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Andersen NK, Smith CL, Gao CX, Filia K, Simmons M, Chinnery G, Killackey E, Thompson A, Brown E. Vocational functioning in young people accessing services for first-episode psychosis and ultra-high risk of psychosis: A longitudinal naturalistic cohort study. Aust N Z J Psychiatry 2024; 58:875-884. [PMID: 39075845 PMCID: PMC11420578 DOI: 10.1177/00048674241261778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/31/2024]
Abstract
AIMS Young people with first-episode psychosis (FEP) or at ultra-high risk (UHR) of psychosis often have lower vocational engagement than their peers. This study examines the effect of treatment in early intervention for psychosis services in Australia on engagement in education and employment. METHODS This is a naturalistic sample of young people aged 12-25 with FEP (n = 1574) and UHR (n = 1515), accessing treatment in the headspace Early Psychosis (hEP) programme. Engagement in education and employment was assessed at baseline and every 90 days in treatment. Mixed effects logistic regression were used to analyse changes over time. RESULTS On entering the hEP programme, approximately 49% of the young people with FEP and 28% of the young people at UHR status identified as Not in Education, Employment or Training (NEET). The odds of being NEET were reduced by 27% (95% confidence interval = [14, 39]) for every 6 months treatment for the FEP group, but no change in NEET status was observed in the UHR group. In both groups, absence from daily activities was significantly reduced during time in treatment. CONCLUSION While there are methodological challenges analysing real-world non-control group cohort data, the findings indicate positive effects of the hEP programme on vocational and daily activity engagement for young people with FEP and at UHR status. A large proportion of the young people still identified as NEET after receiving treatment services, suggesting further refinement to ensure targeted and consistent vocational support throughout care.
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Affiliation(s)
- Naja Kirstine Andersen
- Child and Adolescent Mental Health Center, Copenhagen University Hospital – Mental Health Services CPH, Copenhagen, Denmark
| | - Catherine L Smith
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | - Caroline X Gao
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | - Kate Filia
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | - Magenta Simmons
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | | | - Eoin Killackey
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | - Andrew Thompson
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
- Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK
| | - Ellie Brown
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
- ARC Centre of Excellence for Children and Families over the Life Course, Sydney, NSW, Australia
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Heanoy EZ, Brown NR. Impact of Natural Disasters on Mental Health: Evidence and Implications. Healthcare (Basel) 2024; 12:1812. [PMID: 39337153 PMCID: PMC11430943 DOI: 10.3390/healthcare12181812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2024] [Revised: 09/06/2024] [Accepted: 09/07/2024] [Indexed: 09/30/2024] Open
Abstract
Natural disasters are large-scale catastrophic events, and they are increasing in frequency and severity. Converging evidence indicates that the mental health consequences of disasters are extensive and are often associated with trauma and the disruption of personal and socioeconomic factors in people's lives. Although most individuals experiencing disaster-related traumatic events do not develop mental illnesses, some experience adverse psychological effects of disasters. These mental health effects begin immediately following a disaster and may persist for extended periods. In this article, we summarize the literature findings to provide a narrative review that focuses on the mental health consequences of natural disasters. An overview of the disaster mental health research field is provided, and the findings are ordered into theoretical frameworks. Then, the development and course of psychopathology regarding disaster aftermath are described in a methodological context. Next, understanding a disaster as an event of transition is highlighted, and the impact of this disaster-specific transition is discussed. Lastly, a potential relationship between the transitional impact of a disaster and mental health consequences is speculated on, and the implications are discussed. The impact of disasters on mental health can be direct or indirect, short-term or long-term, and to some extent depends on the recovery process of the affected community. Also, we propose the possible merits of using the Transitional Impact Scale in the context of disaster mental health research by assessing the features of disaster-related transition and its effects on mental health. We conclude by suggesting a direction for future research in terms of measuring the disaster mental health effects in community settings (affected vs. non-affected) and also considering cross-cultural and cross-regional differences. In recent decades, a large amount of knowledge has been gathered from disaster mental health research, but, still, more research is needed to resolve some irregular findings through refining the methodological variations.
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Affiliation(s)
- Eamin Z. Heanoy
- Department of Psychology, University of Alberta, Edmonton, AB T6G 2E9, Canada;
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Lee S, Kang W. A meta-narrative review of research traditions on hidden workers in aging population for transdisciplinary implementation research. Front Public Health 2024; 12:1415770. [PMID: 38993702 PMCID: PMC11238214 DOI: 10.3389/fpubh.2024.1415770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 06/05/2024] [Indexed: 07/13/2024] Open
Abstract
Hidden workers are defined as the three vulnerable subgroups of workers: the underemployed, the unemployed, and the discouraged workers. Hidden workers indeed the group with multiple identities; a transitioning retiree, jobseeker, caring for some, who may also have long term health conditions and ethnic minority all at the same time. Designing an intervention for this group necessitates the transdisciplinary knowledge. Transdisciplinary knowledge is crucial because it can inform how the intersectoral challenges might be addressed in interventions, and how the intersectoral implementation design and evaluation on hidden workers might be designed. This paper maps the intellectual landscape of the hidden workers in aging population literature to identify key disciplinary research clusters; and to find out how those research clusters are investigating hidden workers. With the meta-narrative review methodology on studies retrieved from the Web of Science Core Collection, five research clusters were identified: (1) public health approaches to hidden workers, (2) welfare state and aging workforce, (3) older jobseekers, (4) life course perspective, (5) retirement transitions. Each research cluster focuses on different aspects of hidden workers, with varying research questions and rationales. These include conceptualising the determinants of the hidden workers in aging populations and the complex interrelation with public health. Furthermore, we suggest an analytical framework to allow for better understanding between the research traditions based on (1) the chosen socioecological level of analysis, (2) whether the research question is on the determinant for hidden workers or on the outcome of being hidden and (3) the chronosystem (early/middle/later life) timeframe of research question that is addressed. Through this study, we can identify the main issues faced by hidden workers among the older adults and the measures to address these issues as well as opening up a possibility for cross-sectoral policy responses.
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Affiliation(s)
- Sora Lee
- Department of Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Woojin Kang
- Department of Economics, Hanbat National University, Daejeon, Republic of Korea
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Korman BA. Does LSD confer lasting psychological resilience? an investigation of naturalistic users experiencing job loss. PLoS One 2024; 19:e0304991. [PMID: 38900707 PMCID: PMC11189191 DOI: 10.1371/journal.pone.0304991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 05/17/2024] [Indexed: 06/22/2024] Open
Abstract
Recent studies on classic psychedelics have suggested that their use is associated with psychological strengths and resilience, thereby conferring users a type of psychological protection relative to non-users. However, this idea has been brought into question by recent findings suggesting that lifetime users of lysergic acid diethylamide (LSD) report worse mental health during stressful experiences. The current study addresses these mixed findings by examining whether LSD use prior to a stressful experience buffers against the psychological distress experienced in the wake of the stressful experience. This study draws on openly-available data from the National Survey on Drug Use and Health (2008-2019) on 5,067,553 (weighted) unemployed, job seeking individuals experiencing job loss. Using purposeful respondent exclusion criteria to establish temporal precedence of the variables under investigation, this study offers a straightforward test of whether LSD use confers psychological resilience to naturalistic users. LSD use prior to job loss was associated with a higher likelihood of severe psychological distress following job loss, regardless of whether sociodemographic variables were controlled for or not. In sum, this study fails to find evidence for LSD-conferred psychological resilience in naturalistic users in the wake of a stressful experience.
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Affiliation(s)
- Benjamin A. Korman
- Chair of Organizational Behavior, University of Konstanz, Konstanz, Germany
- Cluster of Excellence “The Politics of Inequality”, University of Konstanz, Konstanz, Germany
- Department of Competencies, Personality, Learning Environments, Leibniz Institute for Educational Trajectories, Bamberg, Germany
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Meller FDO, Quadra MR, Santos LPD, Dumith SC, Eugenio FD, Silva TJD, Mendes JVS, Schäfer AA. Association between job lost and mental health outcomes during the COVID-19 pandemic and the role of food insecurity as mediator of this relationship. CAD SAUDE PUBLICA 2024; 40:e00110523. [PMID: 38896594 PMCID: PMC11178371 DOI: 10.1590/0102-311xen110523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 02/06/2024] [Accepted: 02/08/2024] [Indexed: 06/21/2024] Open
Abstract
This study aimed to evaluate the association between employment status and mental health, considering food insecurity as a mediator of this relation. A cross-sectional population-based study was conducted with adults (≥ 18 and < 60 years) during the COVID-19 outbreak in two cities from Southern Brazil. Employment status was categorized into working, not working, and lost job. The mental health outcomes evaluated were depressive symptoms, perceived stress, and sadness. Food insecurity was identified by the short-form version of the Brazilian Food Insecurity Scale. Adjusted analyses using Poisson regression were performed to assess the association between employment status and mental health. Mediation analysis was performed to investigate the direct and indirect effects of employment status on mental health outcomes. In total, 1,492 adults were analyzed. The not working status was associated with 53% and 74% higher odds of perceived stress and of sadness, respectively. Being dismissed during the pandemic increased the odds of depressive symptoms, perceived stress, and sadness by 68%, 123%, and 128%, respectively. Mediation analyses showed that food insecurity was an important mediator of the association between employment status and depressive symptoms and sadness, but not of perceived stress. The complexity of these results highlights economic and nutritional aspects involved in mental health outcomes.
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Högberg B, Baranowska-Rataj A. Effects of parental job loss on psychotropic drug use in children: Long-term effects, timing, and cumulative exposure. ADVANCES IN LIFE COURSE RESEARCH 2024; 60:100607. [PMID: 38569249 DOI: 10.1016/j.alcr.2024.100607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 01/26/2024] [Accepted: 02/23/2024] [Indexed: 04/05/2024]
Abstract
Intra-family crossover effects triggered by job losses have received growing attention across scientific disciplines, but existing research has reached discrepant conclusions concerning if, and if so how, parental job losses affect child mental health. Drawing on sociological models of stress and life course epidemiology, we ask if parental job losses have long-term effects on child mental health, and if these effects are conditional on the timing of, or the cumulative exposure to, job losses. We use intergenerationally linked Swedish register data combined with entropy balance and structural nested mean models for the analyses. The data allow us to track 400,000 children over 14 years and thereby test different life-course models of cross-over effects. We identify involuntary job losses using information on workplace closures, thus reducing the risk of confounding. Results show that paternal but not maternal job loss significantly increases the risk of psychotropic drug use among children, that the average effects are modest in size (less than 4% in relative terms), that they may persist for up to five years, and that they are driven by children aged 6-10 years. Moreover, cumulative exposure to multiple job losses are more harmful than zero or one job loss.
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Affiliation(s)
- Björn Högberg
- Department of Social Work, Umeå University, and Centre for Demographic and Ageing Research, Umeå University, Sweden.
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7
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Loi S, Li P, Myrskylä M. At the Intersection of Adverse Life Course Pathways: The Effects on Health by Migration Status. Demography 2024; 61:665-686. [PMID: 38861667 DOI: 10.1215/00703370-11314758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2024]
Abstract
Adverse life events are major causes of declining health and well-being, but the effects vary across subpopulations. We analyze how the intersection of migration status and sex relates to two main adverse life events-job loss and divorce-thereby affecting individual health and well-being trajectories. Using data from the German Socio-Economic Panel (1984-2017), we apply descriptive techniques and individual fixed-effects regressions to analyze how job loss and divorce influence the health of immigrants and nonimmigrants. Our results support the hypothesis that immigrants suffer more from adverse life events than nonimmigrants in both the short and the long run. Relative to nonimmigrants, immigrants have a health advantage at younger ages, which becomes a disadvantage at older ages, and this faster decline at older ages is particularly steep among immigrants who experience adverse life events. These results help explain the vanishing health advantage of immigrants by showing that they are exposed to a double disadvantage over the life course: immigrants are more likely than nonimmigrants to suffer from adverse life events, such as job loss, and these events typically have a larger impact on their health. Our findings are the first to provide evidence regarding the consequences of different adverse life events and how they relate to the intersection of migration status and sex. Moreover, our results highlight the importance of intersectional analyses in research on immigrant health.
