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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
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Department of Social Work and Psychology, University of Gävle, Gävle, Sweden .
Department of Community Medicine, Gävleborg County Council, Gävle, Sweden .
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2014 (English)In: Science Journal of Public Health, ISSN 2328-7942, 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.
National Category
Medical and Health Sciences
URN: urn:nbn:se:miun:diva-23480DOI: 10.11648/j.sjph.20140206.28OAI: diva2:765752
Available from: 2014-11-24 Created: 2014-11-24 Last updated: 2015-07-01Bibliographically approved

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Macassa, GloriaHiswåls, Anne-SofieSoares, Joaquim
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