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Predictors and consequences of unemployment among construction workers: prospective cohort study
P Leino-Arjas1, J Liira, P Mutanen
1Department of Epidemiology and Biostatistics, Finnish Institute of Occupational Health, FIN-00250 Helsinki, Finland. plei@occuphealth.fi
Objective:
To study predictors and consequences of unemployment.
Design:
Prospective cohort study.
Setting:
11 construction companies in southern Finland.
Participants:
586 male employees, aged 40-59 years at baseline in 1991 and not retired during a 4 year follow up.
Main Outcome Measures:
Long term unemployment, stress symptoms, disease, alcohol consumption, exercise activity, and body mass index.
Results:
In a multiple logistic regression model, long term unemployment (>24 months v
Conclusions:
The workers' perceptions of work did not predict unemployment. Health based selection to long term unemployment was shown. Smoking and high alcohol consumption predated unemployment, but favourable lifestyle changes were observed among the unemployed workers. Stress predicted unemployment, which further increased the stress.