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Affiliation(s)
- Silvia Loi
- Max Planck Institute for Demographic Research, Rostock, Germany
| | - Peng Li
- Max Planck Institute for Demographic Research, Rostock, Germany; Max Planck-University of Helsinki Center for Social Inequalities in Population Health, Rostock, Germany/Helsinki, Finland
| | - Mikko Myrskylä
- Max Planck Institute for Demographic Research, Rostock, Germany; Helsinki Institute for Demography and Population Health, University of Helsinki, Helsinki, Finland; Max Planck-University of Helsinki Center for Social Inequalities in Population Health, Rostock, Germany/Helsinki, Finland
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8
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Sundaram-Stukel R, Kesebir P, Vidaver R, Davidson RJ. COVID-19 and worker mental distress. J Public Health (Oxf) 2024; 46:250-255. [PMID: 38515314 PMCID: PMC11141598 DOI: 10.1093/pubmed/fdae032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 01/25/2024] [Accepted: 02/22/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND This analysis posits that COVID-19-related worker mental distress may be different for those continuously employed and for those who faced temporary job loss. METHODS Mental distress during COVID-19 is characterized using two nationally representative surveys, the American Trend Panel (ATP) and the Household Pulse Survey (HPS). Using a probit model, we examine workplace perceptions for the mentally distressed in the ATP sample. We use graphical analysis to identify barriers to seeking mental healthcare using the 2021-22 HPS sample. RESULTS In October 2020, the probability of mental distress increased between 7.1 and 9.1 percentage points in response to worsening work-life balance, lowered job security, lowered work productivity and lowered work satisfaction. Workers' perception of advancement denial and poor connectivity with coworkers increased the probability of mental distress by 3.0-5.8 percentage points. In October 2021, over 40% of workers who had experienced job loss reported mental distress as compared to 20% of those with jobs. Only 25% of those with mental distress sought counseling. These high levels of mental distress continued into October 2022. CONCLUSIONS Mitigation strategies for worker mental health should include prosocial nudges, attention to employment history, managerial sensitivity and worker resilience training.
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Affiliation(s)
- Reka Sundaram-Stukel
- Department of Economics, University of Wisconsin-Madison, 7415 Social Sciences, Madison, WI 53703, USA
| | - Pelin Kesebir
- Center for Healthy Minds, University of Wisconsin, 325 West Washington Street, Madison, WI 53703, USA
| | - Regina Vidaver
- Chronic Disease Prevention & Cancer Control, Wisconsin State Department of Health Services–Division of Public Health, 1 West Wilson St. Rm 218, Madison, WI 53703, USA
| | - Richard J Davidson
- Center for Healthy Minds, 325 West Washington Street, Madison, WI 53703, USA
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Lowenstein C. "Deaths of despair" over the business cycle: New estimates from a shift-share instrumental variables approach. ECONOMICS AND HUMAN BIOLOGY 2024; 53:101374. [PMID: 38518546 PMCID: PMC11060774 DOI: 10.1016/j.ehb.2024.101374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 01/31/2024] [Accepted: 03/10/2024] [Indexed: 03/24/2024]
Abstract
This study presents new evidence of the effects of short-term economic fluctuations on suicide, fatal drug overdose, and alcohol-related mortality among working-age adults in the United States from 2003-2017. Using a shift-share instrumental variables approach, I find that a one percentage point increase in the aggregate employment rate decreases current-year non-drug suicides by 1.7 percent. These protective effects are concentrated among working-age men and likely reflect a combination of individual labor market experiences as well as the indirect effects of local economic growth. I find no consistent evidence that short-term business cycle changes affect drug or alcohol-related mortality. While the estimated protective effects are small relative to secular increases in suicide in recent decades, these findings are suggestive of important, short-term economic factors affecting specific causes of death and should be considered alongside the longer-term and multifaceted social, economic, and cultural determinants of America's "despair" epidemic.
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Affiliation(s)
- Christopher Lowenstein
- University of California, Berkeley School of Public Health, Division of Health Policy and Management, 2121 Berkeley Way, Room 5302, Berkeley, CA 94720, United States.
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Al-Amin NS, McBryde-Redzovic A, Gutierrez-Kapheim M, Mitchell UA. COVID-Related Stressors and Psychological Distress Among Chicago Residents: the Moderating Role of Race. J Racial Ethn Health Disparities 2024; 11:598-610. [PMID: 36877378 PMCID: PMC9987389 DOI: 10.1007/s40615-023-01544-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 01/31/2023] [Accepted: 02/16/2023] [Indexed: 03/07/2023]
Abstract
BACKGROUND Racial and ethnic minorities have been disproportionately affected by the COVID-19 pandemic and have experienced greater financial loss, housing instability, and food insecurity due to COVID-related restrictions. As a result, Black and Hispanic communities may be at greater risk of experiencing psychological distress (PD). METHODS Using data collected between October 2020 and January 2021from 906 Black (39%), White (50%), and Hispanic (11%) adults, we assessed racial/ethnic differences in the effect of three COVID-related stressors-employment stress, housing instability, and food insecurity-on PD using ordinary least square regression. RESULTS Black adults reported lower PD levels compared to White adults (β = - 0.23, P < 0.001), but Hispanic adults did not differ significantly from White adults. COVID-related housing instability (β = 0.46, P < 0.001), food insecurity (β = 0.27, P < 0.001), and employment stress (β = 0.29, P < 0.001) were associated with higher PD. Employment stress was the only stressor to differentially affect PD by race/ethnicity. Among those that reported employment stress, Black adults had lower levels of distress compared to Whites (β = - 0.54, P < 0.001) and Hispanics (β = - 0.04, P = 0.85). CONCLUSION Despite relatively high exposure to COVID-related stressors, Black respondents had lower levels of PD compared to Whites and Hispanics which may reflect differences in race-specific coping mechanisms. Future research is needed to elucidate the nuances of these relationships and identify policies and interventions that prevent and minimize the impact of employment, food, and housing-related stressors and support coping mechanisms that promote mental health among minority populations, such as policies that support easier access to mental health and financial and housing assistance.
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Affiliation(s)
- Nadia S Al-Amin
- School of Public Health, Community Health Sciences Division, University of Illinois at Chicago, Chicago, IL, USA.
| | - Aminah McBryde-Redzovic
- School of Public Health, Community Health Sciences Division, University of Illinois at Chicago, Chicago, IL, USA
| | - Melissa Gutierrez-Kapheim
- School of Public Health, Community Health Sciences Division, University of Illinois at Chicago, Chicago, IL, USA
| | - Uchechi A Mitchell
- School of Public Health, Community Health Sciences Division, University of Illinois at Chicago, Chicago, IL, USA
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Spring A, Gillespie BJ, Mulder CH. Internal migration following adverse life events: Assessing the likelihood of return migration and migration toward family. POPULATION, SPACE AND PLACE 2024; 30:e2711. [PMID: 38699176 PMCID: PMC11065435 DOI: 10.1002/psp.2711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 09/01/2023] [Indexed: 05/05/2024]
Abstract
There are well-documented associations between life course changes and migration; yet, the occurrence, order, and timing of reasons for migrating are growing increasingly diverse. Migration following adverse life events, such as a divorce or an involuntary job loss, may be qualitatively distinct from migration undertaken for other reasons. Moves, especially long-distance moves, following adverse life events, may be defined more by seeking family and familiar locations. Moreover, a heightened probability of migration may occur not only immediately after an adverse life event but also in the years after. We explore these questions in the US context with longitudinal data from the 1983 to 2019 waves of the Panel Study of Income Dynamics, which provides information on residential locations, locations of family members, and adverse life events for individuals over time. We focus on five specific events: divorce, the death of a spouse, involuntary job loss, the onset of a chronic physical health condition, and the onset of a chronic mental health condition. Using multivariate regression, we find that divorce and job loss induce long-distance moves, especially return moves and moves towards family. Chronic physical conditions deter moving in general but increase the chances of return moves (after a period of time) and moves towards family. These results have implications for understanding migration as a response to adverse life events, both immediately and over time.
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Affiliation(s)
- Amy Spring
- Department of Sociology, Georgia State University, Atlanta, Georgia, USA
| | - Brian Joseph Gillespie
- Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands
| | - Clara H. Mulder
- Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands
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12
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van Eersel JHW, Hulshof IL, Wickham MI, Smid GE, Boelen PA. Pre-job loss grief reactions and work attachment among sick-listed employees: Introduction of the imminent Job Loss Scale. BMC Psychol 2024; 12:118. [PMID: 38431615 PMCID: PMC10909267 DOI: 10.1186/s40359-024-01626-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 02/26/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND With this study, we aimed to explore the emotional experiences of sick-listed employees facing imminent job loss, as this emotional distress may hinder successful job search outcomes. The study had two objectives: (1) to develop and validate the Imminent Job Loss Scale (IJLS) for assessing pre-job loss grief reactions and (2) to examine its relationship to work attachment. METHODS Development of the 9-item IJLS was carried out using feedback from an expert panel, consisting of five academic experts in grief and labour, five re-integration specialists, and five sick-listed employees facing imminent job loss. The psychometric properties of the IJLS were evaluated, and its association with work attachment was examined using data from 200 sick-listed employees facing imminent job loss. RESULTS The IJLS demonstrated strong internal consistency and temporal stability, distinctiveness from depression and anxiety symptoms, and solid convergent validity. Work-centrality and organizational commitment were positively related to pre-job loss grief reactions, while work engagement and calling showed no significant associations. CONCLUSION This study provides valuable insights into pre-job loss grief reactions and shows the potential utility of the IJLS for screening and monitoring purposes. Understanding pre-job loss grief reactions can improve the re-integration and job prospects of sick-listed employees. In future research, explorations of these dynamics should continue to provide better support to sick-listed employees during this challenging period.
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Affiliation(s)
- Janske H W van Eersel
- Department Human Resource Studies, Tilburg University, Tilburg, Postbus 90153, 5000, The Netherlands.
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
| | - Inge L Hulshof
- Department of Work and Organizational Psychology, Open University, Heerlen, The Netherlands
| | - Miriam I Wickham
- ZINZIZ, Utrecht, The Netherlands
- Department of Social, Health and Organisational Psychology, Utrecht University, Utrecht, The Netherlands
| | - Geert E Smid
- University of Humanistic Studies, Utrecht, The Netherlands
- ARQ National Psychotrauma Centre, Diemen, The Netherlands
| | - Paul A Boelen
- Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands
- ARQ National Psychotrauma Centre, Diemen, The Netherlands
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Sanchez Rico M, Plessz M, Airagnes G, Wiernik E, Hoertel N, Goldberg M, Zins M, Meneton P. Lifetime exposure to unemployment and prior working conditions are associated with retiree's health: A retrospective study in a large population-based French cohort. Soc Sci Med 2024; 341:116550. [PMID: 38160610 DOI: 10.1016/j.socscimed.2023.116550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 12/05/2023] [Accepted: 12/21/2023] [Indexed: 01/03/2024]
Abstract
It is unclear whether unemployment exposure, as well as working conditions, can have sustained effects on the health of retirees who are no longer exposed. The aim of the present study is to investigate this issue in 29,281 French retirees from the CONSTANCES cohort in whom the prevalence of suboptimal self-rated health, disability for routine tasks, cardiovascular diseases and cancers is assessed according to lifetime exposure to unemployment and prior working conditions. The analyses are performed retrospectively using multivariable logistic regression models with adjustment for potential confounders such as sex, birth year, parental histories of cardiovascular disease and cancer, social position, retirement age and duration. High lifetime exposure to unemployment is associated with an increased prevalence of suboptimal self-rated health (adjusted odds ratio (95% CI), 1.39 (1.23-1.57)), disability for routine tasks (1.41 (1.26-1.57)) and several cardiovascular diseases including stroke (1.66 (1.19-2.31)), myocardial infarction (1.65 (1.18-2.31)) and peripheral arterial disease (2.38 (1.46-3.90)). Bad prior working conditions are associated with an increased prevalence of disability for routine tasks (1.17 (1.04-1.33)) and cancers (1.27 (1.04-1.54)), notably prostate cancer (1.60 (1.01-2.64)). These findings suggest that unemployment and working conditions have long-term health effects that may cumulate over lifetime, emphasizing that risk evaluation and preventive strategies in retirees, as in workers, should take into account the life-course of individuals in addition to traditional risk factors.
