Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2603
Título : How are the employed and unemployed affected by the economic crisis in Spain? Educational inequalities, life conditions and mental health in a context of high unemployment
Autor : Córdoba-Doña, Juan Antonio
Escolar-Pujolar, Antonio
San Sebastián, Miguel
Gustafsson, Per E
Filiación: [Córdoba-Doña,JA; Escolar-Pujolar,A] Delegación Territorial de Igualdad, Salud y Políticas Sociales de Andalucía, Cádiz, Spain. [Córdoba-Doña,JA; San Sebastián,M] Department of Public Health and Clinical Medicine, Epidemiology and Global Health, and [Gustafsson,PE] Department of Public Health and Clinical Medicine, Social Medicine. Umeå University, Umeå, Sweden
Palabras clave : Economic crisis
Mental health
Employment status
Educational inequalities
Financial strain
Social support
Spain
Recesión económica
Salud mental
Empleo
Apoyo social
España
MeSH: Medical Subject Headings::Persons::Persons::Age Groups::Adult
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Economics::Economic Recession
Medical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employment
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveys
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalence
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Socioeconomic Factors
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Medical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employment::Unemployment
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Young Adult
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Health
Fecha de publicación : 15-Mar-2016
Editorial : BioMed Central
Cita Bibliográfica: Córdoba-Doña JA, Escolar-Pujolar A, San Sebastián M, Gustafsson PE. How are the employed and unemployed affected by the economic crisis in Spain? Educational inequalities, life conditions and mental health in a context of high unemployment. BMC Public Health. 2016 Mar 15;16:267
Abstract: Background. Despite an increasing number of studies on the factors mediating the impact of the economic recession on mental health, research beyond the individual employment status is scarce. Our objectives were to investigate in which ways the mental health of employed and unemployed populations is differently affected by the current economic recession along the educational scale and to examine whether financial strain and social support explain these effects of the crisis. Methods. A repeated cross-sectional study, using two waves of the Andalusian Health Survey in 2007 (pre-crisis) and 2011–2012 (crisis). A population aged between 19 and 64 years was selected. The dependent variable was the Mental Component Summary of the SF-12 questionnaire. We performed Poisson regression models stratified by working status, with period, educational level, financial strain and social support as independent variables. We examined interactions between period and educational level. Age, sex, main earner, cohabitation and partner's working status were considered as covariates. Results. The study included 3210 individuals (1185 women) in 2007 and 3633 individuals (1486 women) in 2011–2012. In working individuals the prevalence of poor mental health increased for secondary and complete primary studies groups during crisis compared to the pre-crisis period, while it decreased significantly in the university study group (PR = 0.76, 95 % CI: 0.58–0.99). However, in unemployed individuals prevalence ratios for poor mental health increased significantly only in the secondary studies group (PR = 1.73, 95 % CI: 1.06–2.83). Financial strain and social support yielded consistent associations with mental health in all subgroups. Only financial strain could partly explain the crisis effect on mental health among the unemployed. Conclusions. Our study supports the finding that current economic recession is associated with poorer mental health differentially according to labour market status and educational level. Those with secondary studies may be at risk in times of economic recession. In connection with this, emerging educational inequalities in mental health among the employed population were observed. Our research also suggests a partial mediating role of financial strain for the effects of crisis on poor mental health among the unemployed. Good social support appears to buffer poor mental health in all subgroups but not specifically during crisis period.
URI: http://hdl.handle.net/10668/2603
Versión del editor : https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2934-z
DOI: 10.1186/s12889-016-2934-z
ISSN : 1471-2458 (Online)
Appears in Collections:01- Artículos - Consejería de Salud

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