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Hospitalisation for depressive disorder following unemployment-differentials by gender and immigrant status: a population-based cohort study in Sweden
Karolinska Inst.
Karolinska Inst.
Linnaeus University, School of Business and Economics, Department of Economics and Statistics.
Karolinska Inst.
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2013 (English)In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 67, no 10, p. 875-881Article in journal (Refereed) Published
Abstract [en]

Background The association between unemployment and poor mental health in general is explained by both causation and selection. The aim was to study whether experiencing unemployment was a risk factor for hospitalisation for depressive disorder specifically, and whether gender and immigrant status modified the hypothesised risk. Methods A register-based prospective cohort study, 2000-2006, of persons aged 18-64 with a strong connection to the Swedish labour market. Outcome: hospital admission for a depressive episode; F32 in International Classification of Diseases, 10th revision. Exposure: employment status. Explanatory variables: gender and immigrant status. Confounders: age group, education and marital status. Cox regression models were used to estimate HRs with 95% CIs. Results The cohort comprised 3 284 896 adults, 47.5% women. An excess relative risk for hospitalisation was found among those who became unemployed (HR=1.94, 95% CI 1.85 to 2.03). Foreign-born women who experienced unemployment had the highest relative risk (HR=3.47 95% CI 3.02 to 3.98). Conclusions Among persons with a strong connection to the labour market experiencing unemployment, is a risk factor for hospitalisation for depressive disorders. Unemployed foreign-born women had the highest relative risk compared with all Swedish born, all foreign-born men and to employed foreign-born women.

Place, publisher, year, edition, pages
2013. Vol. 67, no 10, p. 875-881
National Category
Health Sciences
Research subject
Economy
Identifiers
URN: urn:nbn:se:lnu:diva-32082DOI: 10.1136/jech-2013-202701ISI: 000324406200033Scopus ID: 2-s2.0-84885371553OAI: oai:DiVA.org:lnu-32082DiVA, id: diva2:693938
Available from: 2014-02-05 Created: 2014-02-05 Last updated: 2017-12-06Bibliographically approved

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Ekberg, Jan

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf