Mathers and Schofield, from the Australian Institute of Health and Wel
fare, review recent studies, including Australian research, on the hea
lth effects of unemployment and the mechanisms by which unemployment c
auses adverse health outcomes, The relationship is complex: ill-health
also causes unemployment, and confounding factors include socioeconom
ic status and lifestyle, However, longitudinal studies with a range of
designs provide reasonably good evidence that unemployment itself is
detrimental to health and has an impact on health outcomes - increasin
g mortality rates, causing physical and mental ill-health and greater
use of health services.