The Health Effects of US Unemployment Insurance Policy: Does Income from Unemployment Benefits Prevent Cardiovascular Disease?

TitleThe Health Effects of US Unemployment Insurance Policy: Does Income from Unemployment Benefits Prevent Cardiovascular Disease?
Publication TypeJournal Article
Year of Publication2014
AuthorsWalter, S, Glymour, MM, Avendaño, M
JournalPloS one
Volume9
Issue7
Paginatione101193-e101193
KeywordsEmployment and Labor Force, Health Conditions and Status
Abstract

OBJECTIVE: Previous studies suggest that unemployment predicts increased cardiovascular disease (CVD) risk, but whether unemployment insurance programs mitigate this risk has not been assessed. Exploiting US state variations in unemployment insurance benefit programs, we tested the hypothesis that more generous benefits reduce CVD risk. METHODS: Cohort data came from 16,108 participants in the Health and Retirement Study (HRS) aged 50-65 at baseline interviewed from 1992 to 2010. Data on first and recurrent CVD diagnosis assessed through biennial interviews were linked to the generosity of unemployment benefit programmes in each state and year. Using state fixed-effect models, we assessed whether state changes in the generosity of unemployment benefits predicted CVD risk. RESULTS: States with higher unemployment benefits had lower incidence of CVD, so that a 1 increase in benefits was associated with 18 lower odds of CVD (OR:0.82, 95 -CI:0.71-0.94). This association remained after introducing US census regional division fixed effects, but disappeared after introducing state fixed effects (OR:1.02, 95 -CI:0.79-1.31).This was consistent with the fact that unemployment was not associated with CVD risk in state-fixed effect models. CONCLUSION: Although states with more generous unemployment benefits had lower CVD incidence, this appeared to be due to confounding by state-level characteristics. Possible explanations are the lack of short-term effects of unemployment on CVD risk. Future studies should assess whether benefits at earlier stages of the life-course influence long-term risk of CVD.

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DOI10.1371/journal.pone.0101193
Endnote Keywords

Unemployment insurance/Cardiovascular disease/unemployment insurance

Endnote ID

999999

Citation Key8101
PubMed ID25025281
PubMed Central IDPMC4098914