Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status.
Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status.
复制标题
DOI：
10.1186/s12889-018-5282-3
复制
发表时间：
2018-04-02
影响因子：
4.5
通讯作者：
Artazcoz L
中科院分区：
文献类型：
--
作者：
Cortès-Franch I;Escribà-Agüir V;Benach J;Artazcoz L
对劳动力灵活性的需求日益增长，导致就业稳定性下降，这可能与心理健康状况不佳有关。很少有研究在考虑这种联系时分析整个劳动力，因为关于灵活就业形式的研究传统上是分别分析就业和失业人员。工作的性别分工，以及与就业情况相关的家庭特征，可以改变其与心理健康的关联。这项研究的目的是在考虑到性别和伴侣/婚姻状况的情况下，研究连续就业稳定性与心理健康之间的关系。我们选择了6859名男性和5106名女性，目前从2006年西班牙国家健康调查的受薪或失业。就业稳定性是通过从就业者最高的稳定性到长期失业者找到稳定工作的最低可能性的连续体来衡量的。心理健康的测量与12项版本的一般健康问卷。Logistic回归模型适用于伴侣/婚姻状况和性别的每种组合。除已婚女性外，其他各组的就业稳定性均与心理健康状况差有关，就业稳定性与心理健康状况之间存在梯度，例如，与长期公务员相比，已婚临时合同男性的aOR = 1.58（95%CI = 1.06-2.35），无合同工作者aOR = 2.15失业2年及2年以上者的aOR分别为3.73（95%CI = 2.43-5.74）和5.35（95%CI = 2.71-10.56）。在已婚和同居的人群中，男性的这种联系更强。同居女性心理健康状况差与就业稳定性差有关，而已婚女性心理健康状况差与就业稳定性差无关。在分居或离婚的人中观察到最强的关联。随着与稳定就业的距离越来越远，心理健康状况不佳的情况也在增加。这一结果因与性别和伴侣/婚姻状况的相互作用而异。在西班牙，这种关系似乎遵循与已婚人士的性别分工相关的模式，但在其他伴侣/婚姻情况下则不然。家庭和社会经济背景有助于解释以前的混合结果。提出了研究和行动建议。本文的在线版本（10.1186/s12889-018-5282-3）包含补充材料，可供授权用户使用。
The growing demand for labour flexibility has resulted in decreasing employment stability that could be associated with poor mental health status. Few studies have analysed the whole of the work force in considering this association since research on flexible forms of employment traditionally analyses employed and unemployed people separately. The gender division of work, and family characteristics related to employment situation, could modify its association with mental wellbeing. The objective of the study was to examine the relationship between a continuum of employment stability and mental health taking into account gender and partner/marital status. We selected 6859 men and 5106 women currently salaried or unemployed from the 2006 Spanish National Health Survey. Employment stability was measured through a continuum from the highest stability among employed to lowest probability of finding a stable job among the long-term unemployed. Mental health was measured with the 12-item version of the General Health Questionnaire. Logistic regression models were fitted for each combination of partner/marital status and gender. In all groups except among married women employment stability was related to poor mental health and a gradient between a continuum of employment stability and mental health status was found. For example, compared with permanent civil servants, married men with temporary contract showed an aOR = 1.58 (95%CI = 1.06–2.35), those working without a contract aOR = 2.15 (95%CI = 1.01–4.57) and aOR = 3.73 (95%CI = 2.43–5.74) and aOR = 5.35 (95%CI = 2.71–10.56) among unemployed of up to two years and more than two years, respectively. Among married and cohabiting people, the associations were stronger among men. Poor mental health status was related to poor employment stability among cohabiting women but not among married ones. The strongest association was observed among separated or divorced people. There is a rise in poor mental health as the distance from stable employment grows. This result differs according to the interaction with gender and partner/marital status. In Spain this relationship seems to follow a pattern related to the gender division of work in married people but not in other partner/marital situations. Family and socioeconomic context can contribute to explain previous mixed results. Recommendations for research and for action are given. The online version of this article (10.1186/s12889-018-5282-3) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
6.3
作者：
Benach, J.;Muntaner, C.
通讯作者：
Muntaner, C.
影响因子：
6.3
作者：
Bambra, C.;Eikemo, T. A.
通讯作者：
Eikemo, T. A.
影响因子：
1.9
作者：
Ferrarini, Tommy;Sjoberg, Ola
通讯作者：
Sjoberg, Ola
影响因子：
12.7
作者：
Artazcoz, L;Benach, J;Cortès, I
通讯作者：
Cortès, I
影响因子：
4.4
作者：
Artazcoz, Lucia;Cortes, Imma;Borrell, Carme
通讯作者：
Borrell, Carme