失业医疗化：利用三层模型分析德国失业者的病假情况

IF 2.7 3区管理学 Q1 ECONOMICS

Work Employment and Society Pub Date : 2024-04-29 DOI:10.1177/09500170241244688

Philipp Linden, Nadine Reibling

{"title":"失业医疗化：利用三层模型分析德国失业者的病假情况","authors":"Philipp Linden, Nadine Reibling","doi":"10.1177/09500170241244688","DOIUrl":null,"url":null,"abstract":"The study investigates whether sick leave for the unemployed is used to address problems of labour market integration – a process that can theoretically be conceptualised as the medicalisation of unemployment. Estimating a multilevel logistic regression model on a sample of N = 20,196 individuals from the German panel study Labour Market and Social Security (PASS) reveals that, on average, 18% of the unemployed are on sick leave due to poor health. However, given a comparable state of health, the probability increases for men, older individuals and those with lower educational levels. These findings are crucial as they reveal a dual role of sick leave in a context with limited access to disability pensions: as a protective measure for sick, unemployed individuals and as medicalisation of unemployment by excluding those who face non-medical barriers to labour market integration.","PeriodicalId":48187,"journal":{"name":"Work Employment and Society","volume":"107 1","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Medicalisation of Unemployment: An Analysis of Sick Leave for the Unemployed in Germany Using a Three-Level Model\",\"authors\":\"Philipp Linden, Nadine Reibling\",\"doi\":\"10.1177/09500170241244688\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The study investigates whether sick leave for the unemployed is used to address problems of labour market integration – a process that can theoretically be conceptualised as the medicalisation of unemployment. Estimating a multilevel logistic regression model on a sample of N = 20,196 individuals from the German panel study Labour Market and Social Security (PASS) reveals that, on average, 18% of the unemployed are on sick leave due to poor health. However, given a comparable state of health, the probability increases for men, older individuals and those with lower educational levels. These findings are crucial as they reveal a dual role of sick leave in a context with limited access to disability pensions: as a protective measure for sick, unemployed individuals and as medicalisation of unemployment by excluding those who face non-medical barriers to labour market integration.\",\"PeriodicalId\":48187,\"journal\":{\"name\":\"Work Employment and Society\",\"volume\":\"107 1\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Work Employment and Society\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://doi.org/10.1177/09500170241244688\",\"RegionNum\":3,\"RegionCategory\":\"管理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Work Employment and Society","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.1177/09500170241244688","RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}

引用次数: 0

摘要

本研究调查了失业者病假是否被用于解决劳动力市场一体化问题--从理论上讲，这一过程可被视为失业的医疗化。通过对德国劳动力市场和社会保障（PASS）面板研究中的 N = 20,196 个样本进行多层次逻辑回归模型估计，发现平均有 18% 的失业者因健康状况不佳而休病假。然而，在健康状况相当的情况下，男性、老年人和教育水平较低的人请病假的概率会增加。这些发现至关重要，因为它们揭示了病假在领取残疾抚恤金机会有限的情况下的双重作用：既是对患病失业者的保护措施，也是通过排除那些在融入劳动力市场方面面临非医疗障碍的人而使失业医疗化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Medicalisation of Unemployment: An Analysis of Sick Leave for the Unemployed in Germany Using a Three-Level Model

The study investigates whether sick leave for the unemployed is used to address problems of labour market integration – a process that can theoretically be conceptualised as the medicalisation of unemployment. Estimating a multilevel logistic regression model on a sample of N = 20,196 individuals from the German panel study Labour Market and Social Security (PASS) reveals that, on average, 18% of the unemployed are on sick leave due to poor health. However, given a comparable state of health, the probability increases for men, older individuals and those with lower educational levels. These findings are crucial as they reveal a dual role of sick leave in a context with limited access to disability pensions: as a protective measure for sick, unemployed individuals and as medicalisation of unemployment by excluding those who face non-medical barriers to labour market integration.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Work Employment and Society Multiple-

CiteScore

7.90

自引率

13.50%

发文量

期刊介绍： Work, Employment and Society (WES) is a leading international peer reviewed journal of the British Sociological Association which publishes theoretically informed and original research on the sociology of work. Work, Employment and Society covers all aspects of work, employment and unemployment and their connections with wider social processes and social structures. The journal is sociologically orientated but welcomes contributions from other disciplines which addresses the issues in a way that informs less debated aspects of the journal"s remit, such as unpaid labour and the informal economy.