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Affiliation(s)
- Marina Sanchez Rico
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France
| | - Marie Plessz
- Centre Maurice Halbwachs, INRAE, EHESS, ENS-PSL, CNRS, Paris, France
| | - Guillaume Airagnes
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital européen Georges-Pompidou, Paris, France; Université Paris Cité, Faculté de Médecine, Paris, France
| | - Emmanuel Wiernik
- Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Nicolas Hoertel
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; Université Paris Cité, Faculté de Médecine, Paris, France; UMR_1266, INSERM, Paris, France
| | - Marcel Goldberg
- Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Marie Zins
- Université Paris Cité, Faculté de Médecine, Paris, France; Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Pierre Meneton
- UMR_1142 INSERM, Sorbonne Université, Université Paris 13, Paris, France.
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14
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Cmar JL, Antonelli K. Systematic Adaptation of the JOBS Program for Use with Adults with Visual Impairments. NEW RE:VIEW (ALEXANDRIA, VA.) 2024; 2:42-57. [PMID: 39308495 PMCID: PMC11414833 DOI: 10.56733/tnr.23.0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/25/2024]
Abstract
Introduction The purpose of this study was to use a systematic process to adapt the JOBS program, an evidence-based job search intervention, for use with unemployed adults with visual impairments and implementation via videoconferencing. Method The Planned Adaptation approach, an established framework for adapting evidence-based practices, guided the adaptations. The four-step Planned Adaptation process comprised examining the program's theory of change, identifying population differences, adapting the program content, and adapting the evaluation strategy. Results The original JOBS program has five key components, two critical causal mechanisms, and several potential moderators. Differences between the original and new target populations include needs, experiences, and employment barriers. Adaptations included activity changes, new processes to enhance outcomes, and changes to the implementation procedures. The evaluation plan for the adapted program includes a pilot study to test the updated activities, processes, and procedures, followed by an efficacy study to assess outcomes. Discussion The JOBS program was a strong candidate for systematic adaptation due to its theoretical foundation, thorough documentation, and established active ingredients. Stakeholder input increased the relevance and feasibility of the adaptations. Future research is needed to evaluate the adapted program and its outcomes. Application for Practitioners After completion of the evaluation plan, the new JOBS adaptation will be available for practitioners to use with adults with visual impairments. Practitioners may find the Planned Adaptation approach useful for adapting other programs to better meet the needs of the population they serve.
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Affiliation(s)
- Jennifer L Cmar
- The National Research and Training Center on Blindness and Low Vision, Mississippi State University
| | - Karla Antonelli
- The National Research and Training Center on Blindness and Low Vision, Mississippi State University
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15
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Stevenson BJ, Calixte RM, Peckham AD, Degeis M, Teravainen TS, Chamberlin ES, Mueller L. Preventing job loss and functional decline: Description and demonstration of the Veterans Health Administration supported Employment: Engage and Keep (SEEK) program. Psychol Serv 2023:2024-23610-001. [PMID: 37956056 PMCID: PMC11089479 DOI: 10.1037/ser0000809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
The high incidence of untreated mental health concerns among veterans can harm other areas of life, including employment. Loss of employment can lead to other adverse outcomes, such as financial instability, functional decline, and increased risk for suicide. Current Veterans Health Administration (VHA) vocational services are limited in that they primarily serve veterans who are unemployed and already enrolled in VHA. There is a need to prevent job loss among veterans who are struggling with mental health and vocational concerns and are not accessing VHA services, thus decreasing the risk of suicide and more costly interventions. Consistent with the existing national VHA initiatives on increasing access to health care and preventing suicide, a novel work-based intervention, Supported Employment: Engage and Keep (SEEK), was created. Building on the supported employment framework, SEEK assertively outreaches to already employed veterans by collaborating with workplaces that employ veterans. SEEK providers build rapport with employers and veterans and become a trusted VHA resource. SEEK engages veterans, facilitates enrollment in needed health care, and provides needed job maintenance support. This article outlines the SEEK model and provides a case demonstration and analysis of the course of SEEK care provided to a veteran at risk of losing their job. Clinical recommendations for implementing SEEK and future directions for evaluating this model are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Brian J Stevenson
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
| | - Rachelle M Calixte
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
| | - Andrew D Peckham
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
| | - Michael Degeis
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
| | - Taina S Teravainen
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
| | | | - Lisa Mueller
- VA Bedford Healthcare System, Edith Nourse Rogers Memorial Veterans Hospital
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16
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Di Nallo A, Köksal S. Job loss during pregnancy and the risk of miscarriage and stillbirth. Hum Reprod 2023; 38:2259-2266. [PMID: 37758648 PMCID: PMC10628490 DOI: 10.1093/humrep/dead183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 08/25/2023] [Indexed: 09/29/2023] Open
Abstract
STUDY QUESTION Does the exposure to job loss during pregnancy increase the risk of miscarriage or stillbirth? SUMMARY ANSWER The experience of own or partner's job loss during the pregnancy is associated with an increased risk of miscarriageand stillbirth. WHAT IS KNOWN ALREADY Prior research on the psycho-social aspect of pregnancy loss has investigated the contextual and the individual-level stressors. At the contextual level, natural disasters, air pollution, and economic downturns are associated with higher risk of pregnancy loss. At the individual level, intense working schedules and financial strain are linked with increased risk of pregnancy loss both at early and later stages of the gestation. STUDY DESIGN, SIZE, DURATION This work draws on high-quality individual data of 'Understanding Society', a longitudinal survey that has interviewed a representative sample of households living in the UK annually since 2009. Approximately 40 000 households were recruited. The analyses use all the available survey waves (1-12, 2009-2022). PARTICIPANTS/MATERIALS, SETTING, METHODS The final sample consisted of 8142 pregnancy episodes that contain complete informationon pregnancy outcome and date of conception. Ongoing pregnancies at the time of the interview were excluded from the final sample. The outcome variable indicated whether a pregnancy resulted in a live birth or a pregnancy loss whereas the exposure variable identified the women's or their partner's job loss because of redundancy or a dismissal. Logistic regression models were employed to estimate the relation between job loss during pregnancy and pregnancy loss. The models were adjusted for an array of socio-demographic and economic characteristics following a stepwise approach. Several sensitivity analyses complemented the main findings. MAIN RESULTS AND THE ROLE OF CHANCE Baseline models controlling for women's demographic background and prior experience of miscarriage estimated an increased risk of pregnancy loss when women were exposed to their own or their partner's job loss during their pregnancy (odds ratio (OR) = 1.99, 95% CI: 1.32, 2.99). When the models were adjusted for all socio-economic and partnership-related covariates the association remained robust (OR = 1.81, 95% CI: 1.20, 2.73). LIMITATIONS, REASONS FOR CAUTION First, the pregnancy outcome and the date of conception were self-reported and may besubjected to recall and social desirability bias. Second, although we adjusted for an array socio-demographic characteristics and self-reported health, other contextual factors might be correlated with both job loss and pregnancy loss. Third, owing to the limited sample size, we could not assess if the main finding holds across different socio-economic strata. WIDER IMPLICATIONS OF THE FINDINGS By showing that exposure to a job loss during pregnancy increases the risk of miscarriage and stillbirth, we underline the relevance of pregnancy loss as a preventable public health matter. This result also calls for policy designthat enhances labour market protection and social security buffers for pregnant women and their partners. STUDY FUNDING/COMPETING INTERESTS The authors received the following financial support for the research, authorship, and/or publication of this article: H2020 Excellent Science, H2020 European Research Council, Grant/Award Number: 694262 (project DisCont-Discontinuities in Household and Family Formation) and the Economic and Social Research Centre on Micro-Social Change (MiSoC). There are no conflicts of interest to declare.
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Affiliation(s)
- Alessandro Di Nallo
- Dondena Centre for Research on Social Dynamics and Public Policy, Bocconi University, Milan, Italy
| | - Selin Köksal
- Institute for Social and Economic Research, University of Essex, Colchester, UK
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17
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Qian Y, Fan W. The Early 2020 COVID-19 Outbreak in China and Subsequent Flourishing: Medium-Term Effects and Intervening Mechanisms. SOCIETY AND MENTAL HEALTH 2023; 13:208-226. [PMID: 37927358 PMCID: PMC10620064 DOI: 10.1177/21568693221131819] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
In early 2020, a COVID-19 outbreak occurred in Hubei Province of China. Exploiting the geographic concentration of China's COVID-19 cases in Hubei (the initial epicenter), we compare Hubei and non-Hubei residents to examine the medium-term effect of exposure to the COVID-19 outbreak on mental well-being. We examine flourishing-a comprehensive assessment of well-being that is not merely the absence of mental illness-and investigate a broad set of psychosocial and economic mediators that may link initial outbreak exposure to subsequent flourishing. We use ordinary least squares regression models to analyze national panel data collected in early 2020 and late 2021 (N = 3,169). Results show that flourishing scores remain lower for Hubei than non-Hubei residents almost two years following the early 2020 COVID-19 outbreak. Mediation analysis reveals that Hubei residents' lower incidences of job promotion and lower sense of control are the two most important mediators accounting for their lower flourishing relative to non-Hubei residents. Combined, this study provides the first evidence of the medium-term psychological vulnerability borne by individuals who lived in the initial epicenter of the COVID-19 pandemic. Findings on the intervening mechanisms shed light on the policy initiatives needed for post-pandemic mental well-being recovery in China and other countries.
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Affiliation(s)
- Yue Qian
- The University of British Columbia, Vancouver, BC, Canada
| | - Wen Fan
- Boston College, Chestnut Hill, MA, USA
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18
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Jensen SS. The timing of parental unemployment and children's academic achievement. ADVANCES IN LIFE COURSE RESEARCH 2023; 57:100557. [PMID: 38054858 DOI: 10.1016/j.alcr.2023.100557] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 05/25/2023] [Accepted: 06/01/2023] [Indexed: 12/07/2023]
Abstract
In this study, I investigate the potential impact of parental unemployment on the academic achievement of children, with a particular focus on the child's age at the time of parental unemployment. While previous research has concentrated on isolated occurrences of unemployment, my study expands on this literature by examining the complete employment history of the parent over the child's life course and exploring how the effects of unemployment may vary based on similar past experiences. To achieve this, I combine population-wide data from the Danish administrative register with the results of mandatory Danish language tests administered in public schools since 2010 to determine whether parental unemployment affects academic performance at ages nine and fifteen. Using inverse probability treatment weighting of marginal structural models, I account for non-random unemployment occurrences and time-variant confounders that may partially mediate the effects of unemployment. My findings demonstrate that parental unemployment can have both persistent and immediate negative effects on children's academic achievement. Although no age period clearly emerges as especially sensitive to the impact of unemployment, the proximity of the unemployment event to the outcome measurement consistently results in a small negative effect on academic achievement. Additionally, the timing of unemployment appears to affect children's academic performance differently based on whether the mother or father experienced unemployment.
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Affiliation(s)
- Simon Skovgaard Jensen
- Aarhus University, Danish School of Education, Jens Chr. Skous Vej 4, 8000 Aarhus C, Denmark.
