TY - JOUR
T1 - Gain of employment and perceived health status among previously unemployed persons
T2 - Evidence from a longitudinal study in the United States
AU - Park, S.
AU - Chan, K. C.G.
AU - Williams, E. C.
N1 - Publisher Copyright:
© 2015 The Royal Institute of Public Health.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objectives: Using longitudinal datasets, we investigated whether gaining employment was associated with improvements in perceived mental health and overall health among previously unemployed U.S. residents. We additionally examined whether the association varied across types of employment and socio-demographic characteristics. Methods: We used multiple two-year panel datasets of the Medical Expenditure Panel Survey during 2004-2012. We studied two health outcomes: perceived mental health and overall health. Our independent variables were employment status: full-time, part-time, self-employment, and unemployment. To examine the association between gaining employment and perceived health, we employed population-averaged models with generalized estimating equations. We secondarily examined the association across subpopulations (gender, race/ethnicity, and education). Results: Those who gained full-time, part-time, and self-employment were more likely to report good mental health than those who stayed unemployed (AOR [Adjusted Odds Ratio] = 2.90, 95% CI 2.23 to 3.78, AOR = 1.63, 95% CI 1.28 to 2.06, and AOR = 3.24, 95% CI 1.08 to 9.70, respectively). Those who became full-time and part-time employed were more likely to report good overall health relative to those who stayed unemployed (AOR = 2.28, 95% CI 1.82 to 2.86 and AOR = 1.91, 95% CI 1.52 to 2.40, respectively). For both measures of perceived health, the magnitudes of the association were larger for those who gained full-time employment than part-time employment. AORs were relatively higher for males, black persons, and people with less than a college education relative to other groups in each subpopulation. Conclusion: Improving employment outcomes may improve perceived health. Transiting toward full-time employment, in particular, may maximize the benefits of employment.
AB - Objectives: Using longitudinal datasets, we investigated whether gaining employment was associated with improvements in perceived mental health and overall health among previously unemployed U.S. residents. We additionally examined whether the association varied across types of employment and socio-demographic characteristics. Methods: We used multiple two-year panel datasets of the Medical Expenditure Panel Survey during 2004-2012. We studied two health outcomes: perceived mental health and overall health. Our independent variables were employment status: full-time, part-time, self-employment, and unemployment. To examine the association between gaining employment and perceived health, we employed population-averaged models with generalized estimating equations. We secondarily examined the association across subpopulations (gender, race/ethnicity, and education). Results: Those who gained full-time, part-time, and self-employment were more likely to report good mental health than those who stayed unemployed (AOR [Adjusted Odds Ratio] = 2.90, 95% CI 2.23 to 3.78, AOR = 1.63, 95% CI 1.28 to 2.06, and AOR = 3.24, 95% CI 1.08 to 9.70, respectively). Those who became full-time and part-time employed were more likely to report good overall health relative to those who stayed unemployed (AOR = 2.28, 95% CI 1.82 to 2.86 and AOR = 1.91, 95% CI 1.52 to 2.40, respectively). For both measures of perceived health, the magnitudes of the association were larger for those who gained full-time employment than part-time employment. AORs were relatively higher for males, black persons, and people with less than a college education relative to other groups in each subpopulation. Conclusion: Improving employment outcomes may improve perceived health. Transiting toward full-time employment, in particular, may maximize the benefits of employment.
KW - Employment
KW - Full-time employment
KW - Panel data
KW - Perceived health status
KW - United States
UR - http://www.scopus.com/inward/record.url?scp=84951145192&partnerID=8YFLogxK
U2 - 10.1016/j.puhe.2015.11.008
DO - 10.1016/j.puhe.2015.11.008
M3 - Article
C2 - 26718423
AN - SCOPUS:84951145192
SN - 0033-3506
VL - 133
SP - 83
EP - 90
JO - Public Health
JF - Public Health
ER -