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Keep Calm and Carry On? Policy,
Psychology and the Effects of
‘Economic War’
!
!
British Library!
!
Monday April 30th, 2012!
                           !
                           !
Professor Mel Bartley, UCL
Professor Peter Taylor-Gooby, University of
Kent
Professor Edgar Jones, King’s College London



James Lloyd, The Strategic Society Centre
An ESRC Research Centre




                               www.ucl.ac.uk/icls
                …...bridging social and biological sciences


                                                              1
An ESRC Research Centre




Unemployment and health in the life
course
•  Long history of concern with health impact
   of unemployment
•  In the 1930s, attempts were made to deny
   any effect
•  Charles Webster Healthy or Hungry
   Thirties found that it depended on region
An ESRC Research Centre




Effect on health of recessions
•  Even in a deep recession, most working
   age men remain employed
•  20% unemployment rate is very high (this
   is what they have at present in Spain)
•  What happens to those who remain in
   work?
An ESRC Research Centre




Working through a recession
•  Those who remain in work may become more
   anxious and insecure about their jobs
•  In order to keep working after redundancy,
   people tend to have to accept jobs with lower
   pay, less job security and often more work
   hazards
•  But prices often fall as well, so money buys more
   (e.g. at present mortgage interest is low)
An ESRC Research Centre




Does recession influence health?

•  Not a clear question. Could mean:
  –  Do recessions damage population health?
  –  Does unemployment damage health of
     individuals
      •  Mental health
      •  Physical health
      •  Life expectancy
An ESRC Research Centre



Employment and unemployment rates, UK 2007-9
                 Working age employment rate                                               Working age unemployment rate
                  January 2007 to July 2009                                                  January 2007 to July 2009
 Rate (%)                                                           Rate (%)
 76                                                                   9

 75

                                                                      8
 75


 74
                                                                      7
 74


 73
                                                                      6

 73


 72                                                                   5
                                                                       Jan-Mar   May-Jul    Sep-Nov   Jan-Mar   May-Jul   Sep-Nov   Jan-Mar   May-Jul
  Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul
                                                                         2007     2007       2007       2008     2008       2008      2009     2009
    2007   2007     2007    2008   2008     2008    2009   2009

                             Quarter                                                                    Quarter


        Source: ONS, Labour Force Survey
An ESRC Research Centre


Trajectories of unemployment in present and previous recessions

from “Jobs Crisis”, John P martin, OECD Observer No 274, October 2009




                                                                        2007----
                                                                        1973----
                                                                        1979----
                                                                        1990----
                                                                        2000----
An ESRC Research Centre




Unemployment and economic inactivity: diverging trends 1980-2008
                                    Men 16-64 1980 to 2008
           %
           18
            16
            14
            12
            10
             8
             6
             4
             2
             0
             1975      1980      1985      1990        1995          2000   2005   2010

                                        Unemployment          Inactivity


        http://www.statistics.gov.uk/statbase/TSDdownload2.asp 23 Feb 2009
An ESRC Research Centre



 Summary of longitudinal studies on unemployment and mental health
                Changes in employment status and
        Worse mental      mental health
                       health

                        0.3

                        0.2

                        0.1
      Size of effect




                         0
                                     Employed T1                  Unemployed T1
                       -0.1

                       -0.2

                       -0.3

                       -0.4

        Better mental                      Employed T2       Unemployed T2
           health
                       Source: Paul & Moser J Voc Behavior 2009
An ESRC Research Centre



                 Relationship between labour market status and
                            GHQ-12 caseness . Men




                                                                                              Source: Ellen Flint unpublished
                                                                                              PhD thesis 2012




    Adjustments: age; Mental health last year; education; physical health; marital situation; employment status last year;
    housing tenure; region; macroeconomic conditions; financial situation; substance abuse;
An ESRC Research Centre



           Relationship between labour market status and
                    GHQ-12 caseness . Women




                                                                                           Source: Ellen Flint
                                                                                           unpublished PhD thesis 2012




           Adjustments: age; Mental health last year; education; physical health; marital situation;                11
           employment status last year; housing tenure; region; macroeconomic conditions; financial
           situation; substance abuse;
An ESRC Research Centre



Suicide and suspected suicide mortality in England and Wales
1971-2008
                           180
                           160
                           140
                           120
             DSR/million




                           100                                     Men
                           80                                      Women
                           60
                           40
                           20
                            0
                                 1971 1981 1991 2001 2003   Dec-
                                                             08
An ESRC Research Centre



   Comparison of mortality between employed and unemployed
                  1971-2001: Men aged 50-59




                                   www.ucl.ac.uk/icls        13
Source: Akinwale et al JECH 2011
An ESRC Research Centre



 Comparison of mortality between employed and unemployed
               1971-2001: women aged 50-59




                          www.ucl.ac.uk/icls               14
An ESRC Research Centre




Is unemployment bad for health?
•  Mental health effects always accepted
•  Mortality figures very controversial
•  But have now been replicated 3 times
•  Which is more than many studies of e.g.
   drug effectiveness
•  Has anyone costed the economic gains?

