Unemployment and Health: Selection Effects

A large number of studies have shown that the unemployed are less healthy, both physically and psychologically, than the employed. The explanation may be that unemployment has negative health effects. An alternative, or additional, explanation is that healthy persons are less likely to become unemployed or more likely to find new employment if they become unemployed. Such effects of health on employment status are generally referred to as selection effects. The present paper analyses to what extent such selection effects are present in the Norwegian labour market. Panel data with observations made in 1989 and 1993 are used. The analyses show that people with psychological problems are more likely to be laid off, and there is also some evidence that psychological or physical health problems may reduce the chances of finding a new job if one has become unemployed. It is of particular interest that these selection effects can be documented for a country like Norway, which has strong legislation supporting worker rights and a quite high degree of unionization.     

Judging Public Health Research: Epistemology,Public Health and the Law

There are three broad ethical issues related to handling public health emergencies. They are the three R's—rationing, restrictions and responsibilities. Recently, a severe shortage of annual influenza vaccine in the US, combined with the threat of pandemic flu, has provided an opportunity for policy makers to think about rationing in very concrete terms. Some lessons from annual flu vaccination likely will apply to pandemic vaccine distribution, but many preparatory decisions must be based on very rough estimates. What ethical principles should guide rationing decisions, what data should inform these decisions, how to revise decisions as new data emerge, and how to implement rationing decisions on the ground are all important considerations. In addition, ethicists might be able to help policy makers think through the importance of international cooperation in surmounting global rationing dilemmas and to accept the inevitable responsibilities of government in making and implementing rationing decisions.     

Unemployment and Mental Health: A Longitudinal Perspective

Using longitudinal data, the current study examined the relation between mental health and unemployment. It was assumed that these concepts would mutually influence each other—that is, while the perceived characteristics of the situation of being unemployed affect mental health, mental health may also influence the intention to look for a job, amount and type of job-searching behavior, and the chances of finding a job. Drawing on partly longitudinal data from 229 unemployed Dutch youth, a model relating mental health, perceptions of the unemployment situation, job-searching behaviors, and employment status was tested using structural equation modeling and logistic regression analysis. While the expectations were largely supported, there were also several unexpected results, most notably that participants who felt powerless were more likely to be active job seekers, while only mental health (and not job-seeking behavior) was (weakly) related to the likelihood of finding a job.     

Unemployment, Underemployment, and Mental Health: Conceptualizing Employment Status as a Continuum

The economy is one of the most important social environments that affect well-being, and community psychologists have long studied the social costs of one key economic stressor—job loss. But economically inadequate employment has received much less research attention than unemployment in regard to mental health effects. This paper contrasts these two literatures and considers factors that might account for their differential growth including actual rates of unemployment and underemployment. Recent panel studies offer no support for another possible basis for this differential growth—the assumption that inadequate employment is more like adequate employment than unemployment. Implications of a paradigm shift from a dichotomous perspective (employment vs. unemployment) to a continuum perspective with variations of both unemployment and employment are discussed for research and prevention. Another implication is the need to expand standard labor force statistics to reflect better the degree of underemployment.     

正视公共卫生,建立有效的疾病控制体系--SARS疫情后的反思

SARS是由一种变异的冠状病毒(Corona-virus)所致的极为危险的传染病,给我们这个世界带来了一次严峻的考验,从政府到社会的方方面面都全力投身于这一次疫情抗击活动。疫情暴露了我们在卫生改革与发展过程中战略与战术上的缺陷与失误,也使我们清楚地认识到,政府必须正视公共卫生,必须建立一个拥有处理公共卫生突发事件能力的疾病控制系统,为居民健康服务;尽管这次SARS危机挑战的是国家的公共卫生系统,但是对我国卫生事业的改革与发展已经产生了巨大而深远的影响。     

Religion and Public Health

The paper begins by acknowledging several ways in which religious beliefs and behavior have had a negative impact on people's physical and mental health; fanatical violence, mortifying asceticism, and oppressive traditionalism (e.g., sexism) are mentioned. Three areas of positive influence are explored: 1) the role of religious practices in personal health; 2) the impact of social ministries on community health, and 3) the complementarity of religious ideas of salvation with medical conceptions of health in contemporary conceptions of human well-being. That religion mediates between the social and individual dimensions of well-being is a unifying theme of the paper.Philosopher of religion who taught for many years at     

Spiritual Practice,Health Promotion,and the Elusive Soul: Perspectives from Public Health

Spirituality and religion are topics of increasing interest in U.S. society and popular culture as well for many health professions, including medicine, psychology, and public health. This article comments on Mark Graves’ (2008) synthesis of science and spirituality/religion, Mind, Brain, and the Elusive Soul from the perspective of a public health professional. I briefly review the sources, extent, and conceptual approaches of emerging scientific and health interest in spirituality/religion. Spiritual practices are identified as phenomena of central interest. Major concepts of Graves’ synthesis are reviewed, and the soul’s relevance to spiritual growth, popular culture, and scientific application is discussed. Several questions are posed as a stimulus to further extension and refinement of Graves’ synthesis.     

