Abstract
OBJECTIVES: While the unemployment rate of African-American people is more than twice that of the white population, the research on the impact of unemployment on the health of this population is scarce. This study analysed the impact of unemployment on depression and well being among African-American people, and the factors associated with well being. METHODS: Logistic and multiple regression models were used to analyse panel data collected in the National Survey of Families and Households 1987-1992. African-American (1369) and white (6660) respondents were analysed separately. Outcome variables included an index of depression and self reported health status. MAIN FINDINGS: Differences between employment and unemployment groups were less significant for African-Americans than for the white population in predicting depression and well being. Health enhancing factors such as education and wealth were significantly associated with better health and lower depression indices among the white population but not consistently so among African-Americans. Satisfaction with personal relationships was the strongest predictor of well being for both groups. CONCLUSION: Research should focus on the special needs and circumstances of African-Americans, because protective factors may not have the same impact in different groups of the population.
Full Text
The Full Text of this article is available as a PDF (119.5 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Arber S. Integrating nonemployment into research on health inequalities. Int J Health Serv. 1996;26(3):445–481. doi: 10.2190/MHUJ-U7KB-3W18-QQGH. [DOI] [PubMed] [Google Scholar]
- Barnett E., Armstrong D. L., Casper M. L. Social class and premature mortality among men: a method for state-based surveillance. Am J Public Health. 1997 Sep;87(9):1521–1525. doi: 10.2105/ajph.87.9.1521. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brenner M. H. Economic instability, unemployment rates, behavioral risks, and mortality rates in Scotland, 1952-1983. Int J Health Serv. 1987;17(3):475–487. doi: 10.2190/5GVU-86Y6-NH1U-PQB0. [DOI] [PubMed] [Google Scholar]
- Catalano R. The health effects of economic insecurity. Am J Public Health. 1991 Sep;81(9):1148–1152. doi: 10.2105/ajph.81.9.1148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duncan G. J. Income dynamics and health. Int J Health Serv. 1996;26(3):419–444. doi: 10.2190/1KU0-4Y3K-ACFL-BYU7. [DOI] [PubMed] [Google Scholar]
- Eyer J. Does unemployment cause the death rate peak in each business cycle? A multifactor model of death rate change. Int J Health Serv. 1977;7(4):625–662. doi: 10.2190/15F1-N58K-D38Y-2X0P. [DOI] [PubMed] [Google Scholar]
- Fiscella K., Franks P. Poverty or income inequality as predictor of mortality: longitudinal cohort study. BMJ. 1997 Jun 14;314(7096):1724–1727. doi: 10.1136/bmj.314.7096.1724. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Guralnik J. M., Leveille S. G. Race, ethnicity, and health outcomes--unraveling the mediating role of socioeconomic status. Am J Public Health. 1997 May;87(5):728–730. doi: 10.2105/ajph.87.5.728. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kessler R. C., Neighbors H. W. A new perspective on the relationships among race, social class, and psychological distress. J Health Soc Behav. 1986 Jun;27(2):107–115. [PubMed] [Google Scholar]
- Muntaner C., Nieto F. J., O'Campo P. The Bell Curve: on race, social class, and epidemiologic research. Am J Epidemiol. 1996 Sep 15;144(6):531–536. doi: 10.1093/oxfordjournals.aje.a008962. [DOI] [PubMed] [Google Scholar]
- Rodriguez E., Lasch K., Mead J. P. The potential role of unemployment benefits in shaping the mental health impact of unemployment. Int J Health Serv. 1997;27(4):601–623. doi: 10.2190/XGCU-QWDE-GWW1-P7K7. [DOI] [PubMed] [Google Scholar]
- Ross C. E., Mirowsky J. Socially-desirable response and acquiescence in a cross-cultural survey of mental health. J Health Soc Behav. 1984 Jun;25(2):189–197. [PubMed] [Google Scholar]
- Shortt S. E. Is unemployment pathogenic? A review of current concepts with lessons for policy planners. Int J Health Serv. 1996;26(3):569–589. doi: 10.2190/DLYK-Q9W7-RRYX-8WKK. [DOI] [PubMed] [Google Scholar]
- Stronks K., van de Mheen H., van den Bos J., Mackenbach J. P. The interrelationship between income, health and employment status. Int J Epidemiol. 1997 Jun;26(3):592–600. doi: 10.1093/ije/26.3.592. [DOI] [PubMed] [Google Scholar]
- Wannamethee S. G., Shaper A. G. Socioeconomic status within social class and mortality: a prospective study in middle-aged British men. Int J Epidemiol. 1997 Jun;26(3):532–541. doi: 10.1093/ije/26.3.532. [DOI] [PubMed] [Google Scholar]
- Williams D. R. Race/ethnicity and socioeconomic status: measurement and methodological issues. Int J Health Serv. 1996;26(3):483–505. doi: 10.2190/U9QT-7B7Y-HQ15-JT14. [DOI] [PubMed] [Google Scholar]