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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Employment status and perceived health condition: longitudinal data from Italy

Authors: Liliana Minelli, Claudia Pigini, Manuela Chiavarini, Francesco Bartolucci

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

The considerable increase of non-standard labor contracts, unemployment and inactivity rates raises the question of whether job insecurity and the lack of job opportunities affect physical and mental well-being differently from being employed with an open-ended contract. In this paper we offer evidence on the relationship between self-reported health and the employment status in Italy using the Survey on Household Income and Wealth (SHIW); another aim is to investigate whether these potential inequalities have changed with the recent economic downturn (time period 2006-2010).

Methods

We estimate an ordered logit model with self-reported health status (SRHS) as response variable based on a fixed-effects approach which has certain advantages with respect to the random-effects formulation: the fixed-effects nature of the model also allows us to solve the problems of incidental parameters and non-random selection of individuals into different labor market categories.

Results

We find that temporary workers, first-job seekers and unemployed individuals are worse off than permanent employees, especially males, young workers, and those living in the center and south of Italy.

Conclusion

Health inequalities between permanent workers and job seekers widen over time for male and young workers, and arise in the north of the country as well.
Literature
2.
go back to reference Schmitz H: Why are the unemployed in worse health? The causal effect of unemployment on health. Labour Econ. 2011, 18: 71-78. 10.1016/j.labeco.2010.08.005.CrossRef Schmitz H: Why are the unemployed in worse health? The causal effect of unemployment on health. Labour Econ. 2011, 18: 71-78. 10.1016/j.labeco.2010.08.005.CrossRef
3.
go back to reference Giatti L, Barreto SM, César CC: Unemployment and self-rated health: neighborhood influence. Soc Sci Med. 2010, 71 (4): 815-823. 10.1016/j.socscimed.2010.05.021.CrossRefPubMed Giatti L, Barreto SM, César CC: Unemployment and self-rated health: neighborhood influence. Soc Sci Med. 2010, 71 (4): 815-823. 10.1016/j.socscimed.2010.05.021.CrossRefPubMed
4.
go back to reference Böckerman P, Ilmakunnas P: Unemployment and self-assessed health: Evidence from panel data. Health Econ. 2009, 18 (2): 161-179. 10.1002/hec.1361.CrossRefPubMed Böckerman P, Ilmakunnas P: Unemployment and self-assessed health: Evidence from panel data. Health Econ. 2009, 18 (2): 161-179. 10.1002/hec.1361.CrossRefPubMed
5.
go back to reference Roelfs DJ, Shor E, Davidson KW, Schwartz JE: Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality. Soc Sci Med. 2011, 72 (6): 840-854. 10.1016/j.socscimed.2011.01.005.CrossRefPubMedPubMedCentral Roelfs DJ, Shor E, Davidson KW, Schwartz JE: Losing life and livelihood: a systematic review and meta-analysis of unemployment and all-cause mortality. Soc Sci Med. 2011, 72 (6): 840-854. 10.1016/j.socscimed.2011.01.005.CrossRefPubMedPubMedCentral
6.
go back to reference McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ: Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005, 90: 53-CrossRefPubMed McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ: Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005, 90: 53-CrossRefPubMed
7.
go back to reference Garcy AM, Vågerö D: The length of unemployment predicts mortality, differently in men and women, and by cause of death: A six year mortality follow-up of the Swedish 1992–1996 recession. Soc Sci Med. 2012, 74 (12): 1911-1920. 10.1016/j.socscimed.2012.01.034.CrossRefPubMed Garcy AM, Vågerö D: The length of unemployment predicts mortality, differently in men and women, and by cause of death: A six year mortality follow-up of the Swedish 1992–1996 recession. Soc Sci Med. 2012, 74 (12): 1911-1920. 10.1016/j.socscimed.2012.01.034.CrossRefPubMed
