Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-19T16:04:38.663Z Has data issue: false hasContentIssue false

Strategies of research on economic instability and health1

Published online by Cambridge University Press:  09 July 2009

Stanislav V. Kasl*
Affiliation:
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn., USA.
*
2 Address for correspondence: Professor S. V. Kasl, Department of Epidemiology and Public Health, Yale University School of Medicine, 60 College Street, PO Box 3333, New Haven, Conn. 06510, USA.

Synopsis

Recent research on unemployment and health has depended heavily on macro-social and ecological data analyses. In order to redress this imbalance, the report summarizes the methods and results of a prospective study of a permanent factory shutdown, thereby illustrating and dissecting some of the strengths and weaknesses of the micro-epidemiological level of analysis. This leads to a broader analysis of research strategy questions which consider macro and micro approaches and variations on the two.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1982

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

1

This is a revised version of a paper presented at the Symposium on Influence of Economic Instability on Health, 9–11 September 1981, in Munich, west Germany.

References

REFERENCES

Block, J. (1965). The Challenge of Response Sets. Appleton: New York.Google Scholar
Bradburn, N. (1969). The Structure of Psychological Well-Being. Aldine Press: Chicago.Google Scholar
Brenner, M. H. (1971). Economic changes and heart disease mortality. American Journal of Public Health 61, 606611.CrossRefGoogle ScholarPubMed
Brenner, M. H. (1973). Fetal, infant, and maternal mortality during periods of economic instability. International Journal of Health Services 3, 145159.CrossRefGoogle ScholarPubMed
Brenner, M. H. (1975). Trends in alcohol consumption and associated illnesses: Some effects of economic changes. American Journal of Public Health 65, 12791292.CrossRefGoogle ScholarPubMed
Brenner, M. H. (1979). Mortality and the national economy. A review and the experience of England and wales, 1936. 1976. Lancet ii, 568573.CrossRefGoogle Scholar
Brenner, M. H. & Mooney, A. (1982). Economic change and sex-specific cardiovascular mortality in Britain, 1955 1976. Social Science and Medicine (in the press).CrossRefGoogle Scholar
Bunn, A. R. (1979). lschaemic heart disease mortality and the business cycle in Australia. American Journal of Public Health 69, 772781.CrossRefGoogle Scholar
Campbell, A., Converse, P. E. & Rodgers, W. L. (1976). The Quality of American Life. Russell Sage Foundation: New York.Google Scholar
Catalano, R. & Dooley, D. (1979 a). Does economic change provoke or uncover behavioural disorder? In Menial Health and the Economy (ed. Ferman, L. A. and Gordus, J. P.), pp. 321346. The W. E. Upjohn Institute for Employment Research: Kalamazoo.Google Scholar
Catalano, R. & Dooley, D. (1979 b). The economy as stressor: A sectoral analysis. Review of Social Economy 37, 175188.CrossRefGoogle Scholar
Catalano, R., Dooley, D. & Jackson, R. (1981). Economic predictors of use of mental health facilities in a non-metropolitan community. Journal of Health and Social Behavior 22, 284298.CrossRefGoogle Scholar
Cobb, S. (1974). Physiologic changes in men whose jobs were abolished. Journal of Psychosomatic Research 18, 245258.CrossRefGoogle ScholarPubMed
Cobb, S. & Kasl, S. V. (1972). Some medical aspects of unemployment. In Employment of the Middle-Aged (ed. Shatto, G. M.), pp. 8796. C. C. Thomas: Springfield, III.Google Scholar
Cobb, S. & Kasl, S. V. (1977). Termination: The Consequences of Job Loss. DHEW (NIOSH) Publication No. 77–224. Cincinnati.Google Scholar
Cook, T. D. & Campbell, D. T. (1979). Quasi-Experimentation. Rand McNally: Chicago.Google Scholar
Crowne, D. P. & Marlowe, D. (1964). The Approval Motive. Wiley: New York.Google Scholar
Dooley, D. & Catalano, R. (1979). Economic, life and disorder changes: time-series analyses. American Journal of Community Psychology 7, 381396.CrossRefGoogle ScholarPubMed
Dooley, D. & Catalano, R. (1980). Economic change as a cause of behavioural disorder. Psychological Bulletin 87, 450468.CrossRefGoogle Scholar
Eliot, R. S. & Buell, J. C. (1981). Environmental and behavioral influences in the major cardiovascular disorders. In Perspectives on Behavioural Medicine (ed. Weiss, S. M., Herd, J. A. and Fox, B. H.). Academic Press: New York.Google Scholar
Eyer, J. (1977). Prosperity as a cause of death. International Journal of Health Services 7, 125150.CrossRefGoogle ScholarPubMed
