SUMMARY
Background:We have earlier found that birthweight below the mean, parental factors, and childhood disease were associated with unemployment at age 29. We reanalysed data because we wanted to examine if the association between birthweight and subsequent unemployment was mediated by intellectual performance at conscript. Methods: Through linkage between several national registers, containing personal information from birth into adult age, we established a longitudinal, population-based cohort. Study participants were all 158 026 male singletons born in Norway in 1967-1971 as registered by the Medical Birth Registry of Norway who were national residents at age 29. Study outcome was unemployment defined as a lack of personal income among persons who were not under education in the calendar year of their 29 th birthday. We computed unemployment risk in separate strata, and adjusted risk ratios and population attributable risks as measures of association and impact, respectively. Results: The association between birthweight and unemployment found earlier was mainly mediated through intellectual performance at conscript, in accordance with the study hypothesis. Birthweight, childhood disease and seven parental factors relating to income, disability, and family pattern, were independently associated with subsequent unemployment, each with population attributable risks ranging from 2% to 12%. Intellectual performance in young adult age, educational attainment, and marital status contributed substantially to the unemployment risk. Conclusion: Differentials in work participation among young men emerge in childhood. Circumstances throughout the life course contribute to the unemployment risk.