Being out of work or fearing it.
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76 to 100 of 391Hospital injury rates in relation to socioeconomic status and working conditions.
Objectives: To describe the risk of work injury by socioeconomic status (SES) in hospital workers, and to assess whether SES gradient in injury risk is explained by differences in psychosocial, ergonomic or organisational factors at work.
Methods: Workforce rosters and Occupational Safety and Health Administration injury logs for a 5-year period were obtained from two hospitals in Massachusetts. Job titles were classified into five SES strata on the basis of educational requirements and responsibilities: administrators, professionals, semiprofessionals, skilled and semiskilled workers. 13 selected psychosocial, ergonomic and organisational exposures were assigned to the hospital jobs through the national O*NET database. Rates of injury were analysed as frequency records using the Poisson regression, with job title as the unit of analysis. The risk of injury was modelled using SES alone, …
matched on Employment (mesh)
Kouvonen A, Kivimäki M, Vahtera J, Oksanen T, Elovainio M, Cox T, Virtanen M, Pentti J, Cox SJ, Wilkinson RG (2006)cohort or longitudinalMEDLINE-indexed journal, not yet read by usBMC public health118 citations Psychometric evaluation of a short measure of social capital at work.
Background: Prior studies on social capital and health have assessed social capital in residential neighbourhoods and communities, but the question whether the concept should also be applicable in workplaces has been raised. The present study reports on the psychometric properties of an 8-item measure of social capital at work.
Methods: Data were derived from the Finnish Public Sector Study (N = 48,592) collected in 2000-2002. Based on face validity, an expert unfamiliar with the data selected 8 questionnaire items from the available items for a scale of social capital. Reliability analysis included tests of internal consistency, item-total correlations, and within-unit (interrater) agreement by rwg index. The associations with theoretically related and unrelated constructs were examined to assess convergent and divergent validity (construct validity). Criterion-related validity was expl…
matched on Employment (mesh)
Influence of flexibility and variability of working hours on health and well-being.
Flexible working hours can have several meanings and can be arranged in a number of ways to suit the worker and/or employer. Two aspects of "flexible" arrangement of working hours were considered: one more subjected to company control and decision (variability) and one more connected to individual discretion and autonomy (flexibility). The aim of the study was to analyze these two dimensions in relation to health and well-being, taking into consideration the interaction with some relevant background variables related to demographics plus working and social conditions. The dataset of the Third European Survey on working conditions, conducted in 2000 and involving 21,505 workers, was used. Nineteen health disorders and four psycho-social conditions were tested by means of multiple logistic regression analysis, in which mutually adjusted odds ratios were calculated for age, gender, marital …
matched on Employment (mesh)
A psychosocial risk factor--targeted intervention for the prevention of chronic pain and disability following whiplash injury.
Background and purpose: The objective of this study was to determine whether the addition of a psychosocial intervention improved return-to-work rates beyond those associated with participation in a functional restoration physical therapy intervention. Subjects who had sustained whiplash injuries participated in the Progressive Goal Attainment Program (PGAP), which is a 10-week psychosocial intervention program that aims to increase activity involvement and minimize psychological barriers to rehabilitation progress.
Subjects and methods: A sample of 60 subjects enrolled in a functional restoration physical therapy intervention were used as a historical cohort comparison group. Subjects who received the functional restoration physical therapy intervention were compared with a sample of 70 subjects who received PGAP in addition to physical therapy.
Results: Participation in PGAP plus physi…
matched on Employment (mesh)
Kolomer SR, McCallion P (2005)cohort or longitudinalMEDLINE-indexed journal, not yet read by usInternational journal of aging & human development22 citations Depression and caregiver mastery in grandfathers caring for their grandchildren.
Kin caregiving research tends to focus on the experiences of grandmothers. Often unnoticed and underserved are grandfathers who also take on this responsibility. Here, two groups of grandfathers participated in focus group interviews to discuss their experiences as caregivers to their grandchildren. Common themes for the grandfathers were the feeling of missing freedom, experiencing child rearing differently now than they had with their own children, and fear of what would happen to the children should their health fail. Thirty-three grandfathers also answered questions about themselves; their grandchild; need, use, and satisfaction with formal services; depression; and caregiving mastery. A sample of 33 grandmothers selected from a previous study was matched to the grandfathers on age, race, and marital status. Differences in depressive symptoms between the grandfathers and grandmothers…
matched on Employment (mesh)
Psychosocial adaptation of families with children newly diagnosed with cancer in the Greek population amidst the socioeconomic crisis.