8.
go back to reference Milner A, Page A, LaMontagne AD: Long-term unemployment and suicide: a systematic review and meta-analysis. PloS one. 2013, 8: e51333-10.1371/journal.pone.0051333.CrossRefPubMedPubMedCentral Milner A, Page A, LaMontagne AD: Long-term unemployment and suicide: a systematic review and meta-analysis. PloS one. 2013, 8: e51333-10.1371/journal.pone.0051333.CrossRefPubMedPubMedCentral
9.
go back to reference Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J: Temporary employment and health: a review. Int J Epidemiol. 2005, 34 (3): 610-622.CrossRefPubMed Virtanen M, Kivimäki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J: Temporary employment and health: a review. Int J Epidemiol. 2005, 34 (3): 610-622.CrossRefPubMed
10.
go back to reference Benach J, Vives A, Amable M, Vanroelen C, Tarafa G, Muntaner C: Precarious Employment: Understanding an Emerging Social Determinant of Health. Ann Rev Public Health. 2014, 35: 229-253. 10.1146/annurev-publhealth-032013-182500.CrossRef Benach J, Vives A, Amable M, Vanroelen C, Tarafa G, Muntaner C: Precarious Employment: Understanding an Emerging Social Determinant of Health. Ann Rev Public Health. 2014, 35: 229-253. 10.1146/annurev-publhealth-032013-182500.CrossRef
11.
go back to reference De Cuyper N, De Jong J, De Witte H, Isaksson K, Rigotti T, Schalk R: Literature review of theory and research on the psychological impact of temporary employment: towards a conceptual model. Int J Manag Rev. 2008, 10: 25-51. 10.1111/j.1468-2370.2007.00221.x.CrossRef De Cuyper N, De Jong J, De Witte H, Isaksson K, Rigotti T, Schalk R: Literature review of theory and research on the psychological impact of temporary employment: towards a conceptual model. Int J Manag Rev. 2008, 10: 25-51. 10.1111/j.1468-2370.2007.00221.x.CrossRef
12.
go back to reference Rugulies R, Aust B, Burr H, Bültmann U: Job insecurity, chances on the labour market and decline in self-rated health in a representative sample of the Danish workforce. J Epidemiol Community Health. 2008, 62 (3): 245-250. 10.1136/jech.2006.059113.CrossRefPubMed Rugulies R, Aust B, Burr H, Bültmann U: Job insecurity, chances on the labour market and decline in self-rated health in a representative sample of the Danish workforce. J Epidemiol Community Health. 2008, 62 (3): 245-250. 10.1136/jech.2006.059113.CrossRefPubMed
13.
go back to reference Waenerlund AK, Virtanen P, Hammarström A: Is temporary employment related to health status? Analysis of the Northern Swedish Cohort. Scand J Public Health. 2011, 39 (5): 533-539. 10.1177/1403494810395821.CrossRefPubMed Waenerlund AK, Virtanen P, Hammarström A: Is temporary employment related to health status? Analysis of the Northern Swedish Cohort. Scand J Public Health. 2011, 39 (5): 533-539. 10.1177/1403494810395821.CrossRefPubMed
14.
go back to reference Keuskamp D, Ziersch AM, Baum FE, LaMontagne AD: Precarious employment, psychosocial working conditions, and health: Cross-sectional associations in a population-based sample of working Australians. Am J Ind Med. 2013, 56 (8): 838-844. 10.1002/ajim.22176.CrossRefPubMed Keuskamp D, Ziersch AM, Baum FE, LaMontagne AD: Precarious employment, psychosocial working conditions, and health: Cross-sectional associations in a population-based sample of working Australians. Am J Ind Med. 2013, 56 (8): 838-844. 10.1002/ajim.22176.CrossRefPubMed
15.
go back to reference Quesnel-Vallee A, DeHaney S, Ciampi A: Temporary work and depressive symptoms: A propensity score analysis. Soc Sci Med. 2010, 70 (12): 1982-1987. 10.1016/j.socscimed.2010.02.008.CrossRefPubMedPubMedCentral Quesnel-Vallee A, DeHaney S, Ciampi A: Temporary work and depressive symptoms: A propensity score analysis. Soc Sci Med. 2010, 70 (12): 1982-1987. 10.1016/j.socscimed.2010.02.008.CrossRefPubMedPubMedCentral
