Assessing the contribution of unstable employment to mortality in posttransition Russia: prospective individual-level analyses from the Russian longitudinal monitoring survey.

Full Abstract

OBJECTIVES: We used the Russia Longitudinal Monitoring Survey (RLMS) to investigate associations between employment, socioeconomic position, and mortality. METHODS: Data were from working-age respondents in 8 rounds (1994-2003) of the RLMS. We measured associations between education, occupation, unemployment, and insecure employment and mortality with Cox proportional hazards analyses. RESULTS: Of 4465 men and 4158 women who were currently employed, 251 men and 34 women died. A third of employed respondents experienced wage arrears, and 10% experienced compulsory leave and payment in consumer goods. Insecure employment, more common among the less-educated and manual workers, fluctuated with macroeconomic measures. Mortality was significantly associated with payment in consumer goods among men (hazard ratio [HR] = 1.46; 95% confidence interval [CI] = 1.03, 2.07), compulsory unpaid leave among women (HR = 3.79; 95% CI = 1.82, 7.88), and male unemployment (HR = 1.88; 95% CI = 1.38, 2.55). Associations with death within 1 year of entry were generally somewhat stronger than the association with mortality over the whole study period. CONCLUSIONS: Unemployment and job insecurity predicted mortality, suggesting that they contributed to Russia's high mortality during the transition from communism.

Author information

Author/s: Perlman, Francesca (F); Bobak, Martin (M);

Affiliation: London School of Hygiene and Tropical Medicine, Keppel Street, London, UK. francesca.perlman(-atsign-)lshtm.ac.uk

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: American journal of public health (Am J Public Health), published in United States. (Language: eng)

Reference: 2009-Oct; vol 99 (issue 10) : pp 1818-25

Dates: Created 2009/09/11; Completed 2009/10/06;

PMID: 19696378, status: MEDLINE (last retrieval date: 10/6/2009, IMS Date: )

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