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19
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Brewer K, Waring JJC, Noble B, Bradley D, Olurotimi O, Fronheiser J, Sifat MS, Ehlke SJ, K Boozary L, McQuoid J, Kendzor DE, Alexander AC. Pandemic-Related Stress May Be Associated with Symptoms of Poor Mental Health Among African Americans. J Racial Ethn Health Disparities 2023; 10:2028-2038. [PMID: 35953609 PMCID: PMC9371371 DOI: 10.1007/s40615-022-01383-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 07/26/2022] [Accepted: 07/29/2022] [Indexed: 12/02/2022]
Abstract
The COVID-19 pandemic has disproportionately affected African Americans and has been a significant source of stress for this population due to increased economic hardship and social isolation. This study characterized the associations between COVID-19 vulnerability (e.g., contracting the illness or losing a loved one), pandemic-related stress, and symptoms of poor mental health among African Americans. The study sample included African Americans (N = 304) who responded to an online survey. Symptoms of poor mental health were assessed using the PHQ-4, which assessed symptoms of depression and anxiety. Vulnerability to COVID-19 was measured via self-report in three ways: (1) personal vulnerability, (2) family vulnerability, and (3) community vulnerability (i.e., friends, neighbors, and co-workers). Pandemic-related stress was measured by asking participants to rate how difficult it has been to access essential resources and services, manage finances, and plan or attend social events since March 13, 2020. Data were analyzed using multivariable logistic regression. Results showed that COVID-19 vulnerability was not associated with symptoms of depression or anxiety, but pandemic-related stress was consistently associated with symptoms of poor mental health. Study findings highlight the need to monitor and intervene on pandemic-related stress to prevent further psychological distress within this vulnerable and underserved population.
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Affiliation(s)
- Khandis Brewer
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Joseph J C Waring
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Bishop Noble
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - David Bradley
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Oluwakemi Olurotimi
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Jack Fronheiser
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Munjireen S Sifat
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Sarah J Ehlke
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Laili K Boozary
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Department of Psychology, The University of Oklahoma, Norman, OK, USA
| | - Julia McQuoid
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Darla E Kendzor
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
- Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Adam C Alexander
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
- Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
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20
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Sanchez Rico M, Plessz M, Airagnes G, Ribet C, Hoertel N, Goldberg M, Zins M, Meneton P. Distinct cardiovascular and cancer burdens associated with social position, work environment and unemployment: a cross-sectional and retrospective study in a large population-based French cohort. BMJ Open 2023; 13:e074835. [PMID: 37524560 PMCID: PMC10391792 DOI: 10.1136/bmjopen-2023-074835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/02/2023] Open
Abstract
OBJECTIVES Distinguish the respective effects of social position, work environment and unemployment on cardiovascular and cancer risks. DESIGN A cross-sectional and retrospective observational study. SETTING A population-based French cohort (CONSTANCES). PARTICIPANTS 130 197 adults enrolled between 2012 and 2021 without missing values. PRIMARY OUTCOME MEASURES The associations of social position, work environment and unemployment exposure with the prevalence of cardiovascular events and cancers simultaneously tested using logistic regression models adjusting for common risk factors. RESULTS While social position, work environment and unemployment exposure are strongly inter-related with each other, they are not linked to the same cardiovascular and cancer outcomes. Low social position and long unemployment duration are significantly associated with an increased prevalence of angina pectoris, myocardial infarction and peripheral arterial disease (OR=1.22 to 1.90, p<0.04 to p<0.0001) but not of stroke. In contrast, a bad work environment is associated with an increased prevalence of stroke (OR=1.29, p<0.01) but not of angina pectoris, myocardial infarction and peripheral arterial disease. Low social position is associated with an increased prevalence of cervical and lung cancers (OR=1.73 and 1.95, p<0.002 and p<0.03) and a decreased prevalence of skin cancer (OR=0.70, p<0.0001) while a bad work environment is associated with an increased prevalence of breast, skin, prostate and colon cancers (OR=1.31 to 2.91, p<0.0002 to p<0.0001). Unemployment exposure is not associated with the prevalence of any type of cancers. CONCLUSIONS Social position, work environment and unemployment are associated with distinct cardiovascular and cancerous diseases that could add up during lifetime, they should therefore be considered all together in any preventive strategy.
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Affiliation(s)
- Marina Sanchez Rico
- DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, AP-HP, Issy-les-Moulineaux, France
| | - Marie Plessz
- Centre Maurice Halbwachs, EHESS, ENS-PSL, CNRS, INRAE, Paris, France
| | - Guillaume Airagnes
- DMU Psychiatrie et Addictologie, Hôpital européen Georges-Pompidou, AP-HP, Paris, France
| | - Céline Ribet
- UMS_011, Université Paris-Saclay, INSERM, Villejuif, France
| | - Nicolas Hoertel
- DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, AP-HP, Issy-les-Moulineaux, France
| | | | - Marie Zins
- UMS_011, Université Paris-Saclay, INSERM, Villejuif, France
| | - Pierre Meneton
- UMR_1142, Sorbonne Université, Université Paris 13, INSERM, Paris, France
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21
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Sanchez Rico M, Plessz M, Airagnes G, Ribet C, Hoertel N, Goldberg M, Zins M, Meneton P. Cardiovascular burden and unemployment: A retrospective study in a large population-based French cohort. PLoS One 2023; 18:e0288747. [PMID: 37459323 PMCID: PMC10351739 DOI: 10.1371/journal.pone.0288747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 06/23/2023] [Indexed: 07/20/2023] Open
Abstract
The specific effect of unemployment on cardiovascular health relatively to the effects of social position and work environment is still unclear. To clarify this effect, the associations between current or past unemployment and the prevalence of common cardiovascular risk factor and events were tested using multiple logistic regression models with adjustment for both social position and prior work environment. The analyses were performed in a population-based French cohort (CONSTANCES) that included 131,186 adults enrolled between 2012 and 2021. Participants who were unemployed at inclusion (n = 8278) were overexposed to non-moderate alcohol consumption, smoking, leisure-time physical inactivity and depression (odds ratios (ORs) from 1.19 to 1.58) whereas those who have been unemployed at least once in the past (n = 19,015) were additionally overexposed not only to the previous risk factors but also to obesity, diabetes and sleep disorders (ORs from 1.10 to 1.35). These latter were also more exposed to non-fatal myocardial infarction and peripheral arterial disease (ORs of 1.44 and 1.47 respectively), overexposures that persisted after further adjustment for cardiovascular risk factors (ORs of 1.36 and 1.33). The overexposures to risk factors and cardiovascular events were both dependent on the duration of past unemployment. They were equally observed in participants with low social position or bad work environment. These results suggest that unemployment increases cardiovascular risk independently from social position and work environment with a cumulative effect over time. The effect of unemployment could add up to those of low social position and bad work environment during lifetime to further increase cardiovascular risk. They also suggest that long-term unemployment increases the prevalence of cardiovascular events through pathways including but not limited to overexposure to common risk factors.
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Affiliation(s)
- Marina Sanchez Rico
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France
| | - Marie Plessz
- Centre Maurice Halbwachs, INRAE, EHESS, ENS-PSL, CNRS, Paris, France
| | - Guillaume Airagnes
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Européen Georges-Pompidou, Paris, France
- Université Paris Cité, Faculté de Médecine, Paris, France
| | - Céline Ribet
- UMS_011, INSERM, Université Paris-Saclay, Villejuif, France
| | - Nicolas Hoertel
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France
- Université Paris Cité, Faculté de Médecine, Paris, France
- UMR_1266, INSERM, Paris, France
| | | | - Marie Zins
- Université Paris Cité, Faculté de Médecine, Paris, France
- UMS_011, INSERM, Université Paris-Saclay, Villejuif, France
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22
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Barbuscia A, Pailhé A, Solaz A. Do Income and Employment Uncertainty Affect Couple Stability? Evidence for France During the COVID-19 Pandemic. EUROPEAN JOURNAL OF POPULATION = REVUE EUROPEENNE DE DEMOGRAPHIE 2023; 39:19. [PMID: 37395827 PMCID: PMC10317946 DOI: 10.1007/s10680-023-09665-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 04/23/2023] [Indexed: 07/04/2023]
Abstract
Economic uncertainty and family dynamics are strictly connected. The increasing uncertainty generated by the Covid-19 pandemic is thus likely to affect couple relationships and stability, with potential opposite effects. Using data from the nationally representative EPICOV survey, that followed individuals throughout the first year of pandemic in France, we examined separation rates and how these were associated with different measures of employment and income uncertainty, including both pre-pandemic conditions and changes occurred during and after the first lockdown in Spring 2020 in France. Our results show increased rates of separation, especially among younger people, during the 6 months after the first lockdown, and a return to rates more similar to those observed in usual times, afterwards. Individuals who were unemployed and had lower income before the beginning of the pandemic were more likely to separate soon after the lockdown, while changes in employment conditions due to the lockdown were not linked with a higher separation risk. The job protection and the income compensation provided by the French state, as well a less stigmatising effect of unemployment occurred during the covid crisis, may explain the absence of effect. Self-declared deterioration in financial condition, especially when declared by men, was associated with higher separation risk for the whole year of observation.
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Affiliation(s)
| | - Ariane Pailhé
- Institut national d'études démographiques (INED), Aubervilliers, France
| | - Anne Solaz
- Institut national d'études démographiques (INED), Aubervilliers, France
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23
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Prati G, Mancini AD. Happiness before and during the COVID-19 pandemic in Italy: A population-based longitudinal study. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 91:103711. [PMID: 37123218 PMCID: PMC10122958 DOI: 10.1016/j.ijdrr.2023.103711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 03/08/2023] [Accepted: 04/20/2023] [Indexed: 05/03/2023]
Abstract
The aims of the present study were to investigate (1) whether the COVID-19 pandemic and the restrictive measures to control its spread were associated with changes in happiness before and after the pandemic and (2) whether household size, living with a partner/spouse, living with at least one son/daughter, financial support, income loss, and job loss following the pandemic were associated with happiness after controlling for previous levels of happiness. We use data from the Italian Survey on Household Income and Wealth (SHIW). Specifically, we used longitudinal data from 2283 respondents who participated in the SHIW 2016 and SHIW 2020. Results revealed a small but significant increase in happiness from 2016 to 2021. In addition, living with a partner/spouse predicted higher happiness with a medium effect size, and total income loss predicted lower happiness with a small to medium effect size. Household size, living with at least one son/daughter, financial support, partial income loss, and job loss following the pandemic were unrelated to happiness.
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Affiliation(s)
- Gabriele Prati
- Department of Psychology, University of Bologna (Italy), Piazza Aldo Moro, 90, 47521, Cesena, FC, Italy
| | - Anthony D Mancini
- Department of Psychology, Pace University, Marks Hall, Rm 33, 861 Bedford Road, Pleasantville, NY, 10570, USA
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24
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Grajzl P, Srhoj S, Cepec J, Mörec B. A by-product of big government: the attenuating role of public procurement for the effectiveness of grants-based entrepreneurship policy. SMALL BUSINESS ECONOMICS 2023; 62:1-22. [PMID: 38625138 PMCID: PMC10227805 DOI: 10.1007/s11187-023-00788-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/10/2023] [Indexed: 04/17/2024]
Abstract
We study the contextual role of public procurement for the effectiveness of grants-based entrepreneurship policy. Drawing on the resource-based view of the firm, we argue that partaking in procurement can erode grant effectiveness by relaxing a firm's preexisting financial constraints and diverting managerial attention away from market-centered resource configurations. To test our hypothesis, we use detailed firm-level data from Slovenia and combine matching with difference-in-differences. When firms are not involved in procurement, all investigated types of grants meet the intended policy goals, apart from productivity growth. In contrast, when firms participate in procurement, small-business grants exhibit generally weaker effects, R&D grants fail to have any impact, and employment grants lastingly reduce firm productivity. Given that public procurement occupies a large footprint in many economies, our analysis highlights an unintended adverse by-product of big government and underscores the limits of state capitalism. Supplementary Information The online version contains supplementary material available at 10.1007/s11187-023-00788-w.
