Determinants of long-term unemployment in early adulthood: A Finnish birth cohort study

Autor: Tea Lallukka, Martta Kerkelä, Tiina Ristikari, Marko Merikukka, Heikki Hiilamo, Marianna Virtanen, Simon Øverland, Mika Gissler, Jaana I. Halonen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: SSM: Population Health, Vol 8, Iss , Pp - (2019)
Druh dokumentu: article
ISSN: 2352-8273
DOI: 10.1016/j.ssmph.2019.100410
Popis: Cumulative contributions of social and health-related determinants to long-term unemployment during early working life among young adults are poorly understood. Therefore, we used four cumulative indices of both parental and own social and health-related determinants of such unemployment among a cohort which comprised a complete census of children born in Finland in 1987. The cohort participants were registered in the Medical Birth Register, and they were followed-up through 2015 (N = 46 521). We calculated predicted probabilities for long-term unemployment (> 12 months) when participants were 25–28 years. Moreover, we examined whether the associations differed by unemployment at the municipal level.During the follow-up, 4.5% of women and 7.1% of men experienced long-term unemployment. All cumulative indices of parental and own social and health-related determinants predicted the probability of long-term unemployment. The greatest probabilities were observed for own social determinants, both in municipalities with high and low unemployment although the probabilities were higher in the high-unemployment municipalities. Of the individual determinants, poor school performance showed the strongest association with long-term unemployment among women (OR 6.65, 95% CI 5.21–8.55) and men (OR 3.70, 95% CI 2.96–4.67), after adjusting for other own social determinants. The results highlight the importance of life course social equality in the prevention of long-term unemployment in early adulthood. Keywords: Social determinants, Psychiatric diagnoses, Teen-age pregnancies, School performance, Register-based, Child protection action
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