What is the impact of job precariousness on depression? Risk assessment and attributable fraction in Spain

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  • dc.contributor.author Belvis, Francesc Xavier
  • dc.contributor.author Muntané Isart, Ferran
  • dc.contributor.author Muntaner, Carles, 1957-
  • dc.contributor.author Benach, Joan
  • dc.contributor.author The PRESME Research Group
  • dc.date.accessioned 2024-05-15T10:49:30Z
  • dc.date.available 2024-05-15T10:49:30Z
  • dc.date.issued 2024
  • dc.description.abstract Objectives The prevalence of depression related to precarious employment (PE) has become a significant public health concern, given the declining trend of the standard employment relationship. Research has focused on the mental health detrimental effects of employment conditions, whereas there is scarce evidence concerning the burden of depression that could be prevented by targeting precariousness. This paper estimates the impact of PE on the risk of depression and the attributable fraction within the active and working salaried population in Spain. Study design Observational cross-sectional on data drawn from the Spanish portion of European Health Survey 2020. Methods After applying selection criteria and descriptives, binary logistic regression models stratified by sex are used to examine the associations between a 9-categories combination of employment precariousness and occupational social class, and depressive symptoms. Results There is a higher risk of depression among individuals in PE and among those who are unemployed, with a notable gradient based on occupational social class for women. Adjusting by sex, age and foreign-born origin, we estimate that approximately 15.0% (95% confidence interval [CI]: 1.0%–26.2%) of depression cases among the working population and 33.3% (95% CI: 23.2%-43.2) among the active population can be attributed to PE. Conclusions These findings highlight the public health impact of PE on mental health, provide evidence to estimate the economic burden linked to employment-related mental health, and underscore the need for policy changes and interventions at the level of labour markets and workplaces to mitigate the detrimental effects of PE.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Belvis F, Muntané F, Muntaner C, Benach J, The PRESME Research Group. What is the impact of job precariousness on depression? Risk assessment and attributable fraction in Spain. Public health. 2024 Jun;231:154-7. DOI: 10.1016/j.puhe.2024.03.019
  • dc.identifier.doi http://dx.doi.org/10.1016/j.puhe.2024.03.019
  • dc.identifier.issn 0033-3506
  • dc.identifier.uri http://hdl.handle.net/10230/60154
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Public health. 2024 Jun;231:154-7
  • dc.rights © 2024 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.subject.keyword Depression
  • dc.subject.keyword Mental health
  • dc.subject.keyword Precarious employment
  • dc.subject.keyword Unemployment
  • dc.subject.keyword Population attributable risk
  • dc.subject.keyword Public mental health
  • dc.subject.keyword Occupational health
  • dc.title What is the impact of job precariousness on depression? Risk assessment and attributable fraction in Spain
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion