Precarious employment associated with depressive symptoms and suicidal ideation in adult wage workers
Precarious employment associated with depressive symptoms and suicidal ideation in adult wage workers
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DOI：
10.1016/j.jad.2017.04.049
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发表时间：
2017-08-15
影响因子：
6.6
通讯作者：
Ham, Byung-Joo
中科院分区：
文献类型：
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作者：
Han, Kyu-Man;Chang, Jisoon;Ham, Byung-Joo
背景：就业不稳定是社会弱势的最重要指标之一，并与心理健康状况不佳有关。本研究旨在探讨不稳定的就业与抑郁情绪和自杀意念的成年工薪阶层的关联，以及社会经济因素在不稳定的工作和心理健康状况之间的关联可能的中介或调节作用。方法：从第五次韩国国民健康和营养检查调查（KNHANES V）2010年至2012年进行的数据进行了分析。在24，173名参与者中，包括6，266名19岁以上的成年工薪工人（3，206名不稳定工人和3，060名非不稳定工人）。社会经济和健康相关的特点，以及抑郁情绪和自杀ideation进行了investigated.Results：不稳定的就业显着相关的Logistic回归分析调整所有潜在的混杂因素作为协变量的抑郁情绪。年龄、性别、教育程度、婚姻状况、家庭收入、职业类型等社会经济变量与成年工薪阶层的抑郁情绪和自杀意念显著相关。我们还发现，性别和家庭收入可能对不稳定就业和自杀意念之间的关联产生调节作用。不稳定的工作与自杀意念只为男性工人和工人低或中等收入lower-income level.Limitations：我们的研究是基于一个横截面设计，因此，我们不能阐明变量之间的因果关系。结论：我们的研究表明，不稳定的就业起着至关重要的作用，在成年工薪阶层的心理健康状况。
Background: Precarious employment is one of the most important indicators of social disadvantage and is associated with poor mental health. This study aimed to investigate the association of precarious employment with depressive mood and suicidal ideation in adult wage workers, and the possible mediating or moderating effect of socioeconomic factors in the association between precarious work and mental health status.Method: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V) conducted between 2010 and 2012 were analyzed. Among the 24,173 participants, 6266 adult wage workers (3206 precarious and 3060 non -precarious workers) aged >= 19 years were included. Socioeconomic and health-related characteristics as well as depressive mood and suicidal ideation were investigated.Results: Precarious employment was significantly associated with depressive mood in the logistic regression analyses adjusting for all potential confounding factors as covariates. The socioeconomic variables including age, gender, education level, marital status, household income, and occupation type were significantly related with depressive mood and suicidal ideation in adult wage workers. We also found that gender and household income had possible moderating effects on the association between precarious employment and suicidal ideation. Precarious work was associated with suicidal ideation only for male workers and worker with low or middle lower income levels.Limitations: Our study is based on a cross-sectional design, thus, we could not elucidate the causal relationship between the variables.Conclusions: Our study suggested that precarious employment plays a pivotal role in the mental health status of adult wage workers.