Study objective--To identify any bias in the reporting of limiting long term illness and permanent sickness due to labour market conditions, and show the absence of the effect in mortality rates.
Design-A geographically based study using data from the 1991 census.
Standardised ratios for mortality and long term illness in people aged 0-64 years and permanent sickness in people of working age were compared with Carstairs deprivation scores in multilevel models which separated the effects operating at three geographical scales : census wards, travel to work areas, and standard regions.
Holding ward and regional effects constant, variations between travel to work areas were compared with long term unemployment rates.
Setting-Altogether 8690 wards and 262 travel to work areas in England and Wales.
Main results-Variations in mortality, limiting long term illness, and permanent sickness were related to Carstairs deprivation scores and standard region.
With these relationships controlled, limiting long term illness and permanent sickness were significantly related to long term unemployment levels in travel to work areas, but mortality was not affected.
Self reported morbidity was more sensitive to variations in long term unemployment rates in conditions of high social deprivation than in affluent populations.
Conclusions-Limiting long term illness and permanent sickness measures may reflect a tendency for higher positive response in difficult labour market conditions. (...)
Mots-clés Pascal : Maladie, Longue durée, Incapacité permanente partielle, Handicap, Epidémiologie, Morbidité, Marché travail, Chomage, Statut socioéconomique, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Homme
Mots-clés Pascal anglais : Disease, Long lasting, Permanent partial disability, Handicap, Epidemiology, Morbidity, Labour market, Unemployment, Socioeconomic status, England, Great Britain, United Kingdom, Europe, Wales, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402430
Code Inist : 002B30A01A2. Création : 19/12/1997.