32 Unemployment and health
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Daniel Dorling
Abstract
The best guides we have to the possible future effects of mass unemployment are studies of previous epidemics. In men who had been continuously employed for at least five years in the late 1970s, mortality doubled in the five years after redundancy for those aged 40-59 in 1980.Adjustment for socioeconomic variables, previous health related behaviours, and other health indicators had almost no effect on this increase. The increased risk of mortality after redundancy tends to be greater in men than in women. This is because men are generally affected more from a prevailing belief that when things go wrong no one will be there to help.
The detrimental effects of unemployment were widely recognised after the great depression of the 1930s. However, by the early 1980s unemployment became viewed, as it was by some in the very early 1930s, as a “price worth paying.” We learnt through bitter experience again that it was not. By 2009 even the leader of the British Conservative Party argued that, “Unemployment is never a price worth paying and we need to take very big, bold and radical steps to help unemployed people back to work.”
Research into mass unemployment during the early 1990s in the United Kingdom found that people in secure employment recovered more quickly from illness. In contrast, unemployment increased the chance of being ill, especially for those who had never worked or had had poorly paid jobs. Unemployment increases rates of depression, particularly in the young – who form most of the group who have never worked and who are usually most badly hit when jobs are few.
Abstract
The best guides we have to the possible future effects of mass unemployment are studies of previous epidemics. In men who had been continuously employed for at least five years in the late 1970s, mortality doubled in the five years after redundancy for those aged 40-59 in 1980.Adjustment for socioeconomic variables, previous health related behaviours, and other health indicators had almost no effect on this increase. The increased risk of mortality after redundancy tends to be greater in men than in women. This is because men are generally affected more from a prevailing belief that when things go wrong no one will be there to help.
The detrimental effects of unemployment were widely recognised after the great depression of the 1930s. However, by the early 1980s unemployment became viewed, as it was by some in the very early 1930s, as a “price worth paying.” We learnt through bitter experience again that it was not. By 2009 even the leader of the British Conservative Party argued that, “Unemployment is never a price worth paying and we need to take very big, bold and radical steps to help unemployed people back to work.”
Research into mass unemployment during the early 1990s in the United Kingdom found that people in secure employment recovered more quickly from illness. In contrast, unemployment increased the chance of being ill, especially for those who had never worked or had had poorly paid jobs. Unemployment increases rates of depression, particularly in the young – who form most of the group who have never worked and who are usually most badly hit when jobs are few.
Chapters in this book
- Front Matter i
- Contents v
- Sources of extracts vii
- Foreword xi
- Acknowledgements xiv
- Introduction 1
-
Inequality and poverty
- Prime suspect: murder in Britain 13
- The dream that turned pear-shaped 31
- The soul searching within New Labour 41
- Unequal Britain 49
- Axing the child poverty measure is wrong 57
-
Injustice and ideology
- Brutal budget to entrench inequality 63
- New Labour and inequality: Thatcherism continued? 65
- All in the mind? Why social inequalities persist 83
- Glass conflict: David Cameron’s claim to understand poverty 93
- Clearing the poor away 97
-
Race and identity
- Ghettos in the sky 103
- Worlds apart: how inequality breeds fear and prejudice in Britain 111
- How much evidence do you need? Ethnicity, harm and crime 115
- UK medical school admissions by ethnicity, socioeconomic status, and sex 121
- Race and the repercussions of recession 125
-
Education and hierarchy
- What’s it to do with the price of fish? 133
- Little progress towards a fairer education system 139
- One of Labour’s great successes 147
- Do three points make a trend? 149
- Educational mobility, England and Germany 155
- Cash and the not so classless society 159
- Britain must close the great pay divide 165
- Raising equality in access to higher education 170
-
Elitism and geneticism
