title: [Cardiovascular diseases caused by unemployment? An analysis from the viewpoint of social medicine].
abstract: Unemployment has become a sociopolitical problem of great importance in the Western industrialised countries. Although negative effects on social life and psyche resulting from unemployment are regarded as scientifically accepted today, a possible causal relationship between job loss and somatic illnesses is still a matter of controversy. A possible target organ is the cardiovascular system. The aim of this study was, therefore, to check by means of extensive literature analysis to what extent unemployment can be seen to influence cardiovascular morbidity. Particular attention was paid to the method used and the clinical relevance of the results. Person-related epidemiological studies published since 1980 which investigated changes in cardiovascular risk factors associated with unemployment or prevalence rates of manifest disease influenced by unemployment, were included in the final evaluation. In some cases statistically significant associations were found between unemployment and the increase in cholesterol levels or systolic/diastolic blood pressure, but the clinical relevance of such slight changes is questionable. To consider unemployment as an independent, social, cardiovascular risk factor is at present unwarranted. An increase in the prevalence rates of coronary heart disease or arterial hypertonia causally linked in some studies with unemployment is scientifically questionable due to severe methodological shortcomings. On the basis of the currently available methodologically acceptable studies, the question of a qualitative contribution of unemployment to cardiovascular disease cannot be answered conclusively.
authors.affiliation: Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Universität Erlangen-Nürnberg, Erlangen, Bundesrepublik Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Weber
authors.forename: K
authors.initials: K
authors.lastname: Schmid
authors.forename: B
authors.initials: B
authors.lastname: Scharf
authors.forename: G
authors.initials: G
authors.lastname: Lehnert
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000523:psychology*; D004198:Disease Susceptibility / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000523:psychology*; D012307:Risk Factors; D012936:Social Medicine; D013001:Somatoform Disorders / Q000523:psychology*; D014478:Unemployment / Q000523:psychology*