Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Sweden.
Department of Public health Sciences, Karolinska Institutet, Public Health Agency of Sweden, Sweden.
Scand J Public Health. 2020 Jul;48(5):544-558. doi: 10.1177/1403494819852847. Epub 2019 Jul 10.
The aim of this systematic review is to obtain a better understanding of the association between unemployment among young people and mental health. : After screening the title and abstract of 794 articles drawn from four electronic databases, 52 articles remained for full-text reading. Of these, 20 studies met the inclusion criteria and were assessed on methodological quality. All steps were performed independently by two reviewers. Finally, a total of 17 articles were included in the systematic review. : Analysis of cross-sectional studies ( = 5) showed an association between unemployment among young people and mental health. An effect of unemployment on mental health was found when considering cohort studies ( = 12) that did not control for confounders (7/7). When controlling for confounders except mental health at baseline, this effect decreased in most studies leading to mixed results, although the majority (6/8) still found an effect. However, when taking mental health at baseline into account as one of the confounders, only a minority of studies (3/8) found a significant effect of unemployment on mental health.
本系统评价的目的是更好地了解年轻人失业与心理健康之间的关系。：从四个电子数据库中筛选出 794 篇文章的标题和摘要后，仍有 52 篇文章需要全文阅读。其中，20 项研究符合纳入标准，并对其方法学质量进行了评估。所有步骤均由两名评审员独立完成。最后，共有 17 篇文章纳入系统评价。：对横断面研究（=5）的分析表明，年轻人失业与心理健康之间存在关联。在考虑未控制混杂因素的队列研究（=12）时发现失业对心理健康有影响（7/7）。在大多数研究中，当控制除基线心理健康以外的混杂因素时，这种影响会减小，导致结果不一致，尽管大多数研究（6/8）仍发现有影响。然而，当将基线心理健康作为混杂因素之一考虑时，只有少数研究（3/8）发现失业对心理健康有显著影响。