Objective: To present the initial assessment of psychosocial adaptation among Greek parents whose children were newly diagnosed with cancer amidst the turmoil of an ongoing financial crisis.
Study design: This prospective observational study used a quantitative approach.
Participants: Sixty-one parents of children with cancer treated at a large urban tertiary-care children's hospital were prospectively recruited to participate in our study during the first week of their child's diagnosis (2013-2016).
Methods: The parents were asked to complete the psychosocial assessment tool (PAT 2.0), Zung Depression Scale, State-Trait Anxiety Inventory, Hospital Anxiety and Depression Scale, and World Health Organization Quality of Life-Bref Instrument; Moreover, three female healthcare providers (the physician oncologist, the head nurse and a senior nurse) completed the relevant PAT 2.0 -Staff Percep…
matched on Economic Recession (mesh)
Mbunge E (2020)reviewMEDLINE-indexed journal, not yet read by usDiabetes & metabolic syndrome99 citations Effects of COVID-19 in South African health system and society: An explanatory study.
Background and aims: The underestimation of the severity of COVID-19 by the South African government resulted in delayed action against the pandemic. Ever since WHO declared COVID-19 a pandemic preventive action was comprehensively upgraded worldwide. This prompted South African authorities to implement physical distancing, self-isolation, closure of non-essential services, schools, travelling restrictions and recursive national lockdowns to mitigate the impact of COVID-19. This explanatory study sought to review the effects of COVID-19 in the South African health system and society.
Methods: The study applied literature research of COVID-19 reports, policies from the National Department of Health, WHO, Africa CDC, and articles from Google Scholar, Science Direct, Web of Science, Scopus and PubMed.
Results: The South African health system is affected by the lack of PPEs, increased mortal…
matched on Unemployment (mesh)
The longitudinal integrated database for health insurance and labour market studies (LISA) and its use in medical research.
Education, income, and occupation are factors known to affect health and disease. In this review we describe the Swedish Longitudinal Integrated Database for Health Insurance and Labour Market Studies (LISA, Longitudinell Integrationsdatabas för Sjukförsäkrings- och Arbetsmarknadsstudier). LISA covers the adult Swedish population aged ≥ 16 years registered on December 31 each year since 1990 (since 2010 individuals aged ≥ 15 years). The database was launched in response to rising levels of sick leave in the country. Participation in Swedish government-administered registers such as LISA is compulsory, and hence selection bias is minimized. The LISA database allows researchers to identify individuals who do not work because of injury, disease, or rehabilitation. It contains data on sick leave and disability pension based on calendar year. LISA also includes information on unemployment ben…
matched on Employment (mesh), unemployment (text)
Menopause in the workplace: What employers should be doing.
Large numbers of women transition through menopause whilst in paid employment. Symptoms associated with menopause may cause difficulties for working women, especially if untreated, yet employers are practically silent on this potentially costly issue. This review summarises existing research on the underexplored topic of menopause in the workplace, and synthesises recommendations for employers. Longstanding scholarly interest in the relationship between employment status and symptom reporting typically (but not consistently) shows that women in paid employment (and in specific occupations) report fewer and less severe symptoms than those who are unemployed. Recent studies more systematically focused on the effects of menopausal symptoms on work are typically cross-sectional self-report surveys, with a small number of qualitative studies. Though several papers established that vasomotor (…
matched on Employment (mesh), unemployment (text)
Spinal cord injury medicine. 6. Economic and societal issues in spinal cord injury.
Unlabelled: This self-directed learning module presents a variety of social and economic issues facing people with spinal cord injury (SCI). It is part of the study guide on SCI medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article focuses on the economic consequences of SCI, ethical issues in SCI, and the legislative efforts that have improved access and quality of life for people with disabilities. Costs of SCI include direct health care expenditures and lost earnings as a result of unemployment after SCI. Lifelong costs can be anticipated with the development of a comprehensive life care plan. Barriers to vocational reintegration continue to limit full participation for most people with SCI. Ethical issues central to SCI are related to the principles of autonomy and justice. As cure research beco…
matched on Employment (mesh), unemployment (text)
Social stigma is an underestimated contributing factor to unemployment in people with mental illness or mental health issues: position paper and future directions.
