Abstract
Purpose The purpose of this paper is to analyse the association between drug consumption and unemployment. This paper also studies the differential association between these variables in both the pre- and current-crisis periods. The results are compared in an attempt to verify that the population of users is more vulnerable in terms of how likely they are to get and hold down a job in the labour market. Design/methodology/approach Matching methods and microdata from the Survey on Alcohol and Drugs in Spain, EDADES are used. The use of these methods on the estimates carried out prove to be particularly effective in reducing treatment-selection bias. The authors’ interest is also to analyse the differential association between the interest variables in both the pre- and current-crisis periods. For this purpose, the authors also use the differences-in-differences (DID) estimation method between the two periods to check if the impact of drug use on unemployment depends on the economic context. The estimations are compared in an attempt to verify that the population of users is less likely to attain and hold down a job in the labour market than non-drug users. Findings The results obtained in the current study are consistent with the hypothesis that drug use decreases an individual’s capacity and availability when he or she is trying to enter the labour market. In both 2007 and 2013, drug users were more likely to be unemployed, regardless of the type of drug. Differences in the probability of being unemployed intensify during an economic crisis. In light of these results, it is possible to conclude that the negative effect of drug consumption on an individual’s employability is increased during periods of economic recession. Research limitations/implications The study presented here has some limitations. Firstly, cross-sectional data were used to examine the causal relationship between consumption and employment. In this sense, the results are susceptible to bias. The unavailability of longitudinal data on the same individual made it impossible for the researchers to consider periods of abstinence, the duration of periods of consumption and how this consumption affected an individual’s productivity and his or her working situation. Another limitation is that certain relevant unemployment variables may have been omitted. Among the variables that affect an individual’s labour participation is the existence of sources of income as an alternative to market salaries. With state subsidies, income from illegal activities and money sent by family or friends, an individual may decide not to work. This problem could be mitigated if omitted variables operate in a similar way throughout both of the periods examined. Social implications Given the results obtained in this paper, the authors believe that public policy conclusions should be mainly concerned with the importance of implementing proactive employment policies, along with family support programmes and a greater role for primary care among the people with the highest risks of exclusion. Health treatment should go jointly with measures that make it easier for individuals to enter the workforce. These steps would only be possible with an improved level of education and more complete professional profiles, to increase motivation when individuals seek employment. Originality/value This study could make various contributions to the existing body of evidence. In the authors’ knowledge, this is the first attempt to document the effect of the economic crisis on the employability of the drug-using population in contrast with the general population. Moreover, a methodology is presented that provides an alternative to those used in earlier studies, in terms of reducing treatment-selection bias. At the same time, the use of a DID estimation method between pre- and current-crisis periods allow us to check if the impact of drugs consumption on unemployment depends on the economic context.
Highlights
Mental health problems are related to deprivation, poverty, inequality and other social and economic determinants of health (World Health Organization [WHO], 2009, 2011)
Previous evidence reveals that people experiencing unemployment and impoverishment, as well as those with family disorders, are at greater risk of mental health conditions, such as depression, alcohol use disorders and suicide (Skapinakis et al, 2006; World Health Organization [WHO], 2009; Economou et al, 2008; Jenkins et al, 2008; Chang et al, 2009; De Goeij et al, 2015; Dubanowicz and Lemmens, 2015)
People can be socially excluded because they have lower income levels and belong to marginal groups, as is the case with drug users (World Health Organization [WHO], 2011)
Summary
Mental health problems are related to deprivation, poverty, inequality and other social and economic determinants of health (World Health Organization [WHO], 2009, 2011). The current economic crisis is mostly affecting low-income people and increasing the social exclusion of the most vulnerable groups, such as ethnic minorities, migrants, the unemployed and the older population (World Health Organization [WHO], 2009; Marmot and Bell, 2009). In this sense, economic crises generate high risk to the mental well-being of the people affected and their families. Unemployment appears to be a major driver of increased mental health problems during an economic crisis (Mathers and Schofield, 1998; Artazcoz et al, 2004; Stuckler et al, 2011; VA Hal, 2015; Nagelhout et al, 2017)
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