Starace Fabrizio, Mungai Francesco, Sarti Elena, Addabbo Tindara
Department of Mental Health & Drug Abuse, AUSL Modena, Modena, Italy.
Department of Economics University of Modena and Reggio Emilia, Modena, Italy, Marco Biagi Foundation.
PLoS One. 2017 Apr 4;12(4):e0174135. doi: 10.1371/journal.pone.0174135. eCollection 2017.
During economic recession people with mental health problems have higher risk of losing their job. This paper analyses the issue by considering the Italian rates of unemployment amongst individuals with and without mental health problems in 2005 and 2013, that is prior and during the economic crisis.
We used data from the National surveys on "Health conditions and use of health services" carried out by the Italian National Institute of Statistics (ISTAT) for the years 2005 and 2013. The surveys collected information on the health status and socioeconomic conditions of the Italian population. Self-reported unemployment status was analysed amongst individuals with and without reported mental health problems. In addition, descriptive statistics were performed in order to detect possible differences in the risk of unemployment within different regional contexts characterised by different socio-economic conditions.
The recession determined increased disparities in unemployment rates between people with and without mental health problems. Regardless to the presence of mental health problems, young people were more likely to be unemployed. Among people who reported mental health problems, males were more likely to be unemployed than females. People with low education level were more likely to be unemployed, particularly during the recession and in presence of mental health problems. Changes in unemployment rates due to the crisis showed different patterns across different regions of the Country.
These analyses confirm that in periods of economic crisis people with mental health problems are at risk of experiencing exclusion from labour market. In addition, the impact is even worse within the group with low education and younger age. These findings emphasise the importance of specific interventions aimed at promoting labour market participation and reintegration for people with mental health problems.
在经济衰退期间,有心理健康问题的人失业风险更高。本文通过考察2005年和2013年(即经济危机之前和期间)意大利有和没有心理健康问题的个人的失业率来分析这一问题。
我们使用了意大利国家统计局(ISTAT)在2005年和2013年进行的关于“健康状况和卫生服务利用”的全国调查数据。这些调查收集了意大利人口的健康状况和社会经济状况信息。对报告有和没有心理健康问题的个人的自我报告失业状况进行了分析。此外,还进行了描述性统计,以检测在具有不同社会经济条件的不同区域背景下失业风险的可能差异。
经济衰退导致有和没有心理健康问题的人之间的失业率差距加大。无论是否有心理健康问题,年轻人更有可能失业。在报告有心理健康问题的人群中,男性比女性更有可能失业。教育水平低的人更有可能失业,尤其是在经济衰退期间且有心理健康问题的情况下。由于危机导致的失业率变化在该国不同地区呈现出不同模式。
这些分析证实,在经济危机时期,有心理健康问题的人面临被劳动力市场排斥的风险。此外,在低教育水平和年轻人群体中,这种影响更为严重。这些发现强调了针对促进有心理健康问题的人参与劳动力市场和重新融入的具体干预措施的重要性。