Background: As yet, little is known about the effects of mental health stigma on sustainable employment. This is surprising, as mental health stigma is common, and because people with severe and common mental disorders are 7 and 3 times more likely to be unemployed, respectively, than people with no disorders. As the global lifetime prevalence of mental disorders is 29%, the high unemployment rates of people with these health problems constitute an important and urgent public health inequality problem that needs to be addressed.
Main text: The aim of this position paper is to illustrate the assumption that stigma contributes to the unemployment of people with mental illness and mental health issues with evidence from recent scientific studies on four problem areas, and to provide directions for future research. These four problem areas indicate that: (1) employers and line managers hold …
matched on Unemployment (mesh), job loss (text), unemployment (text), Employment (keyword)
Alcohol use in Australia during the early days of the COVID-19 pandemic: Initial results from the COLLATE project.
Aim: The effects of social isolation measures used to control the spread of COVID-19 are negatively impacting the mental health of many. One of the consequences of exposure to disasters/pandemics is an increase in alcohol use. The current study aimed to examine what predisposing (distal) and pandemic-related (proximal) factors were associated with increased drinking in the wake of the COVID-19 pandemic.
Methods: On 1 April 2020, 5158 Australians completed a survey from the COvid-19 and you: mentaL heaLth in AusTralia now survEy (COLLATE) project, a nationwide study aimed at tracking key mental health concerns. Using logistic regression, distal (demographics and previous drinking behaviors) and proximal (employment, lifestyle factors, and mood) factors were assessed for their association with increased drinking since the onset of the COVID-19 pandemic.
Results: Distal factors, including h…
matched on Unemployment (mesh), Employment (mesh), job loss (text)
Wells A, Previtera M, Markey M, Brunst KJ, Rao M, Adkins EA, Wu T, Rodner J, Bhattacharya A (2025)reviewMEDLINE-indexed journal, not yet read by usWork (Reading, Mass.) Work as a social determinant of health on cardiovascular and musculoskeletal diseases: A literature review.
BackgroundWork, a social determinant of health (SDOH) can both affect and be affected by health. ObjectiveTo examine literature related to work as a SDOH on cardiovascular and musculoskeletal disease among U.S. workers. MethodsA literature review was conducted. All studies investigating work-related SDOH on the following cardiovascular (stroke, hypertension) and musculoskeletal disease (arm and leg limbs, pain). Epigenetic influences were also evaluated, as it relates to these diseases. ResultsThe core concept of "work" as a SDOH on cardiovascular and musculoskeletal disease has yielded the "bio-ecological work" model, comprised of four main levels of influence: Work Environment, Interpersonal, Psychological, and Intrapersonal. The Work Environmental dimension includes: The health effects of unemployment and job insecurity, the impact of shift work schedules on health, balance between wo…
matched on job insecurity (text), unemployment (text)
[Effects of unemployment on financial hardship and mental health].
The fiscal austerity measures enacted in Greece due to the recent financial crisis resulted in a reduction of household incomes, a rise of unemployment and consequently poverty, eroding social cohesion fabric and health status of the population. The purpose of this study was to investigate the effects of economic hardship and the socio-demographic profile of the unemployed population on their level of mental health. A cross sectional study was conducted in the Employment Promotion Centers (KPA2) of the Manpower Employment Organization (OAED) in Attica. The study population was defined as the unemployed people who were registered in the OAED and visit the KPA2 in the region of Attica. The final sample consisted of 830 unemployed. The data were collected from June 2016 to September 2017. The questionnaires used were the Index of Personal Economic Distress and the Center for Epidemiologic S…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
Employment status is related to sleep problems in adults with autism spectrum disorder and no comorbid intellectual impairment.
Both sleep problems and unemployment are common in adults with autism spectrum disorder; however, little research has explored this relationship in this population. This study aimed to explore factors that may be associated with the presence of an International Classification of Sleep Disorders-Third Edition defined sleep disorder in adults with autism spectrum disorder (IQ > 80). A total of 36 adults with autism spectrum disorder and 36 controls were included in the study. Participants completed a 14-day actigraphy assessment and questionnaire battery. Overall, 20 adults with autism spectrum disorder met the International Classification of Sleep Disorders-Third Edition criteria for insomnia and/or a circadian rhythm sleep-wake disorder, while only 4 controls met criteria for these disorders. Adults with autism spectrum disorder and an International Classification of Sleep Disorders-Thir…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
The role of financial hardship, mastery and social support in the association between employment status and depression: results from an Australian longitudinal cohort study.
