Occupational class and employment sector differences in common mental disorders: a longitudinal Swedish cohort study.
Background Recent increases in common mental disorders (CMDs) among young adults are of great concern although studies of CMDs in young employees are sparse. This study investigated the independent and interacting effects of sector of employment, occupational class and CMDs. Additionally, associatio...
| Publicado en: | European Journal of Public Health Vol. 31; no. 4; pp. 809 - 816 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153037622&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153037622 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2021 vid: 31 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 153037622 153037622 153037622 10.1093/eurpub/ckab091 153037622 ppf: 809 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Occupational class and employment sector differences in common mental disorders: a longitudinal Swedish cohort study. aug: au: Björkenstam, Emma Helgesson, Magnus Gustafsson, Klas Virtanen, Marianna Hanson, Linda L M Mittendorfer-Rutz, Ellenor affil: Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet , Stockholm, Sweden sug: subj: Employees Psychosocial Factors Mental Disorders Risk Factors Employment Status Psychosocial Factors Risk Assessment Human Sweden Prospective Studies Adult Employment Private Sector Public Sector Blue Collar Workers White Collar Workers Confidence Intervals Cox Proportional Hazards Model Multiple Regression Comparative Studies Social Class Adult: 19-44 years ab: Background Recent increases in common mental disorders (CMDs) among young adults are of great concern although studies of CMDs in young employees are sparse. This study investigated the independent and interacting effects of sector of employment, occupational class and CMDs. Additionally, associations between type of employment branch and CMDs within each sector were examined. Methods This population-based longitudinal cohort study included 665 138 employees, 19–29 years, residing in Sweden in 2009. Employment sector (i.e. private/public) and occupational class (non-manual/manual workers) were measured in 2009. Risk estimates of CMDs, measured as new prescription of antidepressants and/or psychiatric care with a diagnosis of CMDs, between 2010 and 2016, were calculated as hazard ratios (HRs) with 95% confidence intervals (CIs), using Cox multivariable regression analysis. Results Public sector employees (whereof 60% manual workers) had an elevated risk for CMDs compared to private sector employees [adjusted HR: 1.14 (95% CI 1.12–1.16)]. Within each sector, manual workers were at increased risk of CMDs compared to non-manual workers. There was an interaction between sector of employment and occupational class; manual workers in the public sector had the highest CMD risk [adjusted synergy index: 1.51 (95% CI 1.29–1.76)]. The most elevated risk for CMDs was observed in those employed in health and social services and the lowest risk among construction workers. Conclusion Sector of employment and occupational class play a role in CMDs in young employees. These findings should be taken into account in the attempts to reduce CMDs in the young working population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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