Who Suffers During Recessions? Economic Downturns, Job Loss, and Cardiovascular Disease in Older Americans

TitleWho Suffers During Recessions? Economic Downturns, Job Loss, and Cardiovascular Disease in Older Americans
Publication TypeJournal Article
Year of Publication2015
AuthorsNoelke, C, Avendaño, M
JournalAmerican Journal of Epidemiology
Volume182
Issue10
Pagination873-882
KeywordsEmployment and Labor Force, Health Conditions and Status, Public Policy, Risk Taking
Abstract

Job loss in the years before retirement has been found to increase risk of cardiovascular disease (CVD), but some studies suggest that CVD mortality among older workers declines during recessions. We hypothesized that recessionary labor market conditions were associated with reduced CVD risk among persons who did not experience job loss and increased CVD risk among persons who lost their jobs. In our analyses, we used longitudinal, nationally representative data from Americans 50 years of age or older who were enrolled in the Health and Retirement Study and surveyed every 2 years from 1992 to 2010 about their employment status and whether they had experienced a stroke or myocardial infarction. To measure local labor market conditions, Health and Retirement Study data were linked to county unemployment rates. Among workers who experienced job loss, recessionary labor market conditions at the time of job loss were associated with a significantly higher CVD risk (hazard ratio = 2.54, 95 confidence interval: 1.39, 4.65). In contrast, among workers who did not experience job loss, recessionary labor market conditions were associated with a lower CVD risk (hazard ratio = 0.50, 95 confidence interval: 0.31, 0.78). These results suggest that recessions might be protective in the absence of job loss but hazardous in the presence of job loss.

DOI10.1093/aje/kwv094
Endnote Keywords

business cycles/recessions/unemployment/cardiovascular disease/GREAT RECESSION/STROKE/MORTALITY/labor market participation/Risk assessment/Labor market

Endnote ID

999999

Citation Key8232