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A part of the Whitehall study, Ferrie et al (p 647) examined whether
subsequent employment status after job loss had an influence on health
and use of health services. They collected data on 666 civil servants
before and 18 months after their department was sold to the private
sector. They found that job insecurity and unemployment were associated
with an increase in minor psychiatric morbidity and increased general
practitioner consultation rates. Financial strain, change in
psychosocial measures, and health related behaviours accounted for
little of these associations. Adjusting for change in minor psychiatric
morbidity strengthened the association between consultations and
insecure re-employment and unemployment.