Effect of unemployment on cardiovascular risk factors and mental health

Zagożdżon, Paweł; Parszuto, J; Wrotkowska, Magdalena; Dydjow-Bendek, Dorota

doi:10.1093/occmed/kqu044

Cited by 31 publications

(32 citation statements)

References 30 publications

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“…there was a clear association between the employment situation and the prevalence of overweight and obesity. On the other hand, we con rm the results of Zagozdon et al [8] on cardio-vascular risk factors for smoking habits, with a higher percentage of people smoking more than 10 cigarettes a day. Although smoking constitutes a cardiovascular risk, analyzing the adjusted OR, there was no signi cant association between cardiovascular disorders and precarious work overall, although there is one among men.…”

Section: Discussionsupporting

confidence: 88%

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Precarious Work and Poor Occupational Health: A Cross-sectional Study in Luxembourg

Majéry¹,

Shadi²,

Trandafir³

2020

Preprint

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BackgroundIn the literature, an increase in precarious work in Luxembourg as well as in other countries, has been associated to poor health. Therefore, the Occupational Health Physicians of the “Service de Santé au Travail Multisectoriel” (STM), considering the comfortable financial situation during unemployment in Luxembourg, compared the health and lifestyle data of precarious workers to those with stable work.MethodsThis cross-sectional study involved 1472 workers (910 in stable and 562 in precarious work), who were examined at the STM in 2019. Lifestyle and health were self-reported by the workers. The qualitative variables (frequencies and percentage) related to demographic, health, lifestyle and employment factors were analyzed in each group. Pearson’s chi-square test was used to compare both groups and multivariate logistic regression to evaluate the associations between health issues (cardiovascular, mental health, musculoskeletal disorders [MSD]) and employment contract type. ResultsRegarding lifestyle, there were significant differences in age, tobacco smoking, type of work, and mental health disorders between the two groups. Precarious workers had a higher prevalence of poor health in the entire sample. As for mental health disorders, the prevalence was significantly higher in precarious than in stable work (8.5% vs 4.1%, p<0.0001). The difference was not significant in both groups for cardiovascular (6.9% vs 5.8%) and musculoskeletal (15.1% vs 13.7%) disorders. Multivariate logistic regression for the total sample revealed a positive association of precarious work and poor health. The odds ratios were 2.36 (CI: 1.50-3.73) for mental health 1.37 (CI: 0.87-2.17) for cardiovascular, and 1.04 (CI: 0.76-1.43) for musculoskeletal disorders. The association was significant only for mental health disorders. The results by gender showed up a higher risk for mental disorders for women in precarious work (OR=3.41, CI: 1.43-7.82) than for men (OR= 2.99, CI: 1.33-6.74). Men in precarious work had a positive association for cardio-vascular disorders (OR =1.84, CI: 1.03-3.29), and women a negative one (OR= 0.88, CI: 0.40-1.95).ConclusionsOur study revealed an association between precarious work and poor health. For mental health, this association was significant for both genders, but particularly so for women. Cardiovascular disorders were positively significantly associated only for men.

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Section: Discussionsupporting

confidence: 88%

“…Regarding BMI, Zagozdon et al [8], in a study on unemployment and health, found a signi cant association between being overweight and being unemployed, employing multivariate analysis. The nding that there was no difference in BMI in our study could be potentially explained by the nancial resources available during precarious work.…”

Section: Discussionmentioning

confidence: 99%

Precarious Work and Poor Occupational Health: A Cross-sectional Study in Luxembourg

Majéry¹,

Shadi²,

Trandafir³

2020

Preprint

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“…Notably, we adjusted for neighborhood unemployment, which has been shown in prior literature to be independently linked to both high rates of crime and poor health outcomes. 27,28 Similarly, we adjusted for English fluency as a proxy for immigration status, paying special attention to the Mexican immigrant communities on Chicago's South Side. Recent attention on immigration in the United States has led to growing awareness that immigrants are more likely to be victims of violent crime, related to underreporting because of fear of law or immigration enforcement.…”

