The impact of anticipation of job loss on psychological distress and worksite blood pressure.

The impact of occupational stressful life events on psychological distress and blood pressure was examined among employees of a major New York City brokerage firm undergoing massive layoffs. One hundred thirty-nine employees of the firm, who had participated in a blood pressure screening in 1986, were rescreened during the period of layoffs within their company in 1989. About two-thirds of the 139 employees reported being "somewhat" or "very" anxious or upset in 1989 during the period of layoffs, and psychological distress was significantly elevated among those employees reporting possible or definite layoff or job change and/or difficulty in obtaining a comparable job. However, we found no increase in overall blood pressure level, and no effect of anticipation of job loss on 1989 blood pressure when controlling for 1986 blood pressure level, age, body mass index, work hours, and other demographic variables. On the other hand, employment in a department sold to another employer on the day of screening, as well as employment in a clerical job title, were both associated with significant increases in diastolic blood pressure of about 5 mm Hg.     

Seelische Gesundheit und Erwerbslosigkeit

Meta-analyses show stronger mental impairments for unemployed compared to employed persons (McKee-Ryan et al., 2005, Murphy und Athanasou, 1999, Paul und Moser, 2009a). There is evidence for two processes: firstly, health-related constraints complicate the professional (re-)entry due to selection effects. On the other hand, unemployment causes negative psychological symptoms (causation effects). The causative effects are stronger.     

Vocational Rehabilitation in Spinal Cord Injury: What Vocational Service Activities Are Associated with Employment Program Outcome?

Background:

Designing effective vocational programs for persons with spinal cord injury (SCI) is essential for improving return to work outcome following injury. The relationship between specific vocational services and positive employment outcome has not been empirically studied.

Objective:

To examine the association of specific vocational service activities as predictors of employment.

Method:

Secondary analysis of a randomized, controlled trial of evidence-based supported employment (EBSE) with 12-month follow-up data among 81 Veteran participants with SCI.

Results:

Primary activities recorded were vocational counseling (23.9%) and vocational case management (23.8%). As expected, job development and employment supports were the most time-consuming activities per appointment. Though the amount of time spent in weekly appointments did not differ by employment outcome, participants obtaining competitive employment averaged significantly more individual activities per appointment. Further, for these participants, job development or placement and employment follow-along or supports were more likely to occur and vocational counseling was less likely to occur. Community-based employment services, including job development or placement and employment follow-along or supports as part of a supported employment model, were associated with competitive employment outcomes. Office-based vocational counseling services, which are common to general models of vocational rehabilitation, were associated with a lack of employment.

Conclusions:

Vocational services that actively engage Veterans with SCI in job seeking and acquisition and that provide on-the-job support are more likely to lead to employment than general vocational counseling that involves only job preparation.     

Does the legalization of medical marijuana increase completed suicide?

Introduction: Suicide is among the 10 most common causes of death in the United States. Researchers have identified a number of factors associated with completed suicide, including marijuana use, and increased land elevation. Colorado is an ideal state to test the strength of these associations. The state has a completed suicide rate well above the national average and over the past 15 years has permitted first the medical and, as 2014, the recreational use of marijuana. Objectives: To determine if there is a correlation between medical marijuana use, as assessed by the number of medical marijuana registrants and completed suicides per county in Colorado. Methods: The number of medical marijuana registrants was used as a proxy for marijuana use. Analysis variables included total medical marijuana registrants, medical marijuana dispensaries per county, total suicide deaths, mechanism of suicide death, gender, total suicide hospitalizations, total unemployment, and county-level information such as mean elevation and whether the county was urban or rural. Analysis was performed with mixed model Poisson regression using generalized linear modeling techniques. Results: We found no consistent association between the number of marijuana registrants and completed suicide after controlling for multiple known risk factors for completed suicide. Conclusion: The legalization of medical marijuana may not have an adverse impact on suicide rates. Given the concern for the increased use of marijuana after its legalization, our negative findings provide some reassurance. However, this conclusion needs to be examined in light of the limitations of our study and may not be generalizable to those with existing severe mental illness. This finding may have significant public health implications for the presumable increase in marijuana use that may follow legalization.     

