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EmpLoymEnT, work, And HEALTH inEquALiTiES - a global perspective<br />

Job-seekers (Brazil).<br />

source: © ilo/J. maillard (1988)<br />

With the empirical evidence mapped out, revealing those areas<br />

where unemployment is highest, we now take stock of the impact of<br />

unemployment. although this problem has been studied for a long<br />

time, scientific evidence has focused on two periods: economic crisis<br />

and high unemployment. In the 30s, research focused mainly on workloss,<br />

whereas in the 70s the focus was more on the non-economic<br />

aspects of unemployment. These periods of investigation offer various<br />

insights into the impact of unemployment. For instance, a classic study<br />

by Marie Jahoda reveals important differences in patterns of reaction<br />

to unemployment (Jahoda, lazarsfeld, & Zeisel, 1933). On the other<br />

hand, an earlier Canadian study links unemployment to higher levels<br />

of malnutrition, malnourishment, cardiovascular disease and anxiety<br />

(Marsh, Fleming, & Blackler, 1938).<br />

research at the aggregate level has shown that high levels of<br />

unemployment, at both the national and local levels, are correlated with<br />

poor health and increased mortality. Evidence demonstrates<br />

that male unemployment correlates with deteriorated health<br />

for wives as well as with child abuse. as unemployment<br />

tends to hit already deprived groups (e.g., ethnic minorities<br />

and migrants), there is a need for research into the<br />

dimension of gender as well as of other power-related<br />

mechanisms, such as social class and ethnicity<br />

(Hammarström & Janlert 2005). Moreover, the influence of<br />

context should be taken into account: a positive correlation<br />

between trends of unemployment rates and suicide rates<br />

was identified in both Japan (Inoue et al., 2007) and Hong<br />

Kong (Chan, yip, Wong, & Chen, 2007), whereas reduction in<br />

unemployment, a marker of economic growth in this case, predicted an<br />

increase in CHD mortality in the US (ruhm, 2007).<br />

What is clear is that the unemployed are excluded from social<br />

participation and the health benefits that it brings. In fact, a study of<br />

the EU-15 has identified unemployment as one of the ten most<br />

important contributors to the total burden of disease in the 1990s<br />

(Diderichsen, Dahlgren, & Vågerö, 1997). The problem is that it is very<br />

difficult to rely on empirical investigation to demonstrate this<br />

because, in those countries where unemployment is very high and the<br />

informal sector typically quite large, official unemployment rates are<br />

unlikely to be a true reflection of the realities of the labour market.<br />

This means that in the end, it is quite difficult to study the relationship<br />

between unemployment and health in the less developed areas of the<br />

world (Gilmore, McKee, & rose, 2002), and more specifically in<br />

countries which have severe economic and social crises, including<br />

poverty and migratory processes (see Case study 18).<br />

146

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