Employment precariousness and poor mental health: evidence from Spain on a new social determinant of health.
Employment precariousness and poor mental health: evidence from Spain on a new social determinant of health.
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DOI：
10.1155/2013/978656
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发表时间：
2013
影响因子：
--
通讯作者：
Benach J
中科院分区：
文献类型：
--
作者：
Vives A;Amable M;Ferrer M;Moncada S;Llorens C;Muntaner C;Benavides FG;Benach J
背景。由于使用关注就业不稳定的一维方法，有关不稳定就业对健康有害影响的证据受到限制。本研究使用多维就业不稳定量表评估不稳定就业与心理健康状况不佳之间的关联。方法。 2004-2005 年，西班牙对 5679 名临时工和长期工进行了基于人口的心理社会因素调查的横断面研究。心理健康状况不佳被定义为每个受访者的性别和年龄的 SF-36 心理健康评分低于西班牙参考值的第 25 个百分位。通过对数二项式回归分别计算女性和男性就业不稳定五分位数（参考：第一五分位数）的心理健康状况不佳的患病率比例（PPR）。结果。粗略的 PPR 显示出与心理健康状况不佳之间的梯度关联，并且在调整年龄、移民身份、社会经济地位和之前的失业情况后总体上保持不变。第五个五分位数的完全调整后的 PPR，女性为 2.54（95% CI：1.95-3.31），男性为 2.23（95% CI：1.86-2.68）。结论。研究发现，就业不稳定与心理健康状况不佳之间存在梯度关联，这种关联在女性中更为明显，这表明与性别相关的权力不对称存在相互作用。需要进一步研究以加强流行病学证据基础并为劳动力市场决策提供信息。
Background. Evidence on the health-damaging effects of precarious employment is limited by the use of one-dimensional approaches focused on employment instability. This study assesses the association between precarious employment and poor mental health using the multidimensional Employment Precariousness Scale. Methods. Cross-sectional study of 5679 temporary and permanent workers from the population-based Psychosocial Factors Survey was carried out in 2004-2005 in Spain. Poor mental health was defined as SF-36 mental health scores below the 25th percentile of the Spanish reference for each respondent's sex and age. Prevalence proportion ratios (PPRs) of poor mental health across quintiles of employment precariousness (reference: 1st quintile) were calculated with log-binomial regressions, separately for women and men. Results. Crude PPRs showed a gradient association with poor mental health and remained generally unchanged after adjustments for age, immigrant status, socioeconomic position, and previous unemployment. Fully adjusted PPRs for the 5th quintile were 2.54 (95% CI: 1.95–3.31) for women and 2.23 (95% CI: 1.86–2.68) for men. Conclusion. The study finds a gradient association between employment precariousness and poor mental health, which was somewhat stronger among women, suggesting an interaction with gender-related power asymmetries. Further research is needed to strengthen the epidemiological evidence base and to inform labour market policy-making.