Background: In 2008, many Western countries faced a great economic recession, the result of which was increased unemployment and reduced public expenditure.
Objective: This article focuses on changes in the self-reported mental and physical health and health symptoms of the remaining employees of Icelandic municipalities who worked within the educational system and the care service during the economic recession. We examine gender differences in health and differences between downsized workplaces and workplaces where no downsizing occurred and differences between workplaces with heavy workload and light workload.
Methods: The study is based on a balanced panel online survey and focus groups.
Results: The main finding is that both the mental and physical health of employees deteriorated year by year between 2010, 2011 and 2013 in all workplaces although the downsized workplaces and workplaces with heavy workloads fared worse. At the same time, public expenditure on the health care system was reduced.
Conclusions: We hope that our results encourage further studies in the field and that they will be taken into account when dealing with prevention and rehabilitation initiatives.
Keywords: Downsizing; health symptoms; mixed method; self-reported health; workload.