The effects of economic deprivation on psychological well-being among the working population of Switzerland.

The effects of economic deprivation on psychological well-being among the working population of Switzerland.
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经济剥夺对瑞士劳动人口心理健康的影响。

DOI:
10.1186/1471-2458-6-223
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发表时间:
2006-09-04
期刊:
影响因子:
4.5
通讯作者:
Gallo, William T
Gallo, William T
中科院分区:
医学2区
文献类型:
--
作者:
Vetter, Stefan;Endrass, Jerome;Schweizer, Ivo;Teng, Hsun-Mei;Rossler, Wulf;Gallo, William T

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贫困和心理健康之间的联系已经得到了广泛的调查。然而,关于工作贫困对心理健康影响的证据有限,尽管在许多发达国家,工作贫困代表着贫困人口中迅速扩大的一部分。在这项研究中,我们研究了瑞士的工作贫困是否与两个相关变量相关:心理健康和未得到满足的精神健康需求。瑞士的工作贫困人口最近出现了大幅增长。这项横断面研究使用了瑞士家庭小组前三波(1999-2001年)的数据,瑞士家庭小组是瑞士永久居民人口的全国代表性样本。研究样本包括5453名年龄在20-59岁的受试者。我们使用广义估计方程模型来研究工作贫困与心理幸福感之间的关系;我们使用Logistic回归模型来分析工作贫困与未得到满足的心理健康需求之间的联系。工作贫困是由表明经济不足、生活水平受限或两者兼而有之的虚假变量来表示的。在控制其他因素后,受限的生活水平与心理幸福感呈显著负相关(p<.001),与心理健康需求得不到满足的风险增加约50%相关(OR=1.55;95%可信区间1.17-2.06)。这项研究的发现有助于我们理解物质剥夺对工作的瑞士公民的潜在心理影响。这些知识可能有助于设计社区干预计划,以帮助减轻瑞士贫困的个人和社会负担。
The association between poverty and mental health has been widely investigated. There is, however, limited evidence of mental health implications of working poverty, despite its representing a rapidly expanding segment of impoverished populations in many developed nations. In this study, we examined whether working poverty in Switzerland, a country with substantial recent growth among the working poor, was correlated with two dependent variables of interest: psychological health and unmet mental health need. This cross-sectional study used data drawn from the first 3 waves (1999–2001) of the Swiss Household Panel, a nationally representative sample of the permanent resident population of Switzerland. The study sample comprised 5453 subjects aged 20–59 years. We used Generalized Estimating Equation models to investigate the association between working poverty and psychological well-being; we applied logistic regression models to analyze the link between working poverty and unmet mental health need. Working poverty was represented by dummy variables indicating financial deficiency, restricted standard of living, or both conditions. After controlling other factors, restricted standard of living was significantly (p < .001) negatively correlated with psychological well-being; it was also associated with approximately 50% increased risk of unmet mental health need (OR = 1.55; 95% CI 1.17 – 2.06). The findings of this study contribute to our understanding of the potential psychological impact of material deprivation on working Swiss citizens. Such knowledge may aid in the design of community intervention programs to help reduce the individual and societal burdens of poverty in Switzerland.