Ludermir A B
Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal de Pernambuco, Recife, PE, 50670-911, Brasil.
Cad Saude Publica. 2000 Jul-Sep;16(3):647-59. doi: 10.1590/s0102-311x2000000300013.
A cross-sectional study was conducted in Olinda, Pernambuco, to investigate a possible association between unemployment, informal work, and common mental disorders (CMD) assessed by the Self Reporting Questionnaire (SRQ - 20). While women working in the formal labor market showed significantly better mental health as compared to informal workers (OR = 3.02, 95% CI 1.3-7.2), housewives (OR = 2.29, 95% CI 1.0-5.0), and unemployed (OR = 2.66, 95% CI 1.1-6. 3) and inactive women (OR = 3.19, 95% CI 1.2-8.4), no difference was found among men. The actual pattern of the odds ratios suggests a modifying effect of gender in the association between employment status and CMD. However, the interaction term added to the final model was statistically significant for informal work, but not for unemployment. The results of the present study suggest that the experience of informal work may be different for men and women. This finding highlighted the need to incorporate a gender approach (reflecting a social dimension of sex-related inequalities) to the theoretical framework based on social classes adopted here.
在伯南布哥州奥林达进行了一项横断面研究，以调查失业、非正规工作与通过自我报告问卷（SRQ - 20）评估的常见精神障碍（CMD）之间可能存在的关联。与非正规工人（比值比=3.02，95%置信区间1.3 - 7.2）、家庭主妇（比值比=2.29，95%置信区间1.0 - 5.0）、失业者（比值比=2.66，95%置信区间1.1 - 6.3）和非在职女性（比值比=3.19，95%置信区间1.2 - 8.4）相比，在正规劳动力市场工作的女性心理健康状况明显更好，但男性之间未发现差异。比值比的实际模式表明性别在就业状况与CMD之间的关联中具有调节作用。然而，添加到最终模型中的交互项在非正规工作方面具有统计学意义，但在失业方面则不然。本研究结果表明，男性和女性的非正规工作经历可能不同。这一发现凸显了在此采用的基于社会阶层的理论框架中纳入性别方法（反映与性别相关不平等的社会层面）的必要性。