                           www.ucl.ac.uk/icls   15
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Keep calm and carry on? Policy, psychology and the effects of 'economic war'

  • 1. Keep Calm and Carry On? Policy, Psychology and the Effects of ‘Economic War’ ! ! British Library! ! Monday April 30th, 2012! ! !
  • 2. Professor Mel Bartley, UCL Professor Peter Taylor-Gooby, University of Kent Professor Edgar Jones, King’s College London James Lloyd, The Strategic Society Centre
  • 3. An ESRC Research Centre www.ucl.ac.uk/icls …...bridging social and biological sciences 1
  • 4. An ESRC Research Centre Unemployment and health in the life course •  Long history of concern with health impact of unemployment •  In the 1930s, attempts were made to deny any effect •  Charles Webster Healthy or Hungry Thirties found that it depended on region
  • 5. An ESRC Research Centre Effect on health of recessions •  Even in a deep recession, most working age men remain employed •  20% unemployment rate is very high (this is what they have at present in Spain) •  What happens to those who remain in work?
  • 6. An ESRC Research Centre Working through a recession •  Those who remain in work may become more anxious and insecure about their jobs •  In order to keep working after redundancy, people tend to have to accept jobs with lower pay, less job security and often more work hazards •  But prices often fall as well, so money buys more (e.g. at present mortgage interest is low)
  • 7. An ESRC Research Centre Does recession influence health? •  Not a clear question. Could mean: –  Do recessions damage population health? –  Does unemployment damage health of individuals •  Mental health •  Physical health •  Life expectancy
  • 8. An ESRC Research Centre Employment and unemployment rates, UK 2007-9 Working age employment rate Working age unemployment rate January 2007 to July 2009 January 2007 to July 2009 Rate (%) Rate (%) 76 9 75 8 75 74 7 74 73 6 73 72 5 Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul Sep-Nov Jan-Mar May-Jul 2007 2007 2007 2008 2008 2008 2009 2009 2007 2007 2007 2008 2008 2008 2009 2009 Quarter Quarter Source: ONS, Labour Force Survey
  • 9. An ESRC Research Centre Trajectories of unemployment in present and previous recessions from “Jobs Crisis”, John P martin, OECD Observer No 274, October 2009 2007---- 1973---- 1979---- 1990---- 2000----
  • 10. An ESRC Research Centre Unemployment and economic inactivity: diverging trends 1980-2008 Men 16-64 1980 to 2008 % 18 16 14 12 10 8 6 4 2 0 1975 1980 1985 1990 1995 2000 2005 2010 Unemployment Inactivity http://www.statistics.gov.uk/statbase/TSDdownload2.asp 23 Feb 2009
  • 11. An ESRC Research Centre Summary of longitudinal studies on unemployment and mental health Changes in employment status and Worse mental mental health health 0.3 0.2 0.1 Size of effect 0 Employed T1 Unemployed T1 -0.1 -0.2 -0.3 -0.4 Better mental Employed T2 Unemployed T2 health Source: Paul & Moser J Voc Behavior 2009
  • 12. An ESRC Research Centre Relationship between labour market status and GHQ-12 caseness . Men Source: Ellen Flint unpublished PhD thesis 2012 Adjustments: age; Mental health last year; education; physical health; marital situation; employment status last year; housing tenure; region; macroeconomic conditions; financial situation; substance abuse;
  • 13. An ESRC Research Centre Relationship between labour market status and GHQ-12 caseness . Women Source: Ellen Flint unpublished PhD thesis 2012 Adjustments: age; Mental health last year; education; physical health; marital situation; 11 employment status last year; housing tenure; region; macroeconomic conditions; financial situation; substance abuse;
  • 14. An ESRC Research Centre Suicide and suspected suicide mortality in England and Wales 1971-2008 180 160 140 120 DSR/million 100 Men 80 Women 60 40 20 0 1971 1981 1991 2001 2003 Dec- 08
  • 15. An ESRC Research Centre Comparison of mortality between employed and unemployed 1971-2001: Men aged 50-59 www.ucl.ac.uk/icls 13 Source: Akinwale et al JECH 2011
  • 16. An ESRC Research Centre Comparison of mortality between employed and unemployed 1971-2001: women aged 50-59 www.ucl.ac.uk/icls 14
  • 17. An ESRC Research Centre Is unemployment bad for health? •  Mental health effects always accepted •  Mortality figures very controversial •  But have now been replicated 3 times •  Which is more than many studies of e.g. drug effectiveness •  Has anyone costed the economic gains? www.ucl.ac.uk/icls 15
  • 18. !"#$%&'$()*#)+,-.-/',)0*&1) 02-)'#)3*4'.4)3*&)-.)32-/5) 6%$%&)7*(8-&9:--;() <.'=%&#'$()->)?%.$)
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  • 29. g%#A-.#%#) •  !,,%A$*.,%)=#B)&%#'#$*.,%) •  J*'&.%##)*.P),-//-.)#%&=',%#) •  g%P'#$&';"f-.) •  6&%9P'#$&';"f-.)) •  72%)&-8%)->)#2*&%P)'.#f$"f-.#)P%#'4.%P) $-),"&;)$2%)A-3%&)->)$2%)*P=*.$*4%P)'.) *.)".%c"*8)#-,'%$(B)
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  • 31. !"#$%&'(&#)*+$%,+*#&-$.#/&'#$ !"#$$%&"$'$(%% %!"#$%&#'()*)+,#-.#/-0&123&2+4#+-#3'5&#61&7)89-24# '(-:+#%-;#6&-6*&#;)**#(&%'0&#;%&2#6:+#)2# 4)+:'9-24#-.#4+1&44"## #<"#$%&#0'*:&#-.#;%'+#)4#2-;#+&13&7#+%&# 61&8':9-2'1,#61)28)6*& =#>'#5)27#-.#8-33-2? 4&24&=#4'.&+,#@14+#4+1'+&/,#+-#'44)4+#8-6)2/A"# #B"#$%&#8'6'8)+,#-.#6&-6*&#+-#'7'6+#'27#8-6&#)2# :2.'3)*)'1#-1#+&492/#4)+:'9-24"#
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  • 60. The Strategic Society Centre 145-157 St John Street London EC1V 4PY www.strategicsociety.org.uk Twitter: @__SSC The Strategic Society Centre is a registered charity (No. 1144565) incorporated with limited liability in England and Wales (Company No. 7273418).