Abstract

Migrant women in Europe have a higher incidence of health problems and have disproportionately high unemployment rates. We examine how Dutch and Turkish, Moroccan and Surinamese first and second generation migrant women escape the vicious cycle between health problems and unemployment by using the theory of the Sense of Coherence (SOC). We study how SOC works and whether SOC is also applicable outside the domain of health. Our findings from life story interviews (N = 54) show that women can escape this vicious cycle through the meaningful reconstruction of adversity. Women can put a halt on the on-going negative chain reaction through focusing on the meaning and purpose of adversity. We name such life stories narratives of meaningful endurance, which are characterized by structure, authorship and meaningful reconstruction, in opposition to its counterpart, narratives of non-directional distress. The three respective components of SOC - comprehensibility, manageability and meaningfulness - enable the attainment of a narrative of meaningful endurance and individuals with a stronger SOC are more likely to tell narratives of meaningful endurance. Theoretical and policy implications of our findings are discussed.

Highlights

  • Health and employment are mutually related throughout the life course (Paul & Moser, 2009; Schuring, Robroek, Lingsma, & Burdorf, 2015; Virtanen et al, 2005)

  • The purpose of this study was to examine how women escape the vicious cycle between health problems and unemployment by using the theory of the Sense of Coherence

  • Previous research has predominantly focused on how Sense of Coherence (SOC) influences different health related outcomes, but not so much on how SOC works or whether SOC is applicable outside the domain of health

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Summary

Introduction

Health and employment are mutually related throughout the life course (Paul & Moser, 2009; Schuring, Robroek, Lingsma, & Burdorf, 2015; Virtanen et al, 2005). Poor job characteristics (Griffin, Fuhrer, Stansfeld, & Marmot, 2002; Virtanen et al, 2005) and being unemployed (Dooley, Prause, & Ham-Rowbottom, 2000; Paul & Moser, 2009) can in turn have a negative effect on health. When considering the relation between health and employment, ethnic minority women form a interesting case study. With health problems leading to unemployment, and unemployment leading to more health problems, migrant women may be at risk of becoming stuck in a vicious cycle or, in other words, a negative mutually reinforcing relation between health problems and unemployment Surinamese origin living in the Netherlands have a higher incidence of different types of health problems (Gerritsen & Devillé, 2009; Grootveld et al, 2014; Ikram et al, 2015; Klaufus, Fassaert, & de Wit, 2014; Levecque & van Rossem, 2015) and have disproportionately high unemployment rates (Huijnk, Gijsberts, & Dagevos, 2014). With health problems leading to unemployment, and unemployment leading to more health problems, migrant women may be at risk of becoming stuck in a vicious cycle or, in other words, a negative mutually reinforcing relation between health problems and unemployment

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