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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
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. Department of Health Science, Section of Public Sci ence, Mid-Sweden University, Sundsvall, Sweden; Department of Public Health Sciences, Karolinska In stitute, Stockholm, Sweden .
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.ORCID iD: 0000-0002-2885-0635
Department of Community Medicine, Gävleborg County Council, Gävle, Sweden .
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2014 (English)In: Science Journal of Public Health, ISSN ISSN 2328-7942, EISSN 2328-7950, Vol. 2, no 6, 610-616 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2014. Vol. 2, no 6, 610-616 p.
Keyword [en]
Health-Care Use, Employment Status, Economic Recession
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-18664DOI: 10.11648/j.sjph.20140206.28OAI: oai:DiVA.org:hig-18664DiVA: diva2:775805
Available from: 2015-01-05 Created: 2015-01-05 Last updated: 2016-09-05Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
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  • de-DE
  • Other locale
More languages
Output format
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  • asciidoc
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