Change search
ReferencesLink to record
Permanent link

Direct link
Unemployment and coronary heart disease among middle-aged men in Sweden: 39 243 men followed for 8 years
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
2014 (English)In: Occupational and Environmental Medicine, ISSN 1351-0711, E-ISSN 1470-7926, Vol. 71, no 3, 183-188 p.Article in journal (Refereed) Published
Abstract [en]

Background Although unemployment may be a stressful life event, its association with coronary heart disease (CHD) remains unclear. This study examines the association between unemployment and later hospitalisation due to CHD. Methods The study was based on a Swedish military conscription cohort of 18 to 20-year-old men from 1969/1970 (n=49321) with information provided on health status and health behaviours. Information on unemployment in middle age was obtained from national registers. CHD information was obtained from hospital registers and the cause of death register. Cox proportional hazard analyses were run on the 39243 individuals who were in paid employment in 1996 and 1997. Results It was found that 90days of unemployment was associated with subsequent CHD during 8years follow-up (crude HR=1.47, 95% CI 1.23 to 1.75). Controlling for known risk factors for CHD reduced the association but a significant association remained (HR=1.24, 95% CI 1.04 to 1.48); 90days of unemployment was significantly associated with CHD during the first 4years (HR adjusted for known risk factors=1.31, 95% CI 1.01 to 1.71). Conclusions Unemployment was associated with increased risk of CHD after adjustment for confounders. We interpret the increased risk of CHD associated with unemployment as potentially the somatic result of a process started by stress.

Place, publisher, year, edition, pages
2014. Vol. 71, no 3, 183-188 p.
National Category
Environmental Health and Occupational Health
URN: urn:nbn:se:su:diva-101734DOI: 10.1136/oemed-2013-101721ISI: 000330849700006OAI: diva2:705668


Available from: 2014-03-17 Created: 2014-03-14 Last updated: 2014-03-17Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Hemmingsson, Tomas
By organisation
Centre for Social Research on Alcohol and Drugs (SoRAD)
In the same journal
Occupational and Environmental Medicine
Environmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 39 hits
ReferencesLink to record
Permanent link

Direct link