Section: Discussionmentioning

confidence: 99%

“…We included all theoretically relevant confounders in final adjusted models, including aforementioned sociodemographic characteristics, clinic site, and neighborhood characteristics. Notably, we adjusted for neighborhood unemployment, which has been shown in prior literature to be independently linked to both high rates of crime and poor health outcomes . Similarly, we adjusted for English fluency as a proxy for immigration status, paying special attention to the Mexican immigrant communities on Chicago's South Side.…”

Section: Methodsmentioning

confidence: 99%

Police‐Recorded Crime and Disparities in Obesity and Blood Pressure Status in Chicago

Tung

Wroblewski

Boyd

et al. 2018

JAHA

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BackgroundThe purpose of this study was to examine associations between several types of police‐recorded crime (violent, nonviolent, and homicide) and cardiometabolic health (obesity and elevated blood pressure [BP]), and to determine if associations were modified by age and sex.Methods and ResultsWe analyzed cross‐sectional data (N=14 799 patients) from 3 primary care clinics at an academic medical center in Chicago, IL. Patient‐level health data were obtained from the electronic health record (June 1, 2014–May 31, 2015), including body mass index and BP, and linked to the City of Chicago Police Data Portal. Geocoded crime counts were aggregated to census tract and calculated as the annual crime rate per 1000 population. Generalized linear mixed models were used to assess obesity and BP status as a function of crime rate quartile, controlling for patient, clinic, and neighborhood characteristics. Median violent crime rates in each quartile ranged from 15 to 84 per 1000 population. Median age was 56 years (interquartile range, 38–72 years); 42% of patients were obese and 33% had elevated BP. Compared with patients living in the lowest quartile, patients living in the highest quartile for violent crime had 53% higher adjusted odds of obesity (95% confidence interval, 1.15–2.03) and 25% higher adjusted odds of elevated BP (95% confidence interval, 1.01–1.56). In subanalyses examining homicide, a relatively rare event, exposure was not associated with obesity and was inconsistently associated with elevated BP.ConclusionsIn a densely populated, high‐poverty region in Chicago, recurrent exposure to high rates of violent crime was consistently associated with obesity and elevated BP, but rare exposure to homicide was not.

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“…Ekonomiskās krīzes ietekme uz iedzīvotājiem tika novērota ne tikai Latvijā, bet arī citās valstīs. 2014. gadā tika publicēts pētījums (Zagożdżon, 2014), kuru veica, lai Polijas iedzīvotājiemun atsevišķi bezdarbniekiem -noskaidrotu kardiovaskulāro saslimšanu riska faktorus un depresijas simptomus. Kopumā pētījumā piedalījās 3052 bezdarbnieki un 2059 nodarbinātie.…”

Section: Bezdarbības Ietekme Uz Veselību Unemployment Influencing Healthunclassified

Anxiety and Depression Rates Among the Unemployed Citizens of Latgale Region

Fokina

Vasiļjeva

Millere

et al. 2018

SIE

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Employment status can substantially influence emotional, social and financial welfare of an individual, protects an individual from obvious negative influence on a person’s life quality. This is connected with a loss of work, instability and low income, as well as worsening of life quality. According to the gained data, unemployed people feel depression and anxiety symptoms very often and it is not paid enough attention to these symptoms. Taking into consideration the fact, that in Latgale region the level of unemployment is the highest one, it would be important to define the signs of depression and anxiety among the unemployed people. The second purpose of the research is to find out the connection between anxiety and depression indexes among the unemployed people and the duration of an unemployed person’s status. 100 participants were involved in the research. To gain the data the quantative method of reseach was used. The two types of instruments were used: Spielberg’s self-assessment anxiety test and Beck depression scale. The connection between the duration of unemployed status and depression and anxiety symptoms was not verified.

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Effect of unemployment on cardiovascular risk factors and mental health

Abstract: The patterns of major cardiovascular risk factors differed between unemployed and employed individuals in Poland. Our observations suggest employment status is a predictor of specific disease risk profiles; consequently, specific preventive measures are needed in unemployed individuals.

Cited by 31 publications

References 30 publications

Precarious Work and Poor Occupational Health: A Cross-sectional Study in Luxembourg

Precarious Work and Poor Occupational Health: A Cross-sectional Study in Luxembourg

Police‐Recorded Crime and Disparities in Obesity and Blood Pressure Status in Chicago

Anxiety and Depression Rates Among the Unemployed Citizens of Latgale Region

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