Department of Occupational and Environmental Medicine, Cheonan Medical Center, Cheonan (Dr Park); Department of Occupational and Environmental Medicine, The Catholic University College of Medicine (Dr Kang); Department of Occupