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European Sociological Review 17:255-273 (2001)
© 2001 Oxford University Press
Accumulating Disadvantage. Longitudinal Analyses of Unemployment and Physical Health in Representative Samples of the Swedish Population
Swedish Institute for Social Research, Stockholm University, S–106 91 Stockholm, Sweden. tomas.korpi{at}sofi.su.se
In the long-standing debate on the association between social stratification and health it has recently been argued that the health differential results from a step-by-step process involving both selection and causation. One factor likely to be important in this process of accumulating disadvantage is unemployment. Entering unemployment is a drastic example of downward social mobility, and one that is likely to have a substantial impact on subsequent mobility chances. Health may obviously play a role in selection into and out of unemployment, yet ill health is also often see as a consequence of unemployment. Despite a vast number of studies our knowledge of the relative importance of these factors is surprisingly limited, in particular when it comes to physical health. In this study analyses of health-based selection into and out of unemployment are presented, as well as of the effect of unemployment on health. The former shows that ill health increases the risk of both becoming and remaining unemployed. In addition, the latter analyses, which take into account a number of alternative selection possibilities, provide unequivocal evidence of worsening of health status due to unemployment.
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