Unemployment and health care utilization

Kraut, Allen; Mustard, Cam; Walld, Randy; Tate, Robert B.

doi:10.5271/sjweh.527

Cited by 36 publications

(20 citation statements)

References 40 publications

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“…Population-level data from insurers or providers may suffer from survivorship bias, leading to a perception of decreased utilization (American Academy of Family Physicians 2009; American Hospital Association 2009; Johnson, Rockoff, and Mathews 2010), while our sample consists of a panel of employees. Research conducted in highincome countries with universal health insurance echoes our findings of increased outpatient utilization (Carr-Hill, Rice, and Roland 1996;Kraut et al 2000).…”

Section: Strengths and Limitationssupporting

confidence: 72%

The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers

Hamad

Modrek

Cullen

2015

Health Services Research

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Objective. To examine the impacts of job insecurity during the recession of 2007-2009 on health care utilization among a panel of U.S. employees. Data Sources/Study Setting. Linked administrative and claims datasets on a panel of continuously employed, continuously insured individuals at a large multisite manufacturing firm that experienced widespread layoffs (N = 9,486). Study Design. We employed segmented regressions to examine temporal discontinuities in utilization during 2006-2012. To assess the effects of job insecurity, we compared individuals at high-and low-layoff plants. Because the dataset includes multiple observations for each individual, we included individual-level fixed effects. Principal Findings. We found discontinuous increases in outpatient (3.5 visits/ month/10,000 individuals, p = .002) and emergency (0.4 visits/month/10,000 individuals, p = .05) utilization in the panel of all employees. Compared with individuals at low-layoff plants, individuals at high-layoff plants decreased outpatient utilization (À4.0 visits/month/10,000 individuals, p = .008), suggesting foregone preventive care, with a marginally significant increase in emergency utilization (0.4 visits/month/ 10,000 individuals, p = .08). Conclusions. These results suggest changes in health care utilization and potentially adverse impacts on employee health in response to job insecurity during the latest recession. This study contributes to our understanding of the impacts of economic crises on the health of the U.S. working population.

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Section: Strengths and Limitationssupporting

confidence: 72%

The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers

Hamad

Modrek

Cullen

2015

Health Services Research

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“…However, these associations were only clearly found in the Malay group, and not in the Chinese or Indian groups. In line with other studies [44][45][46], we found increased use among the unemployed, and unemployment significantly increased the odds of turning to CAM among Chinese and Indians. It is possible that CAM may have been perceived as a cheaper alternative to more Westernized forms of treatment by this group.…”

Section: Discussionsupporting

confidence: 92%

The use of complementary and alternative medicine in a multi-ethnic Asian population: results from the 2016 Singapore Mental Health Study

Seet

Abdin

Vaingankar

et al. 2020

BMC Complement Med Ther

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Background: This study seeks to investigate factors associated with using complementary and alternative medicine (CAM) for a mental illness among the three major ethnic groups (Chinese, Indians and Malays) in the general population of Singapore. Methods: Data from the 2016 Singapore Mental Health Study was used; responses from the "Services" section of the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) administered during face-to-face household interviews with participants were analyzed to establish prevalence of CAM use among Singaporeans. Additionally, sociodemographic variables of interest were selected for subgroup regression analyses to yield correlates of CAM use among the three ethnic groups. Results: 6.4% of Singaporeans used at least one form of CAM in the past 12 months for their mental illness. Malays reported using CAM the most, followed by Indians and Chinese. Sociodemographic variables such as education and employment were differently associated with CAM use among the ethnicities. Across all three ethnic groups, CAM users were more likely to report poorer mental health-related quality of life. Conclusion: Despite the significant differences in CAM use among Chinese, Malays and Indians, those who had a mental illness were significantly more likely to use CAM regardless of ethnicity. This highlights the need for communication between CAM practitioners and conventional mental healthcare providers for early referral when appropriate which would lead to improved healthcare delivery and better clinical outcomes.

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“…Our interest in the participants' quality of life was to establish the relation between unemployment conditions and their present life experiences and expectations [34] but also to establish relationship between unemployment and healthrelated behavior. Unemployment has a negative effect on life satisfaction, because it causes a drop in well-being and decreases satisfaction within other life spheres [35]. Our study suggests that the longer unemployment period lower life satisfaction.…”

Section: Quality Of Life (Qol)mentioning

confidence: 60%

Health Behavior and Self-Assessed Health Among Some Long-Term Unemployed Living in Turku, Finland

Degni¹,

Vaherkylä²,

Hurme³

2017

TOPHJ

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Background:A number of previous studies have concluded that long-term unemployment is destructive to health.Objective:This study examined health behavior and self-assessed health of some long-term unemployed persons living in the city of Turku, in Southwestern Finland.Methodology:The qualitative data were collected from February to March 2016 from 40 long-term unemployed men and women, aged between 31 to 63 years.Results:Of the participants 85% (n=34) reported that their long-term unemployment situation had had a negative impact on their health. There were 95% (n=36) who needed medical care because of their health condition. There were 59% (n=24) who were not satisfied with the healthcare and social services compared to 49% (n=16) who were satisfied with the services.Conclusion:There were more single men than single women among the participants. Half of the participants had a profession of which the women constituted the majority. Several participants were suffering from a chronic disease. The participants were not satisfied of their lives and attributed their health behavior and poor health conditions to their long-term unemployment situation. They were not satisfied also with the healthcare and social services provided to them.

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Unemployment and health care utilization

Cited by 36 publications

References 40 publications

The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers

The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers

The use of complementary and alternative medicine in a multi-ethnic Asian population: results from the 2016 Singapore Mental Health Study

Health Behavior and Self-Assessed Health Among Some Long-Term Unemployed Living in Turku, Finland

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