Mental health by gender-specific occupational groups: Profiles, risks and dominance of predictors

Halonen, Jaana I.; Koskinen, Aki; Varje, Pekka; Kouvonen, Anne; Hakanen, Jari; Väänänen, Ari

doi:10.1016/j.jad.2018.06.007

Cited by 23 publications

(28 citation statements)

References 37 publications

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“…Intermediary determinants comprise material circumstances, psychosocial processes and behaviours and biological factors [23]. Many studies have assessed the intermediary determinants of health in relation to social positions of gender or social class [24,25], but less so their contribution to intersectional inequalities in health. A Spanish example demonstrates contribution of intermediary determinants, including material factors, on the intersection between gender and social class and its effects on SRH [26].…”

Section: Introductionmentioning

confidence: 99%

Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors

Barnils

Eurenius

Gustafsson

2020

Int J Equity Health

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Background: Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores selfrated health (SRH) inequalities across intersectional positions of gender, social class and region, and the contribution of material and psychosocial factors to these inequalities. Methods: Participants were drawn from the cross-sectional 2015 National Living Conditions Survey of Spanish residents aged 19-88 years (N = 27,215; 77% response rate). Eight intersectional positions were formed by combining dichotomous variables of gender, social class and regional development. Poisson regression was used to estimate intersectional inequalities in SRH as prevalence ratios, and the contributions of material and psychosocial factors. Results: Results showed both cumulative and heterogeneous inequalities within and across intersectional positions. Inequalities in the intersection of social class and regional development were best explained by the joint contributions of material and psychosocial factors, while gender inequalities within non-manual social class were better explained by material factors alone. Conclusions: The results illustrate the complexity of interacting inequalities in health and their underpinnings in Spain. Local and national policies taking this complexity into account are needed to broadly improve equity in health in Spain.

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Section: Introductionmentioning

confidence: 99%

Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors

Barnils

Eurenius

Gustafsson

2020

Int J Equity Health

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“…Given the elevated risk of suicide among moderate skilled-level populations, possible explanations for the risk in clerks could be job insecurity, which is related to the employee’s underused specialization skills or the high demand and low-payment imbalance [3,19]. Furthermore, this group may possibly include a higher proportion of people with severe chronic health conditions, while it is likely that clerks and office workers may have a misclassification in death certificates, compared to other occupational groups [20,21,22]. As the current study cannot suggest any causal association, in-depth studies should further examine the association of suicide risk and the job-related stressors among clerical workers in Greece.…”

Section: Discussionmentioning

confidence: 99%

Suicide Mortality Patterns in Greek Work Force before and during the Economic Crisis

Alexopoulos

Kavalidou

Messolora

2019

IJERPH

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Background: The global recession of 2007 has attracted research attention in regard to a possible increase of deaths by suicide among employed populations. The aim of the current study was to update the first Greek study on suicide mortality among broad occupational groups during 2000–2009, with the last available data covering the first period of economic crisis and recession in Greece. Methods: Data on suicide deaths for the age groups of 15–39, 40–49 and 50–59, between 2000–2013 were retrieved from the national statististical authority of Greece, ELSTAT. The coding of suicide used was X60–X84 (intentional self-harm), based on the 10th International Classification of Diseases (ICD-10). Comparative mortality ratio (CMR) and exact 95% confidence intervals (CI) are presented. Results: Males and females in the occupational group of clerks exhibited high and increased CMRs during the crisis period (2010–2013). Although high ratios for males in elementary, agricultural and fishery and armed forces occupational groups were monitored during the whole period, a decrease was evident during the crisis period. Increased trends in CMRs during the crisis were monitored for both males and females in the broad occupational group of members including managers, executives and directors. In addition, females especially in the 50–59 age group showed increased ratios and trends in several occupational groups during the crisis, especially in technologists and associate professionals, plant and machine operators and assemblers, professionals, and craft and related trade workers. Conclusions: Austerity-related stress should alert key stakeholders and provide mental health and suicide prevention interventions for employed occupations.

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“…Several studies from different European countries show that LTSA due to mental disorders is more common among women than men (Lidwall et al 2018 ; van Hoffen et al 2019 ; Halonen et al 2018 ). A Swedish register-based study (Lidwall et al 2018 ) with the entire workforce aged 16–64 ( n = 6 192,397) showed that the risk of SA due to mental disorders exceeding 14 days is highest among those aged 30–39.…”

Section: Introductionmentioning

confidence: 99%

Frequent short sickness absence, occupational health service utilisation and long-term sickness absence due to mental disorders among young employees

Harkko

Nordquist

Pietiläinen

et al. 2021

Int Arch Occup Environ Health

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Objectives We examined whether frequent short-term sickness absence (FSTSA) and primary care use in occupational health service (OHS) were associated with medically-certified long-term sickness absence (LTSA) due to mental disorders among young employees. Methods We used record-linkage data covering the young employees (< 35 years) of the City of Helsinki, Finland (n = 8,282) from 2010 to 2014. The outcome was LTSA due to mental disorders. Cox regression models were fitted. Results FSTSAs were associated with subsequent LTSA. Also OHS use predicted LTSA due to mental disorders; however, this association was not found for those with prior FSTSA. Conclusions Both FSTSA and primary care use indicate subsequent LTSA independently, and together these indicators identify a larger proportion of individuals at risk of LTSA due to mental disorders.

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Mental health by gender-specific occupational groups: Profiles, risks and dominance of predictors

Abstract: Gendered occupational status was an underlying factor explaining distinctive mental health profiles in the working population. Occupational class-dependent behavioural patterns related to mental health existed among men.

Cited by 23 publications

References 37 publications

Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors

Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors

Suicide Mortality Patterns in Greek Work Force before and during the Economic Crisis

Frequent short sickness absence, occupational health service utilisation and long-term sickness absence due to mental disorders among young employees

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