Eyer, J. (1980). Social causes of coronary heart disease. Psychotherapy and Psychosomatics 34, 7587.CrossRefGoogle ScholarPubMed
Firebaugh, G. (1978). A rule for inferring individual level relationships from aggregated data. American Sociological Review 43, 557572.CrossRefGoogle Scholar
Fried, M. (1969). Social differences in mental health. In Poverty and Health: A Sociological Analysis (ed. Kosa, J., Antonovsky, A. and Zola, I. K.), pp. 113167. Harvard University Press: Cambridge, Mass.Google Scholar
Gore, S. (1973). The influence of social support in ameliorating the consequences of job loss. Unpublished doctoral dissertation. University of Pennsylvania: Philadelphia.Google Scholar
Gough, G. (1957). The California Psychological Inventory Manual. Consulting Psychologists Press: Palo Alto.Google Scholar
Gravelle, H. S. E., Hutchinson, G. & Stern, J. (1981). Mortality and unemployment: A critique of Brenner's time-series analysis. Lancet ii, 675679.CrossRefGoogle Scholar
Hulin, C. L. & Blood, M. R. (1968). Job enlargement, individual differences, and worker responses. Psychological Bulletin 69, 4155.CrossRefGoogle Scholar
Kasl, S. V. (1974). Work and mental health. In Work and Quality of Life (ed. O'Toole, J.), pp. 171196. MIT Press: Cambridge, Mass.Google Scholar
Kasl, S. V. (1978). Epidemiological contributions to the study of work stress. In Stress at Work (ed. Cooper, C. L. and Payne, R.), pp. 348. John Wiley: Chichester.Google Scholar
Kasl, S. V. (1979 a). Changes in mental health status associated with job loss and retirement. In Stress and Mental Disorder (ed. Barrett, J. E.), pp. 179200. Raven Press: New York.Google Scholar
Kasl, S. V. (1979 b). Mortality and the business cycle: some questions about research strategies when utilizing macro-social and ecological data. American Journal of Public Health 69, 784788.CrossRefGoogle ScholarPubMed
Kasl, S. V. & Cobb, S. (1970). Blood pressure changes in men undergoing job loss: a preliminary report. Psychosomatic Medicine 32, 1938.CrossRefGoogle Scholar
Kasl, S. V. & Cobb, S. (1979). Some mental health consequences of plant closing and job loss. In Mental Health and the Economy (ed. Ferman, L. A. and Gordus, J. P.), pp. 255299. The W. E. Upjohn Institute for Employment Research: Kalamazoo.Google Scholar
Kasl, S. V. & Cobb, S. (1980). The experience of losing a job: some effects on cardiovascular functioning. Psychotherapy and Psychosomatics 34, 88109.CrossRefGoogle Scholar
Kasl, S. V. & Cobb, S. (1982). Variability of stress effects among men experiencing job loss. In Handbook of Stress (ed. Goldberger, L. and Breznitz, S.. The Free Press: New York (in the press).Google Scholar
Kasl, S. V., Cobb, S. & Brooks, G. W. (1968). Changes in serum uric acid and cholesterol levels in men undergoing job loss. Journal of the American Medical Association 206, 15001507.CrossRefGoogle ScholarPubMed
Kasl, S. V., Gore, S. & Cobb, C. (1975). The experience of losing a job: reported changes in health, symptoms, and illness behavior. Psychosomatic Medicine 37, 106122.CrossRefGoogle Scholar
Marshall, J. R. & Funch, D. P. (1979). Mental illness and the economy: a critique and partial replication. Journal of Health and Social Behavior 20, 282289.CrossRefGoogle ScholarPubMed
Ratcliff, K. S. (1980). On Marshall and Funch's Critique of ‘Mental illness and the economy’. Journal of Health and Social Behavior 21, 389391.CrossRefGoogle ScholarPubMed
Robinson, W. S. (1950). Ecological correlations and the behavior of individuals. American Sociological Review 15, 351357.CrossRefGoogle Scholar
Sklar, E. D. (1980). Community economic structure and individual well-being: A look behind the statistics. International Journal of Health Services 10, 563579.CrossRefGoogle Scholar
Slote, A. (1969). Termination: The Closing at Baker Plant. Bobbs-Merrill: Indianapolis.Google Scholar
Stavraky, K. (1976). The role of ecological analysis in studies of the etiology of disease: a discussion with reference to large bowel cancer. Journal of Chronic Diseases 29, 435444.CrossRefGoogle ScholarPubMed
Tiffant, D. W., Cowan, J. R. & Tiffany, P. M. (1970). The Unemployed: A Social Psychological Portrait. Prentice-Hall Englewood Cliffs, N.J.Google Scholar
Turneṙ, A. N. & Lawrence, P. R. (1968). Industrial Jobs and the Worker. Harvard University Graduate School of Business Administration: Cambridge, Mass.Google Scholar
World Health Organization (1981). Study on the Influence of Economic Development on Health. Report on a WHO Planning Meeting, 11–13 November 1980. WHO: Copenhagen.Google Scholar