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Affiliation(s)
- Peter Grajzl
- Department of Economics, The Williams School of Commerce, Economics, and Politics, Washington and Lee University, Lexington, VA 24450 USA
- CESifo, Munich, Germany
| | - Stjepan Srhoj
- Department of Economics, Faculty of Economics, Business and Tourism, University of Split, 21000 Split, Croatia
| | - Jaka Cepec
- Faculty of Economics, University of Ljubljana, 1000 Ljubljana, Slovenia
| | - Barbara Mörec
- Faculty of Economics, University of Ljubljana, 1000 Ljubljana, Slovenia
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25
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Bogliacino F, Codagnone C, Folkvord F, Lupiáñez-Villanueva F. The impact of labour market shocks on mental health: evidence from the Covid-19 first wave. ECONOMIA POLITICA (BOLOGNA, ITALY) 2023; 40:1-32. [PMID: 37361479 PMCID: PMC10213601 DOI: 10.1007/s40888-023-00304-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 05/15/2023] [Indexed: 06/28/2023]
Abstract
In this study, we estimate the effect of a negative labour market shock on individuals' levels of stress, anxiety, and depression. We use a dataset collected during the first wave of the Covid-19 pandemic, on a representative sample of citizens from Italy, Spain, and the United Kingdom, interviewed on three occasions. We measure stress, anxiety and depression and labour shocks using validated scales. Our research design is a standard difference-in-differences model: we leverage the differential timing of shocks to identify the impact on mental health. In our estimations, a negative labour shock increases the measure of stress, anxiety, and depression by 16% of a standard deviation computed from the baseline.
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Affiliation(s)
- Francesco Bogliacino
- Dipartimento di Scienze Economiche, Università Degli Studi Di Bergamo, Bergamo, Italy
| | - Cristiano Codagnone
- Dipartimento di Scienze Sociali e Politiche, Università Degli Studi Di Milano, Milan, Italy
| | - Frans Folkvord
- Tillburg School of Humanities and Digital Sciences, Tilburg University, Tilburg, The Netherlands
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Weissman JD, Russell D, Taylor J. The Relationship Between Financial Stressors, Chronic Pain, and High-Impact Chronic Pain: Findings From the 2019 National Health Interview Survey. Public Health Rep 2023; 138:438-446. [PMID: 35506496 PMCID: PMC10240893 DOI: 10.1177/00333549221091786] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES Public health interventions to prevent financial stressors and reduce chronic pain and high-impact chronic pain (HICP) are important to potentially improve the health of the US population. The objectives of our study were to provide an update on the prevalence of chronic pain and HICP and to examine relationships between financial stressors and pain. METHODS We used data from a cross-sectional sample of adults aged ≥18 years (n = 31 997) collected by the 2019 National Health Interview Survey. We constructed bivariate and multivariate models to examine chronic pain and HICP in relation to financial worries, employment with wages, income, sociodemographic characteristics, number of chronic health conditions, and body mass index. RESULTS In fully adjusted multivariate regression models, having no employment with wages was strongly associated with increased risk for chronic pain (adjusted odds ratio [aOR] = 1.3; 95% CI, 1.2-1.5) and HICP (aOR = 1.6; 95% CI, 1.4-1.9). Worries about paying medical bills was associated with chronic pain (aOR = 1.1; 95% CI, 1.0-1.2) and HICP (aOR = 1.1; 95% CI, 1.0-1.3). Being unable to pay medical bills was associated with chronic pain (aOR = 2.1; 95% CI, 1.9-2.3) and HICP (aOR = 2.3; 95% CI, 2.0-2.6). Compared with having more income, having less income relative to the federal poverty level was associated with increased risk for chronic pain and HICP. CONCLUSIONS We found a strong relationship between financial worries, employment for wages, income, and self-reported chronic pain and HICP independent of poor physical health and body mass index. Interventions to reduce chronic pain and HICP should address economic instability and financial stressors.
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Affiliation(s)
- Judith D. Weissman
- Department of Epidemiology, School of Global Public Health, New York University, New York, NY, USA
| | - David Russell
- Department of Sociology, Appalachian State University, Boone, NC, USA
| | - John Taylor
- Department of Sociology, Florida State University, Tallahassee, FL, USA
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Miao Q, Dunn S, Wen SW, Lougheed J, Yang P, Davies M, Venegas CL, Walker M. Association between maternal marginalization and infants born with congenital heart disease in Ontario Canada. BMC Public Health 2023; 23:790. [PMID: 37118769 PMCID: PMC10142402 DOI: 10.1186/s12889-023-15660-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 04/11/2023] [Indexed: 04/30/2023] Open
Abstract
BACKGROUND This study aims to evaluate the impact of socioeconomic status (SES) on the risk of congenital heart disease (CHD) since previous studies have yielded inconsistent results. METHODS We conducted a population-based retrospective cohort study, including all singleton live and still births in Ontario hospitals from April 1, 2012, to March 31, 2018. We used linked records from the Better Outcomes Registry & Network Information System, the Canadian Institute for Health Information databases, and the Ontario Marginalization Index (ON_Marg). ON_Marg was estimated at a dissemination area level using Canadian Census 2016 data and categorized into quintiles. Multivariable logistic regression models were performed to examine the relationships between four ON_Marg indices (material deprivation, dependency, ethnic concentration, residential instability), as proxies for maternal SES and the risk of infant CHD. We adjusted for maternal age at birth, assisted reproductive technology, obesity, pre-existing health conditions, substance use during pregnancy, mental health conditions before and during pregnancy, rural residence, and infant's sex in the analysis. RESULTS Among the cohort of 776,799 singletons, 9,359 infants had a diagnosis of CHD. Of those, 3,069 were severe CHD and 493 cases were single ventricle CHD. The prevalence of all infant CHD types was higher for males relative to females. Compared to mothers living in neighbourhoods with the lowest material deprivation, mothers with highest material deprivation had a 27% (adjusted OR = 1.27; 95% CI: 1.18-1.37) higher odds of having an infant diagnosed with CHD. Mothers living in neighbourhoods with the highest minority ethnic and immigrant concentration tend to have infants with 11% lower odds of CHD (adjusted OR = 0.89; 95% CI: 0.82-0.97) as compared to those living in the least ethnically diverse communities. Maternal dependency and residential stability quintiles were not significantly associated with the risk of CHD. CONCLUSION Higher maternal material deprivation was associated with increasing odds of infant CHD, whereas neighbourhood minority ethnic concentration was inversely associated with the odds of infant CHD. Our study further confirms that poverty is associated with CHD development. Future investigations might focus on the causal pathways between social deprivation, immigrant status, ethnicity, and the risk of infant CHD.
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Affiliation(s)
- Qun Miao
- Better Outcomes Registry & Network (BORN) Ontario, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
- Department of Public Health Sciences, Queen's University, Kingston, ON, Canada.
| | - Sandra Dunn
- Better Outcomes Registry & Network (BORN) Ontario, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- School of Nursing, University of Ottawa, Ottawa, ON, Canada
| | - Shi Wu Wen
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Obstetrics & Gynecology, University of Ottawa, Ottawa, ON, Canada
| | - Jane Lougheed
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
| | - Phoebe Yang
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Public Health Sciences, Queen's University, Kingston, ON, Canada
| | - Michael Davies
- Adelaide Medical School, Faculty of Health and Medical Sciences, the Robinson Research Institute at the University of Adelaide, Adelaide, South Australia, 5005, Australia
| | - Carolina Lavin Venegas
- Better Outcomes Registry & Network (BORN) Ontario, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Mark Walker
- Better Outcomes Registry & Network (BORN) Ontario, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
- Department of Obstetrics & Gynecology, University of Ottawa, Ottawa, ON, Canada
- International and Global Health Office, University of Ottawa, Ottawa, ON, Canada
- Department of Obstetrics, The Ottawa Hospital, Gynecology & Newborn Care, Ottawa, ON, Canada
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Reich SM, Dahlin M, Tulagan N, Kerlow M, Cabrera N, Piroutek MJ, Heyming T. Caregivers' Experiences During the COVID-19 Pandemic and Their Children's Behavior. JOURNAL OF FAMILY ISSUES 2023; 44:1093-1112. [PMID: 36941899 PMCID: PMC10009501 DOI: 10.1177/0192513x211055511] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has financial and emotional impacts on families. We explored how caregivers' financial strain and mental health are associated with changes in their young children's behavior during the pandemic. We additionally considered whether having a sense of purpose moderated these associations. Caregivers (n = 300) in the emergency department of a children's hospital were surveyed anonymously about changes to their employment (e.g., reduced/increased hours and job loss), ability to pay for expenses and whether their child's behavior had changed. Aligned with the Family Stress Model, caregivers' financial strain was associated with poor mental health, inconsistent sleep routines, and changes in children's problematic and prosocial behaviors. A sense of purpose buffered some of these relationships. Families are differently affected by the pandemic and our findings underscore the need for supporting caregivers' mental health and connecting them with resources.
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Affiliation(s)
| | - Melissa Dahlin
- UCI School of Education, University of California, Irvine, CA, USA
| | - Nestor Tulagan
- UCI School of Education, University of California, Irvine, CA, USA
| | | | | | | | - Theodore Heyming
- CHOC Children’s Hospital of Orange County, Orange, CA, USA
- Department of Emergency Medicine, University of California, Irvine, CA, USA
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Parra LA, Spahr CM, Goldbach JT, Bray BC, Kipke MD, Slavich GM. Greater lifetime stressor exposure is associated with poorer mental health among sexual minority people of color. J Clin Psychol 2023; 79:1130-1155. [PMID: 36459589 PMCID: PMC10010942 DOI: 10.1002/jclp.23463] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 07/25/2022] [Accepted: 11/04/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND Research has shown that sexual minority people of color experience pervasive and sometimes severe life stressors that increase their risk of experiencing mental health problems, and that can contribute to lifelong health disparities. However, no studies in this population have investigated stressor exposure occurring over the entire lifespan. Moreover, it remains unknown whether these stressor-health effects differ based on the timing or types of stressors experienced. PURPOSE The purpose of this study is to examine how cumulative lifetime stressor exposure is associated with mental health among Black, Latinx, and biracial Black-Latinx sexual minority persons. METHOD Participants were 285 ethnic/racial minority young adults (Mage = 25.18 years old, SD = 1.94, age range = 19-29 years), who completed the Stress and Adversity Inventory for Adults to assess for retrospective reports of lifetime stressor count and severity. The Brief Symptom Inventory was used to assess participants' symptoms of anxiety, depression, and somatization, which were the main outcomes. Most participants identified as cisgender male (94.7%) and gay (74.2%), with the remaining participants identifying as transgender or genderqueer/nonbinary for gender and bisexual/pansexual, queer, or another sexual orientation. RESULTS Multiple regression analyses indicated that experiencing more-and more severe-stressors across the lifespan was related to greater anxiety, depressive, and somatization symptoms. These effects were robust while controlling for race/ethnicity, sexual orientation, education, and employment status, and they differed based on stressor exposure timing, type, primary life domain, and core social-psychological characteristic. CONCLUSION Greater cumulative lifetime stressor exposure is related to poorer mental health among sexual minority people of color. Screening for lifetime stressors may thus help identify at-risk persons and provide an opportunity to intervene to help mitigate or prevent mental health disparities in multiply stigmatized adults.
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Affiliation(s)
- Luis A. Parra
- School of Nursing, University of Michigan, Ann Arbor, MI USA
| | - Chandler M. Spahr
- Department of Psychology, University of California, Riverside, CA, USA
| | | | - Bethany C. Bray
- Institute for Health Research and Policy, University of Illinois Chicago, Chicago, IL, USA
| | - Michele D. Kipke
- Children’s Hospital Los Angeles, Los Angeles, CA, USA
- Departments of Pediatrics and Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - George M. Slavich
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA
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Testa A, Gimeno Ruiz de Porras D. The association of employment status and unwanted job loss with maternal oral health experiences: findings from the pregnancy risk assessment monitoring system. BMC Oral Health 2023; 23:168. [PMID: 36964511 PMCID: PMC10039498 DOI: 10.1186/s12903-023-02869-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/08/2023] [Indexed: 03/26/2023] Open
Abstract
BACKGROUND Oral health is an essential component of a healthy pregnancy. While most women work full-time while pregnant, research has overlooked the impact of occupational status and job loss on oral health experiences during pregnancy. To examine the impact of employment status and job loss on oral health experiences during pregnancy in the United States. DATA Data are from eight sites (Georgia, Massachusetts, Minnesota, Missouri, North Carolina, New York State, New York City, and Wisconsin) of the Pregnancy Risk Assessment Monitoring System (PRAMS) for the years 2016-2020 (n = 31,362). Multiple logistic regression is used to assess the relationship between occupational status (including employment status and unwanted job loss) during pregnancy and oral health. FINDINGS Women who experienced an unwanted job loss in the prenatal period were at elevated risk of not having dental insurance, not receiving a dental cleaning during pregnancy, having an oral health problem, and having unmet dental care needs. CONCLUSION Experiencing unwanted job loss around the time of pregnancy is an important life event that corresponds to worse oral health experiences. There is a need for greater focus on adverse life events, such as job loss, especially during pregnancy, as a mechanism for oral health issues and challenges with proper access to dental health systems.