Child protection in the time of COVID‐19

As the number of cases of coronavirus disease 2019 (COVID‐19) caused by the virus SARS‐CoV‐2 rises exponentially in Australia with consequences for the health system and society at large, we need to remember that during this pandemic that necessary social distancing measures, effective school closures and rising unemployment levels may lead to an increased risk for child abuse and neglect.     

再就业市场浅谈

随着我国经济体制改革，特别是国有企业体制改革的深入。失业作为社会经济发展过程中不可避免的附属物出现，再就业就成为社会经济发展的必然趋势。本文就我国再就业市场提出的几点思考：1．转变再就业观念；2．广泛建立再就业市场；3．建立再就业指导及咨询制度；4．正确运用失业救济金；5．建立再就业培训制度进行了阐述。     

The Impact of the Macroeconomy on Health Insurance Coverage: Evidence from the Great Recession

This paper investigates the impact of the macroeconomy on the health insurance coverage of Americans using panel data from the Survey of Income and Program Participation for 2004–2010, a period that includes the Great Recession of 2007–2009. We find that a one percentage point increase in the state unemployment rate is associated with a 1.67 percentage point (2.12%) reduction in the probability that men have health insurance; this effect is strongest among college‐educated, white, and older (50–64 years old) men. For women and children, health insurance coverage is not significantly correlated with the unemployment rate, which may be the result of public health insurance acting as a social safety net. Compared with the previous recession, the health insurance coverage of men is more sensitive to the unemployment rate, which may be due to the nature of the Great Recession. Copyright © 2013 John Wiley & Sons, Ltd.     

A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees

OBJECTIVE: Few community studies have addressed the longitudinal course of post-traumatic stress disorder (PTSD) in traumatized refugees in early resettlement. This longitudinal study investigated changes from the first (T1) to the second interview (T2), 3 years later. The relationship between traumatic exposures and psychosocial factors/psychological symptom load were examined. METHOD: Local health professionals performed the interviews, using rating scales and a structured questionnaire. A total of 240 (52%) refugees attended. RESULTS: Unchanged Hopkins Symptom Checklist-25 and increase in Harvard Trauma Questionnaire and post-traumatic stress symptoms-16 between T1 and T2 were found, indicating the severity and chronicity of problems. Mean post-traumatic stress score was 15% above cut-off. Severe life-threatening trauma and present life in exile with unemployment and unresolved family reunion were risk factors. CONCLUSION: Early diagnostic interview should be followed by targeted approach. Pinpointing those in need of specialist services is essential. An interdisciplinary approach is necessary in this work.     

Older workers: can they succeed in the job market?

Objectives: To identify and track the progress of mature age workers who have overcome barriers associated with their age. To identify factors contributing to successful employment outcomes for older workers. To evaluate the success rate of service providers in facilitating access to the labour market for older workers. Methods: Three job network providers were approached: Mission Employment, Salvation Army Employment Plus and Work Ventures Inc. All three agreed to provide addresses of clients aged 45 years and over to be reached through a mail questionnaire. A total of 700 questionnaires were dispatched anonymously with the cooperation of these three organisations. A small number of follow‐up interviews were also conducted with survey respondents who indicated their willingness to be interviewed, and had signed a consent form for this purpose. Several interviews were also conducted with staff at the three cooperating agencies. Results: Of the 700 questionnaires dispatched, 163 were returned, giving a response rate of 23%. Among the respondents, 82 were employed at the time and 81 were unemployed. There were approximately equal responses from men and women. Of the 82 employed persons, 48 had obtained jobs either through answering advertisements or through personal contacts. Only 19 had obtained employment through a job network agency. The most important barrier to employment was identified as age, followed by lack of specialised skills. Conclusions: Early intervention is essential. The chances of re‐employment decline steadily with the duration of unemployment. Age discrimination stands out as the major obstacle to re‐employment for older workers. Personal connections and specialised skills are more important than the activities of job network agencies. Job seekers are also handicapped by inflexibility in relation to training, travel to new locations, and acceptance of a different kind of job.