16.
go back to reference Dawson C, Veliziotis M: Temporary employment, job satisfaction and subjective well-being. 2013, University of the West of England: Working Papers 1309 Dawson C, Veliziotis M: Temporary employment, job satisfaction and subjective well-being. 2013, University of the West of England: Working Papers 1309
17.
go back to reference Gash V, Mertens A, Gordo LR: Are fixed-term jobs bad for your health?: A comparison of West-Germany and Spain. Eur Soc. 2007, 9 (3): 429-458. 10.1080/14616690701314150.CrossRef Gash V, Mertens A, Gordo LR: Are fixed-term jobs bad for your health?: A comparison of West-Germany and Spain. Eur Soc. 2007, 9 (3): 429-458. 10.1080/14616690701314150.CrossRef
18.
go back to reference Kim MH, Kim Cy, Park JK, Kawachi I: Is precarious employment damaging to self-rated health? Results of propensity score matching methods, using longitudinal data in South Korea. Soc Sci Med. 2008, 67 (12): 1982-1994. 10.1016/j.socscimed.2008.09.051.CrossRefPubMed Kim MH, Kim Cy, Park JK, Kawachi I: Is precarious employment damaging to self-rated health? Results of propensity score matching methods, using longitudinal data in South Korea. Soc Sci Med. 2008, 67 (12): 1982-1994. 10.1016/j.socscimed.2008.09.051.CrossRefPubMed
19.
go back to reference Nishikitani M, Tsurugano S, Inoue M, Yano E: Effect of unequal employment status on workers’ health: results from a Japanese national survey. Soc Sci Med. 2012, 75 (3): 439-451. 10.1016/j.socscimed.2011.11.039.CrossRefPubMed Nishikitani M, Tsurugano S, Inoue M, Yano E: Effect of unequal employment status on workers’ health: results from a Japanese national survey. Soc Sci Med. 2012, 75 (3): 439-451. 10.1016/j.socscimed.2011.11.039.CrossRefPubMed
20.
go back to reference Laszlo KD, Pikhart H, Kopp MS, Bobak M, Pajak A, Malyutina S, Salavecz G, Marmot M: Job insecurity and health: A study of 16 European countries. Soc Sci Med. 2010, 70 (6): 867-874. 10.1016/j.socscimed.2009.11.022.CrossRefPubMedPubMedCentral Laszlo KD, Pikhart H, Kopp MS, Bobak M, Pajak A, Malyutina S, Salavecz G, Marmot M: Job insecurity and health: A study of 16 European countries. Soc Sci Med. 2010, 70 (6): 867-874. 10.1016/j.socscimed.2009.11.022.CrossRefPubMedPubMedCentral
21.
go back to reference Cottini E, Lucifora C: Mental health and working conditions in European countries. 2010, IZA Discussion Papers 4717, Institute for the Study of Labor (IZA), Cottini E, Lucifora C: Mental health and working conditions in European countries. 2010, IZA Discussion Papers 4717, Institute for the Study of Labor (IZA),
22.
go back to reference Kim IH, Muntaner C, Vahid Shahidi F, Vives A, Vanroelen C, Benach J: Welfare states, flexible employment, and health: a critical review. Health Policy. 2012, 104 (2): 99-127. 10.1016/j.healthpol.2011.11.002.CrossRefPubMed Kim IH, Muntaner C, Vahid Shahidi F, Vives A, Vanroelen C, Benach J: Welfare states, flexible employment, and health: a critical review. Health Policy. 2012, 104 (2): 99-127. 10.1016/j.healthpol.2011.11.002.CrossRefPubMed
23.
go back to reference Robone S, Jones A, Rice N: Contractual conditions, working conditions and their impact on health and well-being. Eur J Health Econ. 2011, 12 (5): 429-444. 10.1007/s10198-010-0256-0.CrossRefPubMed Robone S, Jones A, Rice N: Contractual conditions, working conditions and their impact on health and well-being. Eur J Health Econ. 2011, 12 (5): 429-444. 10.1007/s10198-010-0256-0.CrossRefPubMed
24.
go back to reference Vives A, Amable M, Montserrat F, Salvador M, Clara L, Muntaner C, Benavides FG, Benach J: Employment precariousness and poor mental health: evidence from Spain on a new social determinant of health. J Environ Public Health. 2013, 2013: 1-10.CrossRef Vives A, Amable M, Montserrat F, Salvador M, Clara L, Muntaner C, Benavides FG, Benach J: Employment precariousness and poor mental health: evidence from Spain on a new social determinant of health. J Environ Public Health. 2013, 2013: 1-10.CrossRef
