Unemployment and prostate cancer mortality in the OECD, 1990-2009

Mahiben Maruthappu, Johnathan Watkins, Abigail Taylor, Callum Williams, Raghib Ali, Thomas Zeltner, Rifat Atun

    Research output: Contribution to journalArticle

    Abstract

    The global economic downturn has been associated with increased unemployment in many countries. Insights into the impact of unemployment on specific health conditions remain limited. We determined the association between unemployment and prostate cancer mortality in members of the Organisation for Economic Co-operation and Development (OECD). We used multivariate regression analysis to assess the association between changes in unemployment and prostate cancer mortality in OECD member states between 1990 and 2009. Country-specific differences in healthcare infrastructure, population structure, and population size were controlled for and lag analyses conducted. Several robustness checks were also performed. Time trend analyses were used to predict the number of excess deaths from prostate cancer following the 2008 global recession. Between 1990 and 2009, a 1% rise in unemployment was associated with an increase in prostate cancer mortality. Lag analysis showed a continued increase in mortality years after unemployment rises. The association between unemployment and prostate cancer mortality remained significant in robustness checks with 46 controls. Eight of the 21 OECD countries for which a time trend analysis was conducted, exhibited an estimated excess of prostate cancer deaths in at least one of 2008, 2009, or 2010, based on 2000-2007 trends. Rises in unemployment are associated with significant increases in prostate cancer mortality. Initiatives that bolster employment may help to minimise prostate cancer mortality during times of economic hardship.

    Original languageEnglish (US)
    Article number538
    Journalecancermedicalscience
    Volume9
    DOIs
    StatePublished - May 14 2015

    Fingerprint

    Unemployment
    Prostatic Neoplasms
    Mortality
    Economics
    Organisation for Economic Co-Operation and Development
    Population Density
    Multivariate Analysis
    Regression Analysis
    Delivery of Health Care
    Health

    Keywords

    • Economic crisis
    • Health economics
    • Mortality
    • Prostate cancer
    • Unemployment

    ASJC Scopus subject areas

    • Oncology
    • Cancer Research

    Cite this

    Maruthappu, M., Watkins, J., Taylor, A., Williams, C., Ali, R., Zeltner, T., & Atun, R. (2015). Unemployment and prostate cancer mortality in the OECD, 1990-2009. ecancermedicalscience, 9, [538]. https://doi.org/10.3332/ecancer.2015.538

    Unemployment and prostate cancer mortality in the OECD, 1990-2009. / Maruthappu, Mahiben; Watkins, Johnathan; Taylor, Abigail; Williams, Callum; Ali, Raghib; Zeltner, Thomas; Atun, Rifat.

    In: ecancermedicalscience, Vol. 9, 538, 14.05.2015.

    Research output: Contribution to journalArticle

    Maruthappu, M, Watkins, J, Taylor, A, Williams, C, Ali, R, Zeltner, T & Atun, R 2015, 'Unemployment and prostate cancer mortality in the OECD, 1990-2009', ecancermedicalscience, vol. 9, 538. https://doi.org/10.3332/ecancer.2015.538
    Maruthappu M, Watkins J, Taylor A, Williams C, Ali R, Zeltner T et al. Unemployment and prostate cancer mortality in the OECD, 1990-2009. ecancermedicalscience. 2015 May 14;9. 538. https://doi.org/10.3332/ecancer.2015.538
    Maruthappu, Mahiben ; Watkins, Johnathan ; Taylor, Abigail ; Williams, Callum ; Ali, Raghib ; Zeltner, Thomas ; Atun, Rifat. / Unemployment and prostate cancer mortality in the OECD, 1990-2009. In: ecancermedicalscience. 2015 ; Vol. 9.
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