Study population
EVENTS, EVENT
The study population was drawn from the Longitudinal integration database for health insurance and labor market studies (LISA), administered by Statistics Sweden, including all people aged 16 to 64 years and living in Sweden on December 31, 2004 (n = 5,750,279). Our analytical sample contained those who lived in Sweden between 31 December 2004 and 31 December 2013, were gainfully employed (i.e., with income from work above a specific amount) each year between 2004 and 2007, employed according to their primary occupation the year before they were exposed to downsizing and aged 20 to 54 years in 2007, i.e., those who had entered the labor market and were not about to retire. Information from the Swedish National Prescribed Drug Register and Statistics on Dynamics of Enterprises and Establishments (DEE) was obtained by linkage through the Swedish personal identity number but de-identified by Statistics Sweden before delivery of data and used to determine exposure to downsizing. People working in an establishment that was not registered in DEE, were excluded. Those who had been exposed to a downsizing event between November 2006 and November 2007, the year before our period of interest, were excluded to enable us to study new downsizing events. This resulted in a total analytic sample of 2,305,795 individuals, for details see 