Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
Por:
Cortes-Franch, I, Escriba-Aguir, V, Benach, J, Artazcoz, L
Publicada:
2 abr 2018
Resumen:
Background: 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.
Methods: 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.
Results: 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 = 373 (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.
Conclusions: 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.
Filiaciones:
Cortes-Franch, I:
Agenda Salut Publ Barcelona, Pl Lesseps 1, ES-08023 Barcelona, Spain
CIBERESP, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Univ Autonoma Barcelona, Programa Doctorat Metodol Recerca Biomed & Salut, Barcelona, Spain
Escriba-Aguir, V:
CIBERESP, Barcelona, Spain
Ctr Publ Hlth Res, Hlth Inequal Area, Valencia, Spain
Univ Valencia, Valencian Sch Hlth Studies, Reg Minist Hlth, Generalitat Valenciana, Valencia, Spain
Generalitat Valenciana, CSISP, Serv Salut Infantil & Dona, Direccio Gen Salut Publ,Conselleria Sanitat, Avda Catalunya 21, ES-46020 Valencia, Spain
Benach, J:
Univ Pompeu Fabra, Dept Polit & Social Sci, Hlth Inequal Res Grp, Employment Condit Knowledge Network GREDS EMCONET, Barcelona, Spain
Pompeu Fabra Univ, Johns Hopkins Univ, Publ Policy Ctr, Barcelona, Spain
Univ Autonoma Madrid, Transdisciplinary Res Grp Socioecol Transit GinTR, Madrid, Spain
Univ Pompeu Fabra, Edifici Merce Rodoreda 24,Campus Ciutadella, ES-08005 Barcelona, Spain
Artazcoz, L:
Agenda Salut Publ Barcelona, Pl Lesseps 1, ES-08023 Barcelona, Spain
CIBERESP, Barcelona, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Univ Pompeu Fabra, Barcelona, Spain
Gold, Green Published
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