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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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Abstract In spite of decades of very active labor market p olicies, 25% of Denmark's population in the working ages are still out-of-work. The aim of this study was to investigate whether that is due to consistent or even increasing prevalence of ill health. For the period of 2002–2011, we investigated if i) the prevalence of four chronic diseases (cardiovascular disease, diabetes, cancer and mental disorders) among those out -of-work had changed, ii) the occurrence of new cases of those diseases were higher among those who were alread y out-of-work, or iii) if non-health-related benefits were disproportionately given to individuals recently dia gnosed with a disease compared to those without disease . The study was register-based and comprised all Danish residents aged 20–60. During the study period, the prevalence of cardiovascular diseases and mental disorder s increased among both employed and non-employed people . The increased prevalence for mental disorder was particularly high among people receiving means-tested ben efits. Disease incidence was higher among people outside rather than inside the labor market, especially for mental disorders. Employed people with incident diseases had an unsurprisingly increased risk of leaving the labor market. However, a high proportion of people with incident mental disorders received low level means-t ested benefits in the three years following this diagnosis , which is concerning. Men treated for mental disorders in 2006 had high excess probability of receivin g a cash-benefit, OR = 4.83 (4.53–5.14) for the period 2007–2010. The estimates were similar for women.
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Dennis Raphael <[log in to unmask]>
Date:
Fri, 6 Jan 2017 17:25:00 -0500
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