Francesca Perlman1, Martin Bobak. 1. London School of Hygiene and Tropical Medicine, Keppel Street, London, UK. francesca.perlman@lshtm.ac.uk
Abstract
OBJECTIVES: We used the Russia Longitudinal Monitoring Survey (RLMS) to investigate associations between employment, socioeconomic position, and mortality. METHODS: Data were from working-age respondents in 8 rounds (1994-2003) of the RLMS. We measured associations between education, occupation, unemployment, and insecure employment and mortality with Cox proportional hazards analyses. RESULTS: Of 4465 men and 4158 women who were currently employed, 251 men and 34 women died. A third of employed respondents experienced wage arrears, and 10% experienced compulsory leave and payment in consumer goods. Insecure employment, more common among the less-educated and manual workers, fluctuated with macroeconomic measures. Mortality was significantly associated with payment in consumer goods among men (hazard ratio [HR] = 1.46; 95% confidence interval [CI] = 1.03, 2.07), compulsory unpaid leave among women (HR = 3.79; 95% CI = 1.82, 7.88), and male unemployment (HR = 1.88; 95% CI = 1.38, 2.55). Associations with death within 1 year of entry were generally somewhat stronger than the association with mortality over the whole study period. CONCLUSIONS: Unemployment and job insecurity predicted mortality, suggesting that they contributed to Russia's high mortality during the transition from communism.
OBJECTIVES: We used the Russia Longitudinal Monitoring Survey (RLMS) to investigate associations between employment, socioeconomic position, and mortality. METHODS: Data were from working-age respondents in 8 rounds (1994-2003) of the RLMS. We measured associations between education, occupation, unemployment, and insecure employment and mortality with Cox proportional hazards analyses. RESULTS: Of 4465 men and 4158 women who were currently employed, 251 men and 34 women died. A third of employed respondents experienced wage arrears, and 10% experienced compulsory leave and payment in consumer goods. Insecure employment, more common among the less-educated and manual workers, fluctuated with macroeconomic measures. Mortality was significantly associated with payment in consumer goods among men (hazard ratio [HR] = 1.46; 95% confidence interval [CI] = 1.03, 2.07), compulsory unpaid leave among women (HR = 3.79; 95% CI = 1.82, 7.88), and male unemployment (HR = 1.88; 95% CI = 1.38, 2.55). Associations with death within 1 year of entry were generally somewhat stronger than the association with mortality over the whole study period. CONCLUSIONS: Unemployment and job insecurity predicted mortality, suggesting that they contributed to Russia's high mortality during the transition from communism.
Authors: D A Leon; L Chenet; V M Shkolnikov; S Zakharov; J Shapiro; G Rakhmanova; S Vassin; M McKee Journal: Lancet Date: 1997-08-09 Impact factor: 79.321
Authors: Daniel J Barnett; Cindy L Parker; Virginia A Caine; Mary McKee; Lillian M Shirley; Jonathan M Links Journal: Am J Public Health Date: 2011-07-21 Impact factor: 9.308
Authors: Aytalina Azarova; Darja Irdam; Alexi Gugushvili; Mihaly Fazekas; Gábor Scheiring; Pia Horvat; Denes Stefler; Irina Kolesnikova; Vladimir Popov; Ivan Szelenyi; David Stuckler; Michael Marmot; Michael Murphy; Martin McKee; Martin Bobak; Lawrence King Journal: Lancet Public Health Date: 2017-04-11
Authors: Marianna Virtanen; Solja T Nyberg; G David Batty; Markus Jokela; Katriina Heikkilä; Eleonor I Fransson; Lars Alfredsson; Jakob B Bjorner; Marianne Borritz; Hermann Burr; Annalisa Casini; Els Clays; Dirk De Bacquer; Nico Dragano; Marko Elovainio; Raimund Erbel; Jane E Ferrie; Mark Hamer; Karl-Heinz Jöckel; France Kittel; Anders Knutsson; Markku Koskenvuo; Aki Koskinen; Thorsten Lunau; Ida E H Madsen; Martin L Nielsen; Maria Nordin; Tuula Oksanen; Krista Pahkin; Jan H Pejtersen; Jaana Pentti; Reiner Rugulies; Paula Salo; Martin J Shipley; Johannes Siegrist; Andrew Steptoe; Sakari B Suominen; Töres Theorell; Salla Toppinen-Tanner; Ari Väänänen; Jussi Vahtera; Peter J M Westerholm; Hugo Westerlund; Natalie Slopen; Ichiro Kawachi; Archana Singh-Manoux; Mika Kivimäki Journal: BMJ Date: 2013-08-08
Authors: Caroline Coope; David Gunnell; William Hollingworth; Keith Hawton; Nav Kapur; Vanessa Fearn; Claudia Wells; Chris Metcalfe Journal: Soc Sci Med Date: 2014-07-15 Impact factor: 4.634