Determinants of long-term unemployment in early adulthood: A Finnish birth cohort study

Tea Lallukka, Martta Kerkelä, Tiina Ristikari, Marko Merikukka, Heikki Hiilamo, Marianna Virtanen, Simon Øverland, Mika Gissler, Jaana I. Halonen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Cumulative contributions of social and health-related determinants to long-term unemployment during early working life among young adults are poorly understood. Therefore, we used four cumulative indices of both parental and own social and health-related determinants of such unemployment among a cohort which comprised a complete census of children born in Finland in 1987. The cohort participants were registered in the Medical Birth Register, and they were followed-up through 2015 (N = 46 521). We calculated predicted probabilities for long-term unemployment (> 12 months) when participants were 25–28 years. Moreover, we examined whether the associations differed by unemployment at the municipal level. During the follow-up, 4.5% of women and 7.1% of men experienced long-term unemployment. All cumulative indices of parental and own social and health-related determinants predicted the probability of long-term unemployment. The greatest probabilities were observed for own social determinants, both in municipalities with high and low unemployment although the probabilities were higher in the high-unemployment municipalities. Of the individual determinants, poor school performance showed the strongest association with long-term unemployment among women (OR 6.65, 95% CI 5.21–8.55) and men (OR 3.70, 95% CI 2.96–4.67), after adjusting for other own social determinants. The results highlight the importance of life course social equality in the prevention of long-term unemployment in early adulthood.
Original languageEnglish
Article number100410
JournalSSM - Population Health
Volume8
Number of pages12
ISSN2352-8273
DOIs
Publication statusPublished - 16 May 2019
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 5142 Social policy
  • 3142 Public health care science, environmental and occupational health
  • Social determinants
  • Psychiatric diagnoses
  • Teen-age pregnancies
  • School performance
  • Register-based
  • Child protection action

Cite this

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title = "Determinants of long-term unemployment in early adulthood: A Finnish birth cohort study",
abstract = "Cumulative contributions of social and health-related determinants to long-term unemployment during early working life among young adults are poorly understood. Therefore, we used four cumulative indices of both parental and own social and health-related determinants of such unemployment among a cohort which comprised a complete census of children born in Finland in 1987. The cohort participants were registered in the Medical Birth Register, and they were followed-up through 2015 (N = 46 521). We calculated predicted probabilities for long-term unemployment (> 12 months) when participants were 25–28 years. Moreover, we examined whether the associations differed by unemployment at the municipal level. During the follow-up, 4.5{\%} of women and 7.1{\%} of men experienced long-term unemployment. All cumulative indices of parental and own social and health-related determinants predicted the probability of long-term unemployment. The greatest probabilities were observed for own social determinants, both in municipalities with high and low unemployment although the probabilities were higher in the high-unemployment municipalities. Of the individual determinants, poor school performance showed the strongest association with long-term unemployment among women (OR 6.65, 95{\%} CI 5.21–8.55) and men (OR 3.70, 95{\%} CI 2.96–4.67), after adjusting for other own social determinants. The results highlight the importance of life course social equality in the prevention of long-term unemployment in early adulthood.",
keywords = "5142 Social policy, 3142 Public health care science, environmental and occupational health, Social determinants, Psychiatric diagnoses, Teen-age pregnancies, School performance, Register-based, Child protection action",
author = "Tea Lallukka and Martta Kerkel{\"a} and Tiina Ristikari and Marko Merikukka and Heikki Hiilamo and Marianna Virtanen and Simon {\O}verland and Mika Gissler and Halonen, {Jaana I.}",
year = "2019",
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language = "English",
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Determinants of long-term unemployment in early adulthood : A Finnish birth cohort study. / Lallukka, Tea; Kerkelä, Martta; Ristikari, Tiina; Merikukka, Marko; Hiilamo, Heikki; Virtanen, Marianna; Øverland, Simon; Gissler, Mika; Halonen, Jaana I.

In: SSM - Population Health, Vol. 8, 100410, 16.05.2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Determinants of long-term unemployment in early adulthood

T2 - A Finnish birth cohort study

AU - Lallukka, Tea

AU - Kerkelä, Martta

AU - Ristikari, Tiina

AU - Merikukka, Marko

AU - Hiilamo, Heikki

AU - Virtanen, Marianna

AU - Øverland, Simon

AU - Gissler, Mika

AU - Halonen, Jaana I.

PY - 2019/5/16

Y1 - 2019/5/16

N2 - Cumulative contributions of social and health-related determinants to long-term unemployment during early working life among young adults are poorly understood. Therefore, we used four cumulative indices of both parental and own social and health-related determinants of such unemployment among a cohort which comprised a complete census of children born in Finland in 1987. The cohort participants were registered in the Medical Birth Register, and they were followed-up through 2015 (N = 46 521). We calculated predicted probabilities for long-term unemployment (> 12 months) when participants were 25–28 years. Moreover, we examined whether the associations differed by unemployment at the municipal level. During the follow-up, 4.5% of women and 7.1% of men experienced long-term unemployment. All cumulative indices of parental and own social and health-related determinants predicted the probability of long-term unemployment. The greatest probabilities were observed for own social determinants, both in municipalities with high and low unemployment although the probabilities were higher in the high-unemployment municipalities. Of the individual determinants, poor school performance showed the strongest association with long-term unemployment among women (OR 6.65, 95% CI 5.21–8.55) and men (OR 3.70, 95% CI 2.96–4.67), after adjusting for other own social determinants. The results highlight the importance of life course social equality in the prevention of long-term unemployment in early adulthood.

AB - Cumulative contributions of social and health-related determinants to long-term unemployment during early working life among young adults are poorly understood. Therefore, we used four cumulative indices of both parental and own social and health-related determinants of such unemployment among a cohort which comprised a complete census of children born in Finland in 1987. The cohort participants were registered in the Medical Birth Register, and they were followed-up through 2015 (N = 46 521). We calculated predicted probabilities for long-term unemployment (> 12 months) when participants were 25–28 years. Moreover, we examined whether the associations differed by unemployment at the municipal level. During the follow-up, 4.5% of women and 7.1% of men experienced long-term unemployment. All cumulative indices of parental and own social and health-related determinants predicted the probability of long-term unemployment. The greatest probabilities were observed for own social determinants, both in municipalities with high and low unemployment although the probabilities were higher in the high-unemployment municipalities. Of the individual determinants, poor school performance showed the strongest association with long-term unemployment among women (OR 6.65, 95% CI 5.21–8.55) and men (OR 3.70, 95% CI 2.96–4.67), after adjusting for other own social determinants. The results highlight the importance of life course social equality in the prevention of long-term unemployment in early adulthood.

KW - 5142 Social policy

KW - 3142 Public health care science, environmental and occupational health

KW - Social determinants

KW - Psychiatric diagnoses

KW - Teen-age pregnancies

KW - School performance

KW - Register-based

KW - Child protection action

U2 - 10.1016/j.ssmph.2019.100410

DO - 10.1016/j.ssmph.2019.100410

M3 - Article

VL - 8

JO - SSM - Population Health

JF - SSM - Population Health

SN - 2352-8273

M1 - 100410

ER -