Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Unemployment and subsequent depression: A mediation analysis using the parametric G-formula
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS). Max Planck Institute for Demographic Research, Germany: University of Helsinki,, Finland.ORCID-id: 0000-0001-9374-1438
Antal upphovsmän: 42017 (Engelska)Ingår i: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 194, s. 142-150Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The effects of unemployment on depression are difficult to establish because of confounding and limited understanding of the mechanisms at the population level. In particular, due to longitudinal interdependencies between exposures, mediators and outcomes, intermediate confounding is an obstacle for mediation analyses. Using longitudinal Finnish register data on socio-economic characteristics and medication purchases, we extracted individuals who entered the labor market between ages 16 and 25 in the period 1996 to 2001 and followed them until the year 2007 (n = 42,172). With the parametric G-formula we estimated the population averaged effect on first antidepressant purchase of a simulated intervention which set all unemployed person years to employed. In the data, 74% of person-years were employed and 8% unemployed, the rest belonging to studying or other status. In the intervention scenario, employment rose to 85% and the hazard of first antidepressant purchase decreased by 7.6%. Of this reduction 61% was mediated, operating primarily through changes in income and household status, while mediation through other health conditions was negligible. These effects were negligible for women and particularly prominent among less educated men. By taking complex interdependencies into account in a framework of observed repeated measures data, we found that eradicating unemployment raises income levels, promotes family formation, and thereby reduces antidepressant consumption at the population-level.

Ort, förlag, år, upplaga, sidor
2017. Vol. 194, s. 142-150
Nyckelord [en]
Unemployment, Mental health, Depression, Young adults, Life course, Causal inference, g-formula
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin Sociologi
Identifikatorer
URN: urn:nbn:se:su:diva-151136DOI: 10.1016/j.socscimed.2017.10.011ISI: 000418224100016PubMedID: 29100139OAI: oai:DiVA.org:su-151136DiVA, id: diva2:1174308
Tillgänglig från: 2018-01-15 Skapad: 2018-01-15 Senast uppdaterad: 2025-02-21Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltextPubMed

Person

Martikainen, Pekka

Sök vidare i DiVA

Av författaren/redaktören
Martikainen, Pekka
Av organisationen
Centrum för forskning om ojämlikhet i hälsa (CHESS)
I samma tidskrift
Social Science and Medicine
Folkhälsovetenskap, global hälsa och socialmedicinSociologi

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 192 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf