Employment in the neighborhoods of Barcelona: health effects of an active labor market program in Southern Europe
Por:
Gonzalez-Marin, P, Puig-Barrachina, V, Bartoll, X, Cortes-Franch, I, Malmusi, D, Clotet, E, Cardona, A, Artazcoz, L, Borrell, C
Publicada:
1 dic 2020
Resumen:
Background The aim of this study was to analyze the changes in self-perceived health status and mental health among participants in an active labour market policy (ALMP) of Barcelona, and to assess whether the results differed according to the participants' soda) characteristics and their program trajectories.
Methods A pre-post intervention study was designed, including unemployed people participating in a return-to-work ALMP in 13 deprived neighborhoods of Barcelona; using one survey upon entering the program (pre), and another 1 year later (post). We assessed the prevalence of poor self-perceived health status and poor mental health (Goldberg-12 questionnaire) in both periods of time. We fit five Poisson regression models using generalized estimating equations (GEE) to measure changes in self-perceived health and mental health between pre- and post-intervention.
Results About 696 individuals (48% women) participated in the study, mainly manual workers. In both sexes, mental health improved (prevalence ratio [PRI-comparing post- and pre-periods for women: 0.49, 95% confidence interval [CI]: 0.39-0.61 and men: PR: 0.41, 95% CI: 0.32-0.53), whereas self-perceived health status remained stable or worsened. Men who remained unemployed reported poorer self-perceived health status, while no such association was observed among women.
Conclusions This study shows a mental health improvement among male and female participants.
Filiaciones:
Gonzalez-Marin, P:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain
Puig-Barrachina, V:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Bartoll, X:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Cortes-Franch, I:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Malmusi, D:
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Ajuntament Barcelona, Dept Hlth, Barcelona 08002, Spain
Clotet, E:
Barcelona Act, Insert Serv, Barcelona 08018, Spain
Cardona, A:
Barcelona Act, Insert Serv, Barcelona 08018, Spain
Artazcoz, L:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Borrell, C:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
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