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Why do those out of work because of sickness or disability have a high mortality risk? Evidence from a Scottish cohort

Popham, Frank and Skivington, Kathryn and Benzeval, Michaela (2013) 'Why do those out of work because of sickness or disability have a high mortality risk? Evidence from a Scottish cohort.' European Journal of Public Health, 23 (4). pp. 629-635. ISSN 1101-1262

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Background: Existing evidence on the association between being out of work because of sickness or disability and high mortality risk suggests that most of the association cannot be explained by controlling for health, health behaviour or socio-economic position. However, studies are often based on administrative data that lack explanatory factors. Here, we investigate this high mortality risk using detailed information from a cohort study. Methods: Data from the West of Scotland Twenty-07 prospective cohort study were used to follow those (average age 56 years) employed, unemployed and out of work in 1988 to death or end of follow-up in 2011. Using a parametric survival model, mean survival was calculated for each employment group after adjustment for health behaviours, health and socio-economic position. Results: The difference in survival between those sick or disabled (30% survival at end of follow-up), and those unemployed (49%) or employed (61%) was mostly accounted for by adjusting for the higher levels of poor heath at baseline in the former group (49, 46 and 56%, respectively, after adjustment). After controlling for all variables, the difference between those sick or disabled (51%) and those employed (56%) was further attenuated slightly. Conclusion: Our results suggest that the present health of those out of work and sick or disabled should be taken seriously, as their long-term survival prospects are considerably poorer than other employment groups. © The Author 2012. Published by Oxford University Press on behalf of the European Public Health Association.

Item Type: Article
Uncontrolled Keywords: Humans; Mortality; Cohort Studies; Health Behavior; Socioeconomic Factors; Disabled Persons; Unemployment; Sick Leave; Scotland
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculty of Social Sciences
Faculty of Social Sciences > Institute for Social and Economic Research
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 04 Feb 2014 13:20
Last Modified: 18 Aug 2022 11:34

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