Objective: There is robust epidemiological and clinical evidence of the harmful effects of unemployment on psychological well-being, but the mechanisms through which this occurs is still strongly debated. In addition, there is even less evidence on the impact of underemployment on mental health. Using longitudinal data collected from a cohort of 20-24 years old, the present study examines a range of employed states and investigates the role of mastery, financial hardship and social support in the relationship between labour status and depression.
Method: Responses were from the Personality and Total Health (PATH) Through Life Project: A representative, community-based survey conducted in Canberra and Queanbeyan (NSW) in Australia, where respondents (n=2404) in their early twenties were followed for 8 years. Depression was measured using the self-report Goldberg Depression Scale, with the…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
Precarious employment is a risk factor for poor mental health in young individuals in Sweden: a cohort study with multiple follow-ups.
Background: The globalisation of the economy and the labour markets has resulted in a growing proportion of individuals who find themselves in a precarious labour market situation, especially among the young. This pertains also to the Nordic countries, despite their characterisation as well developed welfare states with active labour market policies. This should be viewed against the background of a number of studies, which have shown that several aspects of precarious employment are detrimental to mental health. However, longitudinal studies from the Nordic region that examine the impact of precarious labour market conditions on mental health in young individuals are currently lacking. The present study aims to examine this impact in a general cohort of Swedish young people.
Methods: Postal questionnaires were sent out in 1999/2000 to a stratified random sample of the Scania population,…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
The American Academy of Clinical Neuropsychology, National Academy of Neuropsychology, and Society for Clinical Neuropsychology (APA Division 40) 2015 TCN Professional Practice and 'Salary Survey': Professional Practices, Beliefs, and Incomes of U.S. Neuropsychologists.
Objective: The current survey updated professional practice and income information pertaining to clinical neuropsychology.
Methods: Doctoral-level members of the American Academy of Clinical Neuropsychology, Division 40 (Clinical Neuropsychology) of the American Psychological Association, and the National Academy of Neuropsychology and other neuropsychologists, as well as postdoctoral trainees in the Association of Postdoctoral Programs in Clinical Neuropsychology and at other training sites were invited to participate in a web-based survey in early 2015. The sample of 1777 respondents, of whom 1579 were doctoral-level practitioners and 198 were postdoctoral trainees, was larger than the prior 2010 income and practice survey.
Results: The substantial proportional change in gender has continued, with women now a clear majority in the postdoctoral trainee sample as well as in the practitio…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
Employment precariousness and poor mental health: evidence from Spain on a new social determinant of health.
Background: Evidence on the health-damaging effects of precarious employment is limited by the use of one-dimensional approaches focused on employment instability. This study assesses the association between precarious employment and poor mental health using the multidimensional Employment Precariousness Scale.
Methods: Cross-sectional study of 5679 temporary and permanent workers from the population-based Psychosocial Factors Survey was carried out in 2004-2005 in Spain. Poor mental health was defined as SF-36 mental health scores below the 25th percentile of the Spanish reference for each respondent's sex and age. Prevalence proportion ratios (PPRs) of poor mental health across quintiles of employment precariousness (reference: 1st quintile) were calculated with log-binomial regressions, separately for women and men.
Results: Crude PPRs showed a gradient association with poor mental he…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
Komolafe MA, Sunmonu TA, Afolabi OT, Komolafe EO, Fabusiwa FO, Groce N, Kett M, Disu JO, Ajiboye JK, Olaniyan SO (2012)MEDLINE-indexed journal, not yet read by usEpilepsy & behavior : E&B29 citations The social and economic impacts of epilepsy on women in Nigeria.
Background: Persons with epilepsy in sub-Saharan Africa experience stigma and social marginalization. There is paucity of data on the social and economic impacts of epilepsy in these patients and in particular, groups like women. We sought to determine the social and economic impacts of epilepsy on Nigerian women and especially how it affects their treatment and outcomes.
Methods: We carried out a cross-sectional survey of 63 women with epilepsy (WWE) and 69 controls matched for age, social status and site of care. A structured questionnaire was used to document information on demographic characteristics, education, employment status, economic status, health care use, personal safety and perceived stigma. The data were collated and analyzed with SPSS version 15.
