Precarious employment and mental health in the United States: Results from the Medical Expenditure Panel Survey (MEPS), 2008–2021

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL Preventive medicine Pub Date : 2024-08-02 DOI:10.1016/j.ypmed.2024.108090

Eric W. Lundstrom , Abay Asfaw , Andrea L. Steege , Anasua Bhattacharya , Matthew Groenewold

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Abstract

Objectives

To measure associations between employment precarity and mental health among United States (US) workers.

Methods

This study used data from the US Medical Expenditure Panel Survey for 2008–2021. Multivariable generalized estimating equations were used to measure associations between employment precarity (operationalized as a multi-dimensional exposure) and self-rated mental health after adjusting for relevant confounders. Marginal effects analysis was used to assess potential dose-response relationships between precarity and mental health.

Results

Our sample (n = 57,529) was representative of >106 million US workers employed throughout 2008–2021. Compared to those with low levels of employment precarity, those with medium and high levels of precarity had an increased odds of reporting poor/fair mental health (aOR = 1.21; 95% CI = 1.11, 1.32 and 1.51; 95% CI = 1.36, 1.68, respectively). Marginal effects analysis indicated that increasing levels of precarity were associated with an increased probability of reporting poor/fair mental health.

Conclusions

Increasing levels of employment precarity were associated with poor/fair self-rated mental health, findings potentially indicative of a dose-response relationship between the two. These nationally representative findings suggest employment precarity is an important social determinant of mental health. Future research could investigate how best to mitigate the negative effects of precarity on workers' lives and well-being, particularly regarding mental health.

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美国的不稳定就业与心理健康：2008-2021年医疗支出小组调查（MEPS）的结果。

目标：测量美国工人就业不稳定与心理健康之间的关系：测量美国工人就业不稳定与心理健康之间的关系：本研究使用了 2008-2021 年美国医疗支出小组调查的数据。在对相关混杂因素进行调整后，使用多变量广义估计方程来测量就业不稳定（操作为多维暴露）与自评心理健康之间的关联。边际效应分析用于评估就业不稳定与心理健康之间的潜在剂量反应关系：我们的样本（n = 57,529）代表了 2008-2021 年间超过 1.06 亿的美国就业人员。与就业不稳定程度低的人相比，就业不稳定程度中等和高的人报告心理健康状况差/一般的几率更高（aOR = 1.21; 95% CI = 1.11, 1.32 和 1.51; 95% CI = 1.36, 1.68）。边际效应分析表明，就业不稳定程度的增加与报告精神健康状况差/一般的概率增加有关：结论：就业不稳定程度的增加与自评心理健康状况较差/较好有关，这一结果可能表明两者之间存在剂量反应关系。这些具有全国代表性的研究结果表明，就业不稳定是心理健康的一个重要社会决定因素。未来的研究可以探讨如何最好地减轻就业不稳定对工人生活和福祉的负面影响，尤其是在心理健康方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.