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Affiliation(s)
- Alexander Testa
- Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, 7411 John Smith Drive, Suite 1100, San Antonio, TX, 78229, USA.
| | - David Gimeno Ruiz de Porras
- Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA
- Center for Research in Occupational Health, Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
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Jones SE, Hertz MF, DeGue SA, Merlo CL, Piepenbrink RP, Le VD, Dittus PJ, Houston AL, Thornton JE, Ethier KA. Family Economics and Mental Health Among High-School Students During COVID-19. Am J Prev Med 2023; 64:414-422. [PMID: 36400599 PMCID: PMC9595376 DOI: 10.1016/j.amepre.2022.09.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 08/05/2022] [Accepted: 09/13/2022] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The COVID-19 pandemic has had unprecedented socioeconomic and health impacts in the U.S. This study examined racial/ethnic and school poverty status differences in the relationship between parent job loss, experiences with hunger, and indicators of mental health problems among public high-school students nationwide during the COVID-19 pandemic. METHODS The study analyzed data from the Adolescent Behaviors and Experiences Survey, conducted in January-June 2021. The Adolescent Behaviors and Experiences Survey was a 1-time, cross-sectional, online survey that used a stratified, 3-stage cluster sample to obtain a nationally representative sample of high-school students in the U.S. This study was limited to public-school students (n=7,379). RESULTS Among public high-school students nationwide, 36.9% experienced poor mental health during the pandemic, and during the past year, 43.9% experienced persistent feelings of sadness or hopelessness, 19.8% seriously considered attempting suicide, and 9.1% attempted suicide. Parent job loss and having gone hungry were associated with indicators of mental health problems overall and across racial/ethnic groups and school poverty status levels. CONCLUSIONS Students who experience parent job loss and hunger are likely to also experience poor mental health and may be at higher risk for suicide.
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Affiliation(s)
- Sherry Everett Jones
- Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
| | - Marci F Hertz
- Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Sarah A DeGue
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Caitlin L Merlo
- Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Rumour P Piepenbrink
- Oak Ridge Institute for Science and Education Fellow, Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Vi D Le
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Patricia J Dittus
- Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Aaron L Houston
- Oak Ridge Institute for Science and Education Fellow, Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Jemekia E Thornton
- Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Kathleen A Ethier
- Division of Adolescent and School Health, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
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Asfaw A. Association between reasons for not working and reporting of major depression and anxiety symptoms among U.S. adult population during the COVID-19 pandemic. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2023; 38:293-320. [PMID: 37608841 PMCID: PMC10440807 DOI: 10.1080/15555240.2023.2181178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 02/05/2023] [Indexed: 02/27/2023]
Abstract
COVID-19 continues to take a large toll on the mental health of the not working population, particularly of those who were unable to work. This study, using the Household Pulse Survey, estimated the association between reasons for not working and major depression and anxiety symptoms (MDAS). The lowest MDAS was reported by retirees. Individuals who were unable to work because of transportation problems, layoffs, COVID-19 concerns, and sickness or disability reported the highest MDAS. Mediation analysis showed that the direct and indirect effects of reasons for not working were much higher for those individuals who were unable to work than for individuals who were working or decided not to work.
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Affiliation(s)
- Abay Asfaw
- Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), Washington, DC, USA
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Liu J, Cerutti J, Lussier AA, Zhu Y, Smith BJ, Smith ADAC, Dunn EC. Socioeconomic changes predict genome-wide DNA methylation in childhood. Hum Mol Genet 2023; 32:709-719. [PMID: 35899434 PMCID: PMC10365844 DOI: 10.1093/hmg/ddac171] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 07/01/2022] [Accepted: 07/22/2022] [Indexed: 01/25/2023] Open
Abstract
Childhood socioeconomic position (SEP) is a major determinant of health and well-being across the entire life course. To effectively prevent and reduce health risks related to SEP, it is critical to better understand when and under what circumstances socioeconomic adversity shapes biological processes. DNA methylation (DNAm) is one such mechanism for how early life adversity 'gets under the skin'. In this study, we evaluated the dynamic relationship between SEP and DNAm across childhood using data from 946 mother-child pairs in the Avon Longitudinal Study of Parents and Children. We assessed six SEP indicators spanning financial, occupational and residential domains during very early childhood (ages 0-2), early childhood (ages 3-5) and middle childhood (ages 6-7). Epigenome-wide DNAm was measured at 412 956 cytosine-guanines (CpGs) from peripheral blood at age 7. Using an innovative two-stage structured life-course modeling approach, we tested three life-course hypotheses for how SEP shapes DNAm profiles-accumulation, sensitive period and mobility. We showed that changes in the socioeconomic environment were associated with the greatest differences in DNAm, and that middle childhood may be a potential sensitive period when socioeconomic instability is especially important in shaping DNAm. Top SEP-related DNAm CpGs were overrepresented in genes involved in pathways important for neural development, immune function and metabolic processes. Our findings highlight the importance of socioeconomic stability during childhood and if replicated, may emphasize the need for public programs to help children and families experiencing socioeconomic instability and other forms of socioeconomic adversity.
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Affiliation(s)
- Jiaxuan Liu
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.,Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Janine Cerutti
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Alexandre A Lussier
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.,Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.,Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
| | - Yiwen Zhu
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.,Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
| | - Brooke J Smith
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Andrew D A C Smith
- Mathematics and Statistics Research Group, University of the West of England, Bristol BS8 1QU, UK
| | - Erin C Dunn
- Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.,Department of Psychiatry, Harvard Medical School, Boston, MA 02115, USA.,Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.,Harvard Center on the Developing Child, Harvard University, Cambridge, MA 02138, USA
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Griffin C, Block R, Silverman JD, Croad J, Lennon RP. Race, employment, and the pandemic: An exploration of covariate explanations of COVID-19 case fatality rate variance. PLoS One 2023; 18:e0274470. [PMID: 36730260 PMCID: PMC9894486 DOI: 10.1371/journal.pone.0274470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 08/25/2022] [Indexed: 02/03/2023] Open
Abstract
We derive a simple asymptotic approximation for the long-run case fatality rate of COVID-19 (alpha and delta variants) and show that these estimations are highly correlated to the interaction between US State median age and projected US unemployment rate (Adj. r2 = 60%). We contrast this to the high level of correlation between point (instantaneous) estimates of per state case fatality rates and the interaction of median age, population density and current unemployment rates (Adj. r2 = 50.2%). To determine whether this is caused by a "race effect," we then analyze unemployment, race, median age and population density across US states and show that adding the interaction of African American population and unemployment explains 53.5% of the variance in COVID case fatality rates for the alpha and delta variants when considering instantaneous case fatality rate. Interestingly, when the asymptotic case fatality rate is used, the dependence on the African American population disappears, which is consistent with the fact that in the long-run COVID does not discriminate on race, but may discriminate on access to medical care which is highly correlated to employment in the US. The results provide further evidence of the impact inequality can have on case fatality rates in COVID-19 and the impact complex social, health and economic factors can have on patient survival.
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Affiliation(s)
- Christopher Griffin
- Applied Research Laboratory, Pen State University, University Park, State College, PA, United States of America
- * E-mail:
| | - Ray Block
- Departments of Political Science and African American Studies, Penn State University, University Park, State College, PA, United States of America
| | - Justin D. Silverman
- College of Information Science and Technology, Penn State University, University Park, State College, PA, United States of America
| | - Jason Croad
- Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, United States of America
| | - Robert P. Lennon
- Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, United States of America
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Alon S. The Measurement of Precarious Work and Market Conditions: Insights from the COVID-19 Disruption on Sample Selection. WORK AND OCCUPATIONS 2023; 50:22-59. [PMID: 38603272 PMCID: PMC9535454 DOI: 10.1177/07308884221127636] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
The precarious work construct combines employment instability and employment-contingent outcomes. Yet, I argue that confining the scope of the investigation to employed individuals creates a sample selection that disguises the heterogeneous nature of employment instability. The COVID-19 skyrocketing unemployment rate provides both a compelling motivation and a unique opportunity to revisit the construct of precarious work. Using pre-COVID and COVID-19 era data of the working-age population in Israel, the results demonstrate that by pushing less stable individuals out of employment, the COVID-19 recession strengthened the negative relationship between volatility and employment opportunities and accentuated sample selection. Because the selection into employment was not random, this introduces a bias into the measurement of precarious work, one that is more severe during a recession than in a full-employment market. The discussion highlights the broader significance of this lacuna and suggests a way to hone the conceptualization and operationalization of the precarious work construct.
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Affiliation(s)
- Sigal Alon
- Department of Sociology and Anthropology, Tel Aviv University, Tel Aviv, Israel
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Behaviors in kindergarten are associated with trajectories of long-term welfare receipt: A 30-year population-based study. Dev Psychopathol 2023; 35:119-129. [PMID: 34103101 DOI: 10.1017/s095457942100047x] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This study examines the link between behavior in kindergarten and adult-life welfare receipt. Teacher-rated behavioral assessments were obtained for inattention, hyperactivity, aggression-opposition, anxiety, and prosociality when children (n=2960) were aged 5-6 years and linked to their tax return records from age 18-35 years. We used group-based based trajectory modeling to identify distinct trajectories of welfare receipt and multinomial logistic regression models to examine the association between behaviors and trajectory group membership. The child's sex, IQ, and family background were adjusted for. Four trajectories of welfare receipt were identified: low (n = 2,390, 80.7%), declining (n = 260, 8.8%), rising (n = 150, 5.2%), and chronic (n = 160, 5.4%). Relative to the low trajectory, inattention and aggression-opposition at age 6 years were associated with increased risk of following a declining, rising, and chronic trajectory of welfare receipt, independent of hyperactivity and anxiety. Prosocial behaviors were independently associated with a lower risk of following a chronic trajectory. This study shows that kindergarten children exhibiting high inattention and aggression-opposition and low prosocial behaviors may be at increased risk of long-term welfare receipt in adulthood. The implications for early screening, monitoring, and prevention are discussed.
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Parra LA, O’Brien RP, Schrager SM, Goldbach JT. COVID-19-Related Household Job Loss and Mental Health in a Nationwide United States Sample of Sexual Minority Adolescents. Behav Med 2023; 49:62-71. [PMID: 34749595 PMCID: PMC11453117 DOI: 10.1080/08964289.2021.1977604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 05/25/2021] [Accepted: 09/01/2021] [Indexed: 01/27/2023]
Abstract
Household job loss during COVID-19 constitutes a public health crisis. Research suggests associations between household job loss, harsher parenting practices, and mental health challenges in the general population. Sexual minority adolescents (SMA) face high rates of family stress and rejection, but evidence linking household job loss to SMA mental health is lacking. This study evaluated associations between household job loss, family rejection, and mental health with a national sample of SMA who were sheltering in place with families during the pandemic. SMA from an ongoing prospective study completed an online questionnaire between May 13-31, 2020. It was hypothesized that household job loss during the pandemic would be associated with elevated depressive and anxiety symptoms through family rejection. Household job loss during the pandemic was indirectly associated with SMA mental health through family rejection. These findings highlight how socioeconomic change and policy carry implications for SMA health.
