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Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status

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dc.contributor.author Cortès-Franch, Imma
dc.contributor.author Escribà-Agüir, Vicenta
dc.contributor.author Benach, Joan
dc.contributor.author Artazcoz Lazcano, Lucía, 1963-
dc.date.accessioned 2021-03-29T06:24:07Z
dc.date.available 2021-03-29T06:24:07Z
dc.date.issued 2018
dc.identifier.citation Cortès-Franch I, Escribà-Agüir V, Benach J, Artazcoz L. Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status. BMC Public Health. 2018; 18(1):425. DOI: 10.1186/s12889-018-5282-3
dc.identifier.issn 1471-2458
dc.identifier.uri http://hdl.handle.net/10230/46971
dc.description.abstract 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 = 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. 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.
dc.description.sponsorship This study was partially funded by (1) «CIBER Epidemiología and Salud Pública, Spain» and (2) "Ministerio de Sanidad y Consumo - Observatorio de Salud de la Mujer, Dirección General de la Agencia de Calidad - y Ministerio de Ciencia e Innovación - Instituto de Salud Carlos III (Spain)". Joan Benach was partially supported by Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia del Ministerio de Economía y Competitividad n° CS02013–45528-P (CriSol), and the European Community‘s Seventh Framework Program (FP7/2007–2013) under grant agreement n° 278173 (SOPHIE project).
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof BMC Public Health. 2018; 18(1):425
dc.rights © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Employment stability and mental health in Spain: towards understanding the influence of gender and partner/marital status
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/s12889-018-5282-3
dc.subject.keyword Employment stability
dc.subject.keyword Gender roles
dc.subject.keyword Marital status
dc.subject.keyword Mental health
dc.subject.keyword Spain
dc.subject.keyword Temporary contract
dc.subject.keyword Unemployment
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/278173
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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