggregate-level studies typically find a positive association between unemployment and suicide rates over time. At the individual level of analysis, panel surveys of laid-off workers tend to find increased psychiatric problems such as depression and substance abuse. Few studies have evaluated interventions to prevent or reduce the adverse health effects of job loss. There have been even fewer studies of the health effects of other types of inadequate employment such as the increasingly prevalent forms of underemployment.
本文回顾了健康与就业不足,尤其是失业之间的关系。身体或心理健康不佳会通过工作表现不佳导致失业;然而,除了少数健康结果外,控制此类选择效应的研究仍然很少。例如,总体层面的研究通常发现,随着时间的推移,失业与自杀率之间存在正相关关系。在个体分析层面,对下岗工人的面板调查往往发现诸如抑郁和药物滥用等精神问题有所增加。很少有研究评估预防或减少失业对健康不利影响的干预措施。对于其他类型的就业不足,如日益普遍的就业不充分形式对健康的影响,研究甚至更少。