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Affiliation(s)
- Luis A. Parra
- Suzanne Dworak-Peck School of Social Work, University of Southern California; University of Southern California, 669 W. 34th Street, Los Angeles, CA 90089, United States
| | - Rory P. O’Brien
- Suzanne Dworak-Peck School of Social Work, University of Southern California; University of Southern California, 669 W. 34th Street, Los Angeles, CA 90089, United States
| | - Sheree M. Schrager
- Suzanne Dworak-Peck School of Social Work, University of Southern California; University of Southern California, 669 W. 34th Street, Los Angeles, CA 90089, United States
| | - Jeremy T. Goldbach
- Brown School of Social Work, Washington University in Saint Louis, MO, USA
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Hijdra RW, Robroek SJW, Burdorf A, Schuring M. The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up. Scand J Work Environ Health 2023; 49:33-42. [PMID: 36265177 PMCID: PMC10549911 DOI: 10.5271/sjweh.4064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVES This study investigates the influence of onset of disease on exit from paid employment and whether this differs across diseases and sociodemographic groups. METHODS Register data from Statistics Netherlands on medication prescription was linked to information on employment status and demographics. Persons who were employed in 2009 and 2010 and who did not use medication for the selected disease in 2009 (N=5 889 036) were followed-up over nine years. Six diseases were identified based on medication prescription in 2010 and 2011: cardiovascular diseases, inflammatory diseases, diabetes mellitus, respiratory diseases, common mental disorders, and psychotic disorders. Four pathways out of paid employment were defined: disability benefits, unemployment, no income, and early retirement. Early exit from paid employment was defined as exiting paid employment before retirement age. Cause-specific Cox proportional hazards regression analyses were performed, with interaction terms for age, sex, and migration background. RESULTS Onset of disease increased the likelihood of exit from paid employment, with the strongest associations for psychotic disorders [hazard ratio (HR) 2.88, 95% confidence interval (CI) 2.78-2.98] and common mental disorders (HR 2.00, 95% CI 1.97-2.03). Onset of disease was most strongly associated with disability benefits, followed by unemployment. The influence of common mental and psychotic disorders on disability increased until around middle-age, after which it decreased. The influence of mental health problems on exit from paid employment was stronger for persons with a non-native Dutch background and males. CONCLUSION Onset of diseases, especially mental health disorders, is a risk for exiting paid employment before the retirement age. Effective interventions are needed to enhance an inclusive workforce and prevent involuntary loss of paid employment.
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Affiliation(s)
- Roos W Hijdra
- Erasmus University Medical Center Rotterdam, Department of Public Health, PO Box 2040, 3000 CA Rotterdam, the Netherlands.
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Azzollini L. Scar effects of unemployment on generalised social trust: The joint impact of individual and contextual unemployment across Europe. SOCIAL SCIENCE RESEARCH 2023; 109:102787. [PMID: 36470636 DOI: 10.1016/j.ssresearch.2022.102787] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 08/23/2022] [Accepted: 08/25/2022] [Indexed: 06/17/2023]
Abstract
How does unemployment affect generalised social trust? A growing body of work has analysed the scar effects of unemployment on trust. However, this literature has not yet addressed the moderating role of contextual unemployment. In this article, we extend a theoretical framework positing that individual and contextual unemployment depress generalised social trust and formulate competing hypotheses on their interaction. We test these hypotheses relying on Rounds 4-9 (2008-2018) of the European Social Survey, for up to 29 countries and 227 regions. Results from three-level multilevel models indicate that individual and contextual unemployment are associated with lower trust, although at the macro-level this holds only for cross-sectional unemployment. At the macro-micro level, we find that lower cross-sectional unemployment rates powerfully exacerbate the individual association, while the latter becomes not significant at higher cross-sectional rates. These findings highlight that individual and contextual unemployment are central to illuminate social trust patterns.
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Affiliation(s)
- Leo Azzollini
- Institutional Affiliations: University of Oxford, Institute for New Economic Thinking - Department of Social Policy and Intervention; Leverhulme Centre for Demographic Science - Department of Sociology; Nuffield College, United Kingdom.
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Biegert T, Özcan B, Rossetti-Youlton M. Household Joblessness in U.S. Metropolitan Areas during the COVID-19 Pandemic: Polarization and the Role of Educational Profiles. SOCIUS: SOCIOLOGICAL RESEARCH FOR A DYNAMIC WORLD 2023; 9:23780231231158087. [PMID: 37007601 PMCID: PMC10050998 DOI: 10.1177/23780231231158087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
The authors use Current Population Survey 2016 to 2021 quarterly data to analyze changes in household joblessness across metropolitan areas in the United States during the coronavirus disease 2019 pandemic. The authors first use shift-share analysis to decompose the change in household joblessness into changes in individual joblessness, household compositions, and polarization. The focus is on polarization, which is the result of the unequal distribution of individual joblessness across households. The authors find that the rise in household joblessness during the pandemic varies strongly across U.S. metropolitan areas. The initial stark increase and subsequent recovery are due largely to changes in individual joblessness. Polarization contributes notably to household joblessness but to varying degree. Second, the authors use metropolitan area–level fixed-effects regressions to test whether the educational profile of the population is a helpful predictor of changes in household joblessness and polarization. They measure three distinct features: educational levels, educational heterogeneity, and educational homogamy. Although much of the variance remains unexplained, household joblessness increased less in areas with higher educational levels. The authors show that how polarization contributes to household joblessness is shaped by educational heterogeneity and educational homogamy.
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Affiliation(s)
- Thomas Biegert
- London School of Economics and Political Science, London, UK
- Thomas Biegert, London School of Economics and Political Science, Department of Social Policy, Houghton Street, London, WC2A 2AE, UK.
| | - Berkay Özcan
- London School of Economics and Political Science, London, UK
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41
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Frech A, Lankes J, Damaske S, Ohler A. The Myth of Men's Stable, Continuous Labor Force Attachment: Multitrajectories of U.S. Baby Boomer Men's Employment. SOCIUS : SOCIOLOGICAL RESEARCH FOR A DYNAMIC WORLD 2023; 9:10.1177/23780231231197031. [PMID: 38957373 PMCID: PMC11219017 DOI: 10.1177/23780231231197031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/04/2024]
Abstract
Over the past several decades, U.S. men's paid work has transformed from a state of high stability and continuity to a state of increased instability and precarity. Despite this, full-time employment throughout adulthood remains the presumed standard for modern American men. The authors investigated the diversity of men's workforce experiences using the National Longitudinal Survey of Youth "National Longitudinal Survey of Youth - 1979 cohort" and identified six multitrajectories of men's time spent employed, unemployed, and out of the labor force from ages 27 to 49. The authors identified one multitrajectory of steady work, three of increasing unemployment or time out of work, one of increasing steady work, and one of intermittent work. Contrary to conventional assumptions, only 41 percent of men followed a trajectory of continuous, high employment over the duration of their prime earning years. This suggests that most men do not achieve the "ideal worker norm," raising implications for how research and policy conceptualize men's work experiences.
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Affiliation(s)
- Adrianne Frech
- Ohio University Heritage College of Osteopathic Medicine–Cleveland, Warrensville Heights, OH, USA
| | - Jane Lankes
- U.S. Department of Agriculture, Grand Forks, ND, USA
| | - Sarah Damaske
- The Pennsylvania State University, University Park, PA, USA
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Donnelly R, Zajdel R, Farina MP. Inequality in Household Job Insecurity and Mental Health: Changes During the COVID-19 Pandemic. WORK AND OCCUPATIONS 2022; 49:457-482. [PMCID: PMC9474300 DOI: 10.1177/07308884221123255] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Using nationally representative data from the Household Pulse Survey (April 2020-March 2021), we examined how associations between household job insecurity and mental health changed throughout the first year of the COVID-19 pandemic in the United States (n = 1,248,043). We also documented changes in the unequal distribution of job insecurity by race/ethnicity and educational attainment over time. We find that job insecurity was strongly associated with depression and anxiety throughout the study period, and the associations strengthened as the pandemic continued, especially in fall 2020. Moreover, racial/ethnic minorities with lower levels of educational attainment had the greatest risk of job insecurity, and educational disparities in job insecurity changed over time. Psychological distress during the pandemic, including disparities therein, must be considered a public health priority.
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Affiliation(s)
- Rachel Donnelly
- Department of Sociology, Vanderbilt University, Nashville, Tennessee, USA
| | - Rachel Zajdel
- Minority Health and Health Disparities Population Laboratory, National Institutes of Health, Bethesda, MD, USA
| | - Mateo P. Farina
- Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
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Ananat EO, Daniels B, Fitz-Henley Ii J, Gassman-Pines A. Racial And Ethnic Disparities In Pandemic-Era Unemployment Insurance Access: Implications For Health And Well-Being. Health Aff (Millwood) 2022; 41:1598-1606. [PMID: 36343319 PMCID: PMC10353345 DOI: 10.1377/hlthaff.2022.00741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Research demonstrates that receiving unemployment insurance decreases mental health problems. But researchers have also found racial and ethnic disparities in unemployment insurance receipt resulting from differences in work history and location. We examined a population disproportionately affected by job loss and unemployment insurance exclusions, using a survey of service workers from a single city who were parents of young children and who overwhelmingly had eligible work histories. During the COVID-19 pandemic, workers not identifying as White non-Hispanic in our sample were more likely to get laid off than White workers. Among those who were laid off, these workers and White workers experienced similar increases in material and mental health difficulties and similar gains when they received unemployment insurance. However, these workers were less likely than White workers to receive unemployment insurance at all. These results indicate that unemployment insurance has unrealized potential to reduce material and health disparities. Policies should be implemented to make this coverage more effective and equitable through increased access.
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Affiliation(s)
| | - Becca Daniels
- Becca Daniels, Duke University, Durham, North Carolina
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44
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Dore EC, Livingston III MD, Shafer PR. Easing Cash Assistance Rules During COVID-19 Was Associated With Reduced Days Of Poor Physical And Mental Health. Health Aff (Millwood) 2022; 41:1590-1597. [DOI: 10.1377/hlthaff.2022.00740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | | | - Paul R. Shafer
- Paul R. Shafer, Boston University, Boston, Massachusetts
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45
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Angothu H, Philip S, Jadhav P, Jayarajan D, Jagannathan A, Krishna Prasad M, Thirthalli J. Unequal Representation of Persons with Disabling Mental Health Conditions in the Quota-Based Employment Reservations Notified by a Public Service Commission. Indian J Occup Environ Med 2022; 26:230-233. [PMID: 37033748 PMCID: PMC10077722 DOI: 10.4103/ijoem.ijoem_239_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 11/15/2021] [Accepted: 12/31/2021] [Indexed: 12/24/2022] Open
Abstract
Introduction The Rights of Persons with Disabilities (RPwD) Act 2016 of India intends to achieve greater representation of persons with benchmark disabilities (PwBD) at government establishments and reserve at least 4% of employment vacancies for PwBD. Of this 4%, 1% is reserved for PwBD with disabling mental health conditions (PwBD-MHC) and multiple disabilities, and 1% each for PwBD due to other disabling conditions like blindness, hearing, and locomotor impairment. Methods We analyzed all the employment vacancy announcements (EVAs) made by the Indian union public service commission (UPSC) during the calendar year 2020 for their adherence to quota-based employment reservations (QBER). Results Eighteen vacancy advertisements made during the year 2020, for a total of 1370 posts under various departments, announced a total of 57 posts as reserved for PwBD under the QBER system, satisfying the minimum 4% quota. However, none of these posts is reserved for PwBD-MHC. Further, only 7 out of 1370 were described as suitable for PwBD-MHC, implying that 1363 are not suitable for them. Conclusions The QBER system and the subdivision of quotas are well-intended to achieve the minimum representation of PwBD across all categories of jobs. However, the EVAs by UPSC in the year 2020 did not reserve any posts for PwBD-MHC and perhaps inadvertently excluded them from consideration for the majority of posts announced even under the unreserved category.
