Short-run effects of job loss on health conditions, health insurance, and health care utilization

J Health Econ. 2015 Sep:43:190-203. doi: 10.1016/j.jhealeco.2015.07.003. Epub 2015 Jul 26.

Abstract

Job loss in the United States is associated with reductions in income and long-term increases in mortality rates. This paper examines the short-run changes in health, health care access, and health care utilization after job loss that lead to these long-term effects. Using a sample with more than 10,000 individual job losses and longitudinal data on a wide variety of health-related outcomes, we show that job loss results in worse self-reported health, activity limitations, and worse mental health, but is not associated with statistically significant increases in a variety of specific chronic conditions. Among the full sample of workers, we see reductions in insurance coverage, but little evidence of reductions in health care utilization after job loss. Among the subset of displaced workers with chronic conditions and those for whom the lost job was their primary source of insurance we do see reductions in doctor's visits and prescription drug usage.

Keywords: Health; Health Insurance; Layoffs; Unemployment; Well-Being.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Chronic Disease / economics*
  • Chronic Disease / therapy
  • Economic Recession / statistics & numerical data*
  • Health Expenditures / statistics & numerical data
  • Health Services / economics*
  • Health Services / statistics & numerical data
  • Health Services Accessibility / economics*
  • Health Status Disparities
  • Humans
  • Insurance, Health / economics*
  • Insurance, Health / statistics & numerical data
  • Mortality / trends
  • Prescription Drugs / economics*
  • Prescription Drugs / therapeutic use
  • Surveys and Questionnaires
  • Unemployment / psychology*
  • Unemployment / statistics & numerical data
  • United States

Substances

  • Prescription Drugs