Unemployment, coping and psychological distress

This study addressed the role of coping sytle in anxiety and depression of unemployed people. Two-hundred thirty-three people checking in at unemployment services participated. They filled in Carver, Scheier and Weintraub's (1989) coping measure (COPE), the Hospital Anxiety and Depression scale (HAD), gave information as to age, duration of unemployment and their appraisal of their situation. Four secondary dimensions of COPE were used in data analyses. Multiple regression analyses were undertaken with anxiety/depression as dependent and the coping variables as independent variables, with background/appraisal variables entered first. Coping variables added to the prediction of anxiety and depression over and above background/appraisal variables. For women Focus on Emotion coping as well as Avoidance was related to higher anxiety/depression scores ( p <0.01), whereas Reappraisal was related to lower anxiety/depression ( p <0.05). For men only Avoidance was related to anxiety/depression ( p <0.01). More Avoidance co-occurred with higher levels of anxiety as well as depression. The results are discussed with respect to possible intervention.     

Toward a Critical Community Psychological Perspective on Unemployment and Mental Health Research

Psychological research has established that unemployment causes widespread psychological distress and ill health in communities but, arguably, little of this research is truly community psychological. In this paper we sketch out a critical community psychological perspective and use it to contribute to understanding of the role of psychosocial aspects of income in the experience and mental health of employed and unemployed members of low-income families in a severely deprived community context; to the development of innovative participatory methodology, and to promote the interests of impoverished unemployed people through the research process as well as through the research outcome.     

Unemployment, Social Capital, and Subjective Well-Being

It has been shown in past research that unemployment has a large negative impact on subjective well-being of individuals. In this paper, I explore whether and to what extent people with more social capital are sheltered from the harmful effects of unemployment. Using data from the German Socio-Economic Panel 1984–2004, I find that social capital is an important predictor of well-being levels, but there is no evidence that it moderates the effect of unemployment on well-being. Possible reasons for these findings are discussed, and suggestions for future research given. This paper was written while I was visiting scholar at the W.E. Upjohn Institute for Employment Research in Kalamazoo, MI. I am grateful to the Institute for its hospitality, to Andrew Clark, Andrew Oswald and three anonymous referees for valuable comments, and to the German Socio Economic Panel Study (GSOEP) at the German Institute for Economic Research (DIW), Berlin, for providing the data.     

Errors in Creative Problem-Solving: Identify,Deliberate, and Remediate

It is often assumed creative performance is error free. Even a cursory inspection of eminent, creative, individuals indicates errors permeate creative efforts. In the present effort, the impact of error management on creative problem-solving is examined. Undergraduates, 136 in all, were asked to work through 10 potential problem solutions where half the solutions evidenced errors and half did not. Participants were asked to identify potential errors, deliberate on these errors, and remediate, or fix, errors prior to providing solutions to a problem calling for creative thought. It was found the number of errors correctly identified, and the quality of error remediation was positively related to the quality, originality, and elegance of problem solutions. More extensive deliberation, however, was found to be especially important for the production of original problem solutions. The implications of these observations for understanding the importance of error management in creative problem-solving are discussed.     

Public Engagements with Health and Medicine

This introduction to the special issue on “Medicine, Health, and Publics” argues that a rhetorical understanding of publics offers conceptual, methodological, and practical benefits to health and medical humanities scholars.     

公共卫生与全民的健康意识

SARS事件使公共卫生和全民的健康意识问题成为全社会的焦点问题,现在人们更加关注的是后SARS时代我国公共卫生建设和全民健康意识喜忧参半的现状,也许更有意义的是探讨公共卫生与全民健康意识的关系,明确健康意识的内涵,认清民众的健康误区,重视全民的健康教育。     

Unemployment,attributional style and psychological well-being

The proposition that attributional style is a risk factor for depression, with people who make external, unstable attributions for good outcomes, and internal, stable attributions for bad outcomes being particularly vulnerable, was tested in a study of employed and unemployed youngsters. Among the former, greater self-esteem was associated with internal attributions for good outcomes, and less depressive affect was associated with internal, stable attributions for good outcomes. No such relationships were observed in the unemployed. By contrast, attributions for bad outcomes were related to both depressive affect and self-esteem in the unemployed, but were related only to depressive affect in the employed. In the unemployed, lower depressive affect and higher self-esteem were both associated with unstable attributions, and lower depressive affect was associated with external attributions. In the employed lower depressive affect was associated with external, unstable attributions. Although these relationships were generally consistent with the hypothesis, attributions made three years earlier when respondents were still at school were only weakly related to subsequent measures of psychological well-being. Moreover, many changed their attributions over time, a finding that casts doubt on the assumption that attributional style can be regarded as a stable characteristic in young people.