Common mental disorders, unemployment and psychosocial job quality: is a poor job better than no job at all?
Common mental disorders, unemployment and psychosocial job quality: is a poor job better than no job at all?
复制标题
DOI：
10.1017/s0033291712002577
复制
发表时间：
2013-08-01
影响因子：
6.9
通讯作者：
Stansfeld, S. A.
中科院分区：
文献类型：
--
作者：
Butterworth, P.;Leach, L. S.;Stansfeld, S. A.
背景。与失业相比，就业与健康福利相关，但工作的社会心理特征也会影响健康。然而，很少有研究比较失业者和从事不同心理社会质量工作的人的精神疾病患病率。方法。对英国成人精神疾病发病率调查 (APMS) 数据的分析考虑了 2603 名年龄在 21 岁至 54 岁之间的受访者中常见精神障碍 (CMD) 的患病率，这些受访者在 2007 年接受采访时要么 (i) 就业，要么 (ii) 失业并正在寻找工作。工作质量通过所报告的不良社会心理工作状况（低控制、高要求、不安全感和低工作自尊）的数量进行评估。结果。对于那些失业的受访者和从事质量最差工作的受访者来说，CMD 的患病率相似。在控制相关人口和社会经济协变量后，这种模式仍然存在。结论。尽管就业被认为可以促进心理健康和福祉，但心理社会质量较差的工作与失业之间的心理健康关系并不大。改善社区心理健康的政策努力应考虑社会心理工作质量和提高就业率的努力。
Background. Employment is associated with health benefits over unemployment, but the psychosocial characteristics of work also influence health. There has, however, been little research contrasting the prevalence of psychiatric disorders among people who are unemployed with those in jobs of differing psychosocial quality.Method. Analysis of data from the English Adult Psychiatric Morbidity Survey (APMS) considered the prevalence of common mental disorders (CMDs) among 2603 respondents aged between 21 and 54 years who were either (i) employed or (ii) unemployed and looking for work at the time of interview in 2007. Quality of work was assessed by the number of adverse psychosocial job conditions reported (low control, high demands, insecurity and low job esteem).Results. The prevalence of CMDs was similar for those respondents who were unemployed and those in the poorest quality jobs. This pattern remained after controlling for relevant demographic and socio-economic covariates.Conclusions. Although employment is thought to promote mental health and well-being, work of poor psychosocial quality is not associated with any better mental health than unemployment. Policy efforts to improve community mental health should consider psychosocial job quality in conjunction with efforts to increase employment rates.