Association between employment status and risk of all-cause and cause-specific mortality

Making Education Easy

Authors:

Nie J, Wang J, et al.

May 25, 2020

Summary:

Retirement, temporary unemployment and never being employed were associated with higher mortality in a population-based prospective cohort study of 282,364 participants aged 18–65 years in the US National Health Interview Survey from 2001–2013. A total of 12,645 participants died during a mean follow-up of 8.2 years. An increased all-cause mortality risk was evident for participants who were retired (HR 1.27; 95% CI 1.17–1.37), temporarily unemployed (HR 1.76; 95% CI 1.67–1.86), or never employed (HR 1.63; 95% CI 1.47–1.81) compared with employed participants. Conditions associated with increased mortality risk included cancer, cardiovascular disease, chronic lower respiratory disease, diabetes and kidney disease.

Comment:

Research about the impact of unemployment on health always reminds me of Vera Keefe- Ormsby and her seminal study ( https://www.otago.ac.nz/wellington/departments/publichealth/research/erupomare/research/otago019495.html ) on health following the closure of the meat works in Hawkes Bay. Obviously there are reasons outside of peoples’ control for them to be unemployed. As health professionals, our role is to ensure excellent access to care including the management of risk factors

Reference: J Epidemiol Community Health. 2020;74(5):428-436.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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