Results: Unemployment, fewer years of formal education, lower marriage rates and higher stigma scores were more frequent among …
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
Marriage, employment, and health insurance in adult survivors of childhood cancer.
Introduction: Adult survivors of childhood cancer are at risk for disease- and therapy-related morbidity, which can adversely impact marriage and employment status, the ability to obtain health insurance, and access to health care. Our aim was to identify factors associated with survivors' attainment of these outcomes.
Methods: We surveyed 1,437 childhood cancer survivors who were >18 years old and >10 years past diagnosis. We compared our cohort's data to normative data in the Medical Expenditure Panel Survey and the U.S. Census Bureau's Current Population Surveys. Respondents were stratified by hematologic malignancies, central nervous system tumors, or other solid tumors and by whether they had received radiation therapy.
Results: Most respondents were survivors of hematologic malignancies (71%), white (91%), and working full-time (62%); 43% were married. Compared with age- and sex-ad…
matched on Unemployment (mesh), Employment (mesh), unemployment (text)
The impact of unemployment on mental health examined in a community mental health unit during the recent financial crisis in Greece.
Financial crisis has significant impact on the mental health of the population, resulting in increasing incidence of mental disorders and suicides. Specific social and financial factors mediate the effects of financial crisis on mental health, such as poverty, financial difficulties and unemployment. During the recent international financial crisis, studies in many countries have shown that the worsening of various mental health indicators was related to financial difficulties and unemployment. In Greece, which is one of the countries that experienced intense and prolonged economic and social burden due to the recent crisis, the epidemiological findings were similar and the increase of the prevalence of major depression and suicide was excessive. However, the information about the mental health of the population deriving from health services is limited. The aim of this study was to inves…
matched on Unemployment (mesh), Economic Recession (mesh), unemployment (text)
Influence maternal background has on children's mental health.
Background: In this paper, we aim to discern how a mother's health and her socioeconomic determinants may influence her children's mental health. In addition to this, we also evaluate the influence of other household characteristics and whether or not the economic downturn has heightened the effect a parent's social gradient has on their children's mental health.
Methods: We use samples comprised of 4-14-year-old minors from the 2006 Spanish National Health Survey (SNHS), undertaken prior to the crisis, and the 2011 SNHS, carried out during the crisis. The participating children's mental health is assessed using the Strengths and Difficulties Questionnaire (SDQ). Mixed models are used to evaluate the influence a mother's health and her socioeconomic status may have on her children's mental health. We also add interactions to observe the effect specific socioeconomic determinants may have…
matched on Unemployment (mesh), Economic Recession (mesh), unemployment (text)
Mental health, duration of unemployment, and coping strategy: a cross-sectional study of unemployed migrant workers in eastern China during the economic crisis.
Background: 20 million migrant workers in China lost their jobs during the economic crisis of 2008. Both urban migration and unemployment have long been documented to be associated with vulnerability to mental problems. This study aims to examine the mental health of unemployed migrant workers in Eastern China and its relation to duration of unemployment and coping strategy during the recent economic crisis.
Methods: The data were collected through interview-based survey with a sample of 210 unemployed migrant workers in Zhejiang Province of China from 2008 to 2009. Symptom Checklist-90-Revised, Coping Strategies Questionnaire, and seven short demographic questions were used.
Results: The majority of the unemployed migrant workers were found to be young male manufacturing industry workers with short-term unemployment and a relatively low education level. Nearly 50% of unemployed migrant …
matched on Unemployment (mesh), Economic Recession (mesh), unemployment (text)
Common mental disorders, unemployment and welfare benefits in England.
Objectives: Individuals who are out of work have a higher rate of common mental disorders (CMD) than individuals who are employed. People who are unemployed in the UK are entitled to welfare benefits to alleviate financial strain. This study examined rates of CMD in individuals who were employed, unemployed and receiving various UK benefits. It also investigated associations between duration of unemployment, gender and CMD.
Study design: An analysis of 5090 working-age participants from the Adult Psychiatric Morbidity Survey 2007, a stratified probability sample survey conducted among adults aged 16 years and over living in private households in England.
Methods: CMD was assessed using the Clinical Interview Schedule (Revised). Information was gathered on sociodemographics, employment, income, benefits and debt. Data were analysed using logistic regression.
Results: Risk of CMD was signi…
matched on Unemployment (mesh), job loss (text), unemployment (text)