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Affiliation(s)
- Hareesh Angothu
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Sharad Philip
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Prabhu Jadhav
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Deepak Jayarajan
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Aarti Jagannathan
- Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - M Krishna Prasad
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
| | - Jagadish Thirthalli
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India
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46
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Haynes PL, Howe GW, Silva GE, Quan SF, Thomson CA, Glickenstein DA, Sherrill D, Gengler DN, Yingst A, Mayer C, Rojo-Wissar DM, Kobayashi U, Hoang M. The impact of social rhythm and sleep disruptions on waist circumference after job loss: A prospective 18-month study. Obesity (Silver Spring) 2022; 30:2023-2033. [PMID: 36062849 PMCID: PMC9509421 DOI: 10.1002/oby.23513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 05/12/2022] [Accepted: 05/14/2022] [Indexed: 11/10/2022]
Abstract
OBJECTIVE This study prospectively examined change in waist circumference (WC) as a function of daily social rhythms and sleep in the aftermath of involuntary job loss. It was hypothesized that disrupted social rhythms and fragmented/short sleep after job loss would independently predict gains in WC over 18 months and that resiliency to WC gain would be conferred by the converse. METHODS Eligible participants (n = 191) completed six visits that included standardized measurements of WC. At the baseline visit, participants completed the social rhythm metric and daily sleep diary and wore an actigraph on their nondominant wrist each day for a period of 2 weeks. RESULTS When controlling for obesity and other covariates, WC trajectories decreased for individuals with more consistent social rhythms, more activities in their sdiocial rhythms, and higher sleep quality after job loss. WC trajectories did not change for individuals with lower scores on these indicators. CONCLUSIONS The frequency and consistency of social rhythms after job loss play a key role in WC loss. These findings support the implementation of social rhythm interventions after job loss, a potentially sensitive time for the establishment of new daily routines that have an impact on metabolic health.
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Affiliation(s)
- Patricia L. Haynes
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - George W. Howe
- Department of Psychology, Columbian College of Arts and Sciences, George Washington University, 2125 G St NW, Washington, DC 20052 USA
| | - Graciela E. Silva
- College of Nursing, University of Arizona, 1305 N. Martin Ave, Tucson, AZ 85721 USA
| | - Stuart F. Quan
- College of Medicine, University of Arizona, Tucson, Arizona, USA
- Division of Sleep and Circadian Disorders, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Cynthia A. Thomson
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - David A. Glickenstein
- Department of Mathematics, University of Arizona, 617 N. Santa Rita, Tucson, AZ 85721 USA
| | - Duane Sherrill
- Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724 USA
| | - Devan N. Gengler
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - April Yingst
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - Candace Mayer
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - Darlynn M. Rojo-Wissar
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
- The Miriam Hospital, Warren Alpert Medical School of Brown University, The Initiative on Stress, Trauma, and Resilience (STAR), Department of Psychiatry and Human Behavior, Center for Behavioral and Preventive Medicine, 164 Summit Ave, Providence, RI 02906 USA
| | - Ume Kobayashi
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
| | - Matthew Hoang
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724 USA
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Frech A, Damaske S, Ohler A. The Life Course of Unemployment and Midlife Health. J Aging Health 2022; 34:1081-1091. [PMID: 35521702 PMCID: PMC9578554 DOI: 10.1177/08982643221091775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: We estimate associations between unemployment trajectories from ages 27-49 and physical and mental health at age 50. Methods: Data are from the U.S. National Longitudinal Survey of Youth, 1979 (N=6434). Group-based trajectory models are used to identify unemployment trajectories. Generalized linear models with a modified Bolck, Croon, and Hagenaars (BCH) correction are used to regress health on unemployment trajectory groups. Results: We identified "Consistently Low (70%)," "Decreasing Mid-Career (18%)," and "Persistently High (12%)" unemployment trajectories. Experiencing Decreasing Mid-Career or Persistently High trajectories was associated with worse physical and mental health at age 50 than Consistently Low trajectories. Experiencing a Persistently High trajectory was associated with worse physical and mental health than a Decreasing Mid-Career trajectory. Discussion: Timing and likelihood of unemployment are associated with midlife health. Mid-Career unemployment is associated with worse physical and mental health at age 50, but not to the same degree as Persistently High unemployment.
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Affiliation(s)
| | - Sarah Damaske
- The Pennsylvania State University, University Park, PA, USA
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48
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Lassen ER, Hagen K, Kvale G, Eid J, Le Hellard S, Solem S. Personality traits and hardiness as risk- and protective factors for mental distress during the COVID-19 pandemic: a Norwegian two-wave study. BMC Psychiatry 2022; 22:610. [PMID: 36109737 PMCID: PMC9476397 DOI: 10.1186/s12888-022-04237-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 09/02/2022] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Several risk factors for anxious-depressive symptomatology during the COVID-19 pandemic have been established. However, few studies have examined the relationship between personality traits, hardiness, and such symptomatology during the pandemic. These constructs might serve as risk- and/or protective factors for such mental distress through the pandemic. METHODS A sample of 5783 Norwegians responded to a survey at two time points within the first year of the pandemic. The first data collection was in April 2020 (T1) and the second in December 2020 (T2). Measures included the Ten-Item Personality-Inventory, the Revised Norwegian Dispositional Resilience Scale, and the Patient Health Questionnaire Anxiety and Depression Scale. Analyses were performed using Pearson's correlations, multiple linear regression, and a moderation analysis. RESULTS Anxious-depressive symptomatology in early phases (T1) of the pandemic was the strongest predictor for the presence of such symptomatology 9 months after the outbreak (T2). Personality and hardiness correlated significantly with mental distress at T1 and T2. Personality traits explained 5% variance in symptoms when controlling for age, gender, solitary living, negative economic impact, and mental distress at baseline. Higher neuroticism predicted higher mental distress, whereas higher conscientiousness and extraversion predicted less mental distress. Hardiness did not explain variance in outcome beyond personality traits. Hardiness did not significantly moderate the relationship between neuroticism and mental distress. CONCLUSION Individuals with high levels of neuroticism had greater difficulties adapting to the circumstances of the COVID-19 pandemic and were more prone to mental distress. Contrastingly, higher conscientiousness and extraversion may have served as protective factors for mental distress during the pandemic. The current findings might aid identification of vulnerable individuals and groups. Consequently, preventive interventions could be offered to those who need it the most.
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Affiliation(s)
- Espen Rasmussen Lassen
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
| | - Kristen Hagen
- grid.416049.e0000 0004 0627 2824Molde Hospital, Department of Psychiatry, Møre og Romsdal Hospital Trust, Molde, Norway ,grid.412008.f0000 0000 9753 1393Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway ,grid.5947.f0000 0001 1516 2393Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
| | - Gerd Kvale
- grid.412008.f0000 0000 9753 1393Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway ,grid.7914.b0000 0004 1936 7443Department of Clinical Psychology, University of Bergen, Bergen, Norway
| | - Jarle Eid
- grid.412008.f0000 0000 9753 1393Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway ,grid.7914.b0000 0004 1936 7443Department of Psychosocial Science, University of Bergen, Bergen, Norway ,grid.7914.b0000 0004 1936 7443Center for Crisis Psychology, University of Bergen, Bergen, Norway
| | - Stephanie Le Hellard
- grid.412008.f0000 0000 9753 1393Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway ,grid.7914.b0000 0004 1936 7443NORMENT, Department of Clinical Science, University of Bergen, Bergen, Norway ,grid.412008.f0000 0000 9753 1393Department of Medical Genetics, Haukeland University Hospital, Bergen, Norway
| | - Stian Solem
- grid.5947.f0000 0001 1516 2393Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway ,grid.412008.f0000 0000 9753 1393Bergen Center for Brain Plasticity, Haukeland University Hospital, Bergen, Norway
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49
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Choi NG, Marti CN, Choi BY. Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors. SSM Popul Health 2022; 19:101243. [PMID: 36203475 PMCID: PMC9530609 DOI: 10.1016/j.ssmph.2022.101243] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 09/23/2022] [Accepted: 09/25/2022] [Indexed: 11/17/2022] Open
Abstract
Previous research has shown that job loss, financial strain, and/or loss of housing (JFH) in midlife elevate suicide risk. In this study based on the 2017–2019 National Violent Death Reporting System, we examined other suicide precipitants and contributors of decedents whose suicide was in part precipitated by JFH and the circumstances under which they died. First, we examined all adult decedents (N = 94,454; 74,042 males [78.4%] and 20,412 females [21.6%]) and then focused on decedents age 45–64 (N = 34,208; 25,640 males [75%] and 8568 females [25.0%]). The 45–64 age group had the highest rate of JFH (22.0% for males and 15.1% for females) as a suicide precipitant. The results of generalized linear models for all adult suicide decedents of both sexes showed that the 45–64 age group (IRR = 2.02, 95% CI = 1.89–2.16), compared to 65+ age group, and relationship problems, mental disorders, and alcohol problems were associated with significantly higher risk of JFH-precipitated suicide. In male decedents age 45–64, JFH was positively associated with depressed mood (IRR = 1.95, 95% CI = 1.85–2.06), alcohol problems (IRR = 1.14, 95% CI = 1.07–1.21), and number of crises (IRR = 1.48, 95% CI = 1.43–1.53). In female decedents age 45–64, JFH was positively associated with relationship problems (IRR = 1.19, 95% CI = 1.05–1.35), legal problems (IRR = 1.27, 95% CI = 1.06–1.54), depressed mood (IRR = 1.78, 95% CI = 1.59–1.99), and number of crises (IRR = 1.58, 95% CI = 1.48–1.68). In both sexes, the risk of JFH was also positively associated with a college education. In female decedents, JFH risk was higher among divorced or never-married individuals. Coroner/medical examiner and law enforcement agency reports show that some experienced depression and started misusing alcohol and/or other substances following a job loss, but others had these problems throughout life, which caused/contributed to JFH. These findings show the significance of suicide prevention approaches at both systemic (generous unemployment insurance, housing subsidies) and individual (treatment of depression and alcohol/substance misuse problems and social support/connection) levels. 16.2% of male and 13.0% of female suicide decedents age 18+ in 2017–2019 had job/finance/housing problems (JFH). Among decedents age 45–64, 22.0% of male and 15.1% of female had JFH. JFH was positively associated with number of crises, depressed mood, and relationship and alcohol problems in both sexes. Suicide prevention approaches are needed at both systemic and individual levels.
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Affiliation(s)
- Namkee G. Choi
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, 78712, USA
- Corresponding author. UT Steve Hicks School of Social Work, 1925 San Jacinto Blvd, Austin, TX 78712, USA.
| | - C. Nathan Marti
- Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, 78712, USA
| | - Bryan Y. Choi
- Department of Emergency Medicine, Philadelphia College of Osteopathic Medicine and BayHealth, Dover, DE, 19901, USA
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Zheng H, Yu WH. Do Immigrants' Health Advantages Remain After Unemployment? Variations by Race-Ethnicity and Gender. THE JOURNAL OF SOCIAL ISSUES 2022; 78:691-716. [PMID: 36278121 PMCID: PMC9580995 DOI: 10.1111/josi.12463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 06/07/2021] [Indexed: 06/16/2023]
Abstract
Immigrants tend to display more favorable health outcomes than native-born co-ethnics. At the same time, they face considerable employment instability. It is unclear whether immigrants' job conditions may compromise their health advantage. Using U.S. National Health Interview Survey data, this study shows that the experience of unemployment reduces immigrants' health advantage, but unemployed foreign-born Blacks, White women, and Asian women still have lower mortality rates than their native-born employed counterparts. Overall, unemployment is less detrimental to immigrants than to natives, and immigrants' "survival advantage after unemployment" persists as their duration of residence extends. We further find substantial heterogeneity in the unemployment effect within immigrants. Asian immigrants display a much sharper gender difference in the mortality consequence of unemployment than other immigrants. Asian men's worse general health and substantially higher smoking rate, especially among the unemployed, lead them to fare much worse than Asian women following unemployment.
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Affiliation(s)
- Hui Zheng
- The Ohio State University, Department of Sociology, 1885 Neil Ave Mall, 106 Townshend Hall, Columbus OH 43210
| | - Wei-Hsin Yu
- Department of Sociology, UCLA, Los Angeles, California, USA
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