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  • Job loss is a well-established social determinant of health. Recent research has taken an ‘institutional turn’, asking whether unemployment support could buffer the health consequences of job loss. Here, we exploit a quasi-natural experiment based on the Fornero reforms in Italy, which increased wage replacement rates from 60% to 75% on 1 January 2013.We employed difference-in-difference models using longitudinal data covering 202 incidents of job loss from the EU-Survey on Income and Living Conditions to quantify the impact of job loss on changes in self-reported health prior to and after the Fornero reforms (2011–14).Job loss pre-Fornero was associated with health declines −0.342 [95% confidence interval (CI): −0.588 to −0.096] but did not significantly influence health post-Fornero 0.031 (95% CI: −0.101 to 0.164). The difference-in-difference estimate was 0.373 (95% CI: 0.107–0.639), or a −0.51 standard deviation in self-reported health, consistent with the buffering hypothesis. To put the magnitude of this estimate in perspective, the incidence of a chronic illness, such as diabetes, results in a similar magnitude decline in self-reported health.Our analysis contributes to a growing body of evidence that the impact of job loss on health depends critically on the strength of social protection systems and, in some cases, could be eliminated completely. (xsd:string)
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  • 2021 (xsd:gyear)
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  • 2021 (xsd:gyear)
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  • 10.1093/eurpub/ckab092 ()
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  • 724 (xsd:string)
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  • 1101-1262 ()
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  • 4 (xsd:string)
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  • The softer they fall: a natural experiment examining the health effects of job loss before and after Fornero’s unemployment benefit reforms in Italy (xsd:string)
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  • In European Journal of Public Health, 31(4), 724-730, 2021 (xsd:string)
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  • European Union Statistics on Income and Living Conditions (EU-SILC) (xsd:string)
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  • 31 (xsd:string)