Worklessness, population health and health inequalities Frank Popham MRC SPHSU, Glasgow.

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Presentation transcript:

Worklessness, population health and health inequalities Frank Popham MRC SPHSU, Glasgow

Outline Worklessness and health and its spatial, temporal and socio-economic distribution Its potential role in population health and health inequalities

Source Beatty et al. Environment and Planning C: Government and Policy 2009, volume 27, pages

Source: Beatty and Fothergill Cambridge Journal of Regions, Economy and Society

Source: Holland et al International Journal of Health Services 41 (3):

Source Akinwale B, Lynch K, Wiggins R, et al. J Epidemiol Community Health (2010). doi: /jech Mortality rate for men aged followed up for 5 years after each census

Mortality rate for working age men and women on sickness benefit in New Zealand Shaw et al Mortality among the working age population receiving incapacity benefits in New Zealand, Social Science and Medicine 73,

Education gradient for working age men in not good health before and after adjustment for labour market status (2001 census) Source: Bambra and Popham Health and Place 2010, 16:

Prevalence difference in not good health for working age men over time Source: Popham et al BMJ Open 2012;2:e001342

Source: Tarkiainen et al JECH: Mortality ratio by income quintile Finnish working age men

Source: Marshall and Norman 2013: Geographies of the impact of retirement on health in the United Kingdom. Health and Place 20: 1-12

Conclusion Worklessness related to ill health risen in many countries over time but uneven by SES – Even amongst women whose labour market participation has often risen – Open questions about role of national policy on between country variation Worklessness associated with poor health and heightened mortality risk Potentially important factor in population health and health inequalities. Further longitudinal & quasi- experimental evidence needed. How much is a labour market / health issue?