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Employment status and health care utilization in a context of economic recession: Results of a population based survey in East Central Sweden
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap. Department of Health Science, Section of Public Sci ence, Mid-Sweden University, Sundsvall, Sweden; Department of Public Health Sciences, Karolinska In stitute, Stockholm, Sweden .
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap.
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.ORCID-id: 0000-0002-2885-0635
Department of Community Medicine, Gävleborg County Council, Gävle, Sweden .
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2014 (Engelska)Ingår i: Science Journal of Public Health, ISSN ISSN 2328-7942, EISSN 2328-7950, Vol. 2, nr 6, s. 610-616Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction: The most recent economic recession left many people outside the labour market world-wide, causing widespread poverty and social exclusion. Gävleborg County in East Central Sweden experienced massive layoffs caused by closure of various industries. Objective: The objective of this study was to investigate differences in health-care use according to employment status at the pick of the recent economic recession. Methods: The study used data from a cross-sectional survey “Health in Equal Terms” carried out in Gävleborg County in 2010. The sample included 4245 persons aged 16-65 years. Descriptive and logistic regression analyses were used to assess differences in health-care seeking behaviour by employment status. Results: Employment status was statistically significantly associated with health-care use in Gävleborg County. In the bivariate analysis people who were not employed had odds ratio of 1.62 (CI 1.18-1.72) for health care use as compared to their employed counterparts. Controlling for other variables in Model II to IV removed the statistical significance and reduced the odds to 0.44(CI 0.20-1.00). Conclusions: This study found that at the pick of the most recent economic recession, people who were out of work used more often health services as compared with their employed counterparts. The observed differences in health-care use were explained by demographic, socio-economic and health-related variables. Further studies are needed to analyze trends of healthcare utilization according to employment nationally, particularly at the county level.

Ort, förlag, år, upplaga, sidor
2014. Vol. 2, nr 6, s. 610-616
Nyckelord [en]
Health-Care Use, Employment Status, Economic Recession
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:hig:diva-18664DOI: 10.11648/j.sjph.20140206.28OAI: oai:DiVA.org:hig-18664DiVA, id: diva2:775805
Tillgänglig från: 2015-01-05 Skapad: 2015-01-05 Senast uppdaterad: 2018-12-03Bibliografiskt granskad

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Macassa, GloriaHiswåls, Anne-SofieAhmadi, NaderSoares, Joaquim F. J.

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