- The Darwins and the Cecils are only empty vessels 189
- The Fabian essay: the myth of inherited inequality 193
- The return to elitism in education 199
- The super-rich are still soaring away 209
-
Mobility and employment
- The trouble with moving upmarket 217
- Britain – split and divided by inequality 221
- London and the English desert: the grain of truth in a stereotype 225
- Are the times changing back? 237
- Unemployment and health 243
-
Bricks and mortar
- Mortality amongst street sleeping youth in the UK 249
- Daylight robbery: there’s no shortage of housing 251
- The influence of selective migration patterns 255
- The geography of poverty, inequality and wealth in the UK and abroad 263
- All connected? Geographies of race, death, wealth, votes and births 291
-
Well-being and misery
- Against the organization of misery? The Marmot Review of Health Inequalities 299
- Inequality kills 307
- The geography of social inequality and health 311
- The cartographer’s mad project 327
- The fading of the dream: widening inequalities in life expectancy in America 333
- The importance of circumstance 339
-
Advocacy and action
- Mean machine: how structural inequality makes social inequality seem natural 347
- Policing the borders of crime: who decides research? 351
- Learning the hard way 357
- When the social divide deepens 363
- Ending the scandal of complacency 365
- Our grandchildren will wonder why we were addicted to social inequality 369
- Mind the gap: New Labour’s legacy on child poverty 373
- Remapping the world’s population: visualizing data using cartograms 379
- If I were king 385
- Bibliography 387
- Index 389
Chapters in this book
- Front Matter i
- Contents v
- Sources of extracts vii
- Foreword xi
- Acknowledgements xiv
- Introduction 1
-
Inequality and poverty
- Prime suspect: murder in Britain 13
- The dream that turned pear-shaped 31
- The soul searching within New Labour 41
- Unequal Britain 49
- Axing the child poverty measure is wrong 57
-
Injustice and ideology
- Brutal budget to entrench inequality 63
- New Labour and inequality: Thatcherism continued? 65
- All in the mind? Why social inequalities persist 83
- Glass conflict: David Cameron’s claim to understand poverty 93
- Clearing the poor away 97
-
Race and identity
- Ghettos in the sky 103
- Worlds apart: how inequality breeds fear and prejudice in Britain 111
- How much evidence do you need? Ethnicity, harm and crime 115
- UK medical school admissions by ethnicity, socioeconomic status, and sex 121
- Race and the repercussions of recession 125
-
Education and hierarchy
- What’s it to do with the price of fish? 133
- Little progress towards a fairer education system 139
- One of Labour’s great successes 147
- Do three points make a trend? 149
- Educational mobility, England and Germany 155
- Cash and the not so classless society 159
- Britain must close the great pay divide 165
- Raising equality in access to higher education 170
-
Elitism and geneticism
- The Darwins and the Cecils are only empty vessels 189
- The Fabian essay: the myth of inherited inequality 193
- The return to elitism in education 199
- The super-rich are still soaring away 209
-
Mobility and employment
- The trouble with moving upmarket 217
- Britain – split and divided by inequality 221
- London and the English desert: the grain of truth in a stereotype 225
- Are the times changing back? 237
- Unemployment and health 243
-
Bricks and mortar
- Mortality amongst street sleeping youth in the UK 249
- Daylight robbery: there’s no shortage of housing 251
- The influence of selective migration patterns 255
- The geography of poverty, inequality and wealth in the UK and abroad 263
- All connected? Geographies of race, death, wealth, votes and births 291
-
Well-being and misery
- Against the organization of misery? The Marmot Review of Health Inequalities 299
- Inequality kills 307
- The geography of social inequality and health 311
- The cartographer’s mad project 327
- The fading of the dream: widening inequalities in life expectancy in America 333
- The importance of circumstance 339
-
Advocacy and action
- Mean machine: how structural inequality makes social inequality seem natural 347
- Policing the borders of crime: who decides research? 351
- Learning the hard way 357
- When the social divide deepens 363
- Ending the scandal of complacency 365
- Our grandchildren will wonder why we were addicted to social inequality 369
- Mind the gap: New Labour’s legacy on child poverty 373
- Remapping the world’s population: visualizing data using cartograms 379
- If I were king 385
- Bibliography 387
- Index 389