Background: Youth unemployment is of increasing importance, not only a
s a social but also as a clinical problem. Methods: A prospective stud
y was conducted during a five-year period in a municipality in the nor
thern part of Sweden, where the youth unemployment rate was between 6%
and 8%. All 1,083 pupils in the last year of compulsory schooling wer
e included in the study and 98% of them were followed up after five ye
ars. The methods of investigation consisted of comprehensive self-admi
nistered questionnaires as well as blood pressure measurements and int
erviews with those who had been unemployed. Results: The main results
of the study are that there is a greater increase in physical and psyc
hological symptoms as well as smoking habits and use of cannabis among
long-term unemployed young people than among those not long-term unem
ployed. In addition systolic blood pressure, alcohol consumption and c
rime rate increase more among long-term unemployed boys than among oth
ers. Conclusions: Youth unemployment is associated with increased heal
th symptoms, increased systolic blood pressure and a deterioration in
health behaviour.