25.
go back to reference Macy JT, Chassin L, Presson CC: Predictors of health behaviors after the economic downturn: A longitudinal study. Soc Sci Med. 2013, 89 (0): 8-15.CrossRefPubMed Macy JT, Chassin L, Presson CC: Predictors of health behaviors after the economic downturn: A longitudinal study. Soc Sci Med. 2013, 89 (0): 8-15.CrossRefPubMed
26.
go back to reference Urbanos-Garrido RM, Lopez-Valcarcel BG: The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. Eur J Health Econ. 2014, 1-10. DOI:10.1007/s10198-014-0563-y, Urbanos-Garrido RM, Lopez-Valcarcel BG: The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. Eur J Health Econ. 2014, 1-10. DOI:10.1007/s10198-014-0563-y,
27.
go back to reference Carrieri V, Novi CD, Jacobs R, Robone S: Well-being and psychological consequences of temporary contracts: the case of younger Italian employees. 2012, working paper number 079cherp, Centre for Health Economics, University of York Carrieri V, Novi CD, Jacobs R, Robone S: Well-being and psychological consequences of temporary contracts: the case of younger Italian employees. 2012, working paper number 079cherp, Centre for Health Economics, University of York
28.
go back to reference Francese M, Romanelli M: Is there room for containing healthcare costs? An analysis of regional spending differentials in Italy. Eur J Health Econ. 2014, 15 (2): 117-132. 10.1007/s10198-013-0457-4.CrossRefPubMed Francese M, Romanelli M: Is there room for containing healthcare costs? An analysis of regional spending differentials in Italy. Eur J Health Econ. 2014, 15 (2): 117-132. 10.1007/s10198-013-0457-4.CrossRefPubMed
29.
go back to reference Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38 (1): 21-37. 10.2307/2955359.CrossRefPubMed Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38 (1): 21-37. 10.2307/2955359.CrossRefPubMed
31.
go back to reference Jylhä M: What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009, 69 (3): 307-316. 10.1016/j.socscimed.2009.05.013.CrossRefPubMed Jylhä M: What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009, 69 (3): 307-316. 10.1016/j.socscimed.2009.05.013.CrossRefPubMed
32.
go back to reference Jusot F, Khlat M, Rochereau T, Serme C: Job loss from poor health, smoking and obesity: a national prospective survey in France. J Epidemiol Commun Health. 2008, 62 (4): 332-337. 10.1136/jech.2007.060772.CrossRef Jusot F, Khlat M, Rochereau T, Serme C: Job loss from poor health, smoking and obesity: a national prospective survey in France. J Epidemiol Commun Health. 2008, 62 (4): 332-337. 10.1136/jech.2007.060772.CrossRef
33.
go back to reference Carrieri V, Novi CD, Jacobs R, Robone S: Well-being and psychological consequences of temporary contracts: the case of younger Italian employees. Working Papers 079cherp, Centre for Health Economics, University of York 2012 Carrieri V, Novi CD, Jacobs R, Robone S: Well-being and psychological consequences of temporary contracts: the case of younger Italian employees. Working Papers 079cherp, Centre for Health Economics, University of York 2012
34.
go back to reference West P: Rethinking the health selection explanation for health inequalities. Soc Sci Med. 1991, 32 (4): 373-384. 10.1016/0277-9536(91)90338-D.CrossRefPubMed West P: Rethinking the health selection explanation for health inequalities. Soc Sci Med. 1991, 32 (4): 373-384. 10.1016/0277-9536(91)90338-D.CrossRefPubMed
35.
go back to reference Andersen EB: Asymptotic properties of conditional maximum-likelihood estimators. J R Stat Soc Series B (Methodological). 1970, 32 (2): 283-301. Andersen EB: Asymptotic properties of conditional maximum-likelihood estimators. J R Stat Soc Series B (Methodological). 1970, 32 (2): 283-301.
