How do macro-level contexts and policies affect the employment chances of chronically ill and disabled people? Part I: The impact of recession and deindustrialization

Research output: Contribution to journalJournal article

  • Paula Holland
  • Bo Burström
  • Margaret Whitehead
  • Diderichsen, Finn
  • Espen Dahl
  • Ben Barr
  • Lotta Nylén
  • Wen-Hao Chen
  • Thielen, Karsten
  • Kjetil A van der Wel
  • Stephen Clayton
  • Sharanjit Uppal
Low employment rates of chronically ill and disabled people are of serious concern. Being out of work increases the risk of poverty and social exclusion, which may further damage the health of these groups, exacerbating health inequalities. Macro-level policies have a potentially tremendous impact on their employment chances, and these influences urgently need to be understood as the current economic crisis intensifies. In Part I of this two-part study, the authors examine employment trends for people who report a chronic illness or disability, by gender and educational level, in Canada, Denmark, Norway, Sweden, and the United Kingdom in the context of economic booms and busts and deindustrialization. People with the double burden of chronic illness and low education have become increasingly marginalized from the labor market. Deindustrialization may have played a part in this process. In addition, periods of high unemployment have sparked a downward trend in employment for already marginalized groups who did not feel the benefits when the economy improved. Norway and Sweden have been better able to protect the employment of these groups than the United Kingdom and Canada. These contextual differences suggest that other macro-level factors, such as active and passive labor market polices, may be important, as examined in part II.
Original languageEnglish
JournalInternational Journal of Health Services
Volume41
Issue number3
Pages (from-to)395-413
Number of pages19
ISSN0020-7314
Publication statusPublished - 1 Jan 2011

ID: 33941551