36.
go back to reference Andersen EB: The numerical solution of a set of conditional estimation equations. J R Stat Soc Series B (Methodological). 1972, 34 (1): 42-54. Andersen EB: The numerical solution of a set of conditional estimation equations. J R Stat Soc Series B (Methodological). 1972, 34 (1): 42-54.
37.
go back to reference Chamberlain G: Analysis of covariance with qualitative data. Rev Econ Studies. 1980, 47: 225-238. 10.2307/2297110.CrossRef Chamberlain G: Analysis of covariance with qualitative data. Rev Econ Studies. 1980, 47: 225-238. 10.2307/2297110.CrossRef
38.
go back to reference Baetschmann G, Staub K, Winkelmann R: Consistent estimation of the fixed effects ordered logit model. 2011, IZA Discussion Papers 5443, Institute for the Study of Labor (IZA), Baetschmann G, Staub K, Winkelmann R: Consistent estimation of the fixed effects ordered logit model. 2011, IZA Discussion Papers 5443, Institute for the Study of Labor (IZA),
39.
go back to reference Hausman JA: Specification tests in econometrics. Econometrica: J Econometric Soc. 1978, 46 (6): 1251-1271. 10.2307/1913827.CrossRef Hausman JA: Specification tests in econometrics. Econometrica: J Econometric Soc. 1978, 46 (6): 1251-1271. 10.2307/1913827.CrossRef
40.
go back to reference Wooldridge JM: Econometric analysis of cross section and panel data. 2010, [The MIT press] Wooldridge JM: Econometric analysis of cross section and panel data. 2010, [The MIT press]
41.
go back to reference Strandh M, Novo M, Hammarström A: Mental health among the unemployed and the unemployment rate in the municipality. Eur J Public Health. 2011, 21 (6): 799-805. 10.1093/eurpub/ckq147.CrossRefPubMed Strandh M, Novo M, Hammarström A: Mental health among the unemployed and the unemployment rate in the municipality. Eur J Public Health. 2011, 21 (6): 799-805. 10.1093/eurpub/ckq147.CrossRefPubMed
42.
go back to reference Clark AE: Unemployment as a social norm: Psychological evidence from panel data. J Labor Econ. 2003, 21 (2): 323-351. 10.1086/345560.CrossRef Clark AE: Unemployment as a social norm: Psychological evidence from panel data. J Labor Econ. 2003, 21 (2): 323-351. 10.1086/345560.CrossRef
43.
go back to reference OECD: Health at a Glance. OECD Indicators, OECD: Bank of Italy; 2013, OECD: Health at a Glance. OECD Indicators, OECD: Bank of Italy; 2013,
44.
go back to reference Vives A, Amable M, Ferrer M, Moncada S, Llorens C, Muntaner C, Benavides FG, Benach J: The employment precariousness scale (EPRES): psychometric properties of a new tool for epidemiological studies among waged and salaried workers. Occup Environ Med. 2010, 67 (8): 548-555. 10.1136/oem.2009.048967.CrossRefPubMed Vives A, Amable M, Ferrer M, Moncada S, Llorens C, Muntaner C, Benavides FG, Benach J: The employment precariousness scale (EPRES): psychometric properties of a new tool for epidemiological studies among waged and salaried workers. Occup Environ Med. 2010, 67 (8): 548-555. 10.1136/oem.2009.048967.CrossRefPubMed
45.
go back to reference Bank of Italy: I bilanci delle famiglie italiane nell’anno 2010. Supplementi al bollettino statistico. OECD: Bank of Italy; 2012, Bank of Italy: I bilanci delle famiglie italiane nell’anno 2010. Supplementi al bollettino statistico. OECD: Bank of Italy; 2012,
46.
go back to reference Greene WH, Hensher DA: Modeling ordered choices: a primer. 2010, [Cambridge University Press]CrossRef Greene WH, Hensher DA: Modeling ordered choices: a primer. 2010, [Cambridge University Press]CrossRef
Metadata
Title
Employment status and perceived health condition: longitudinal data from Italy
Authors
Liliana Minelli
Claudia Pigini
Manuela Chiavarini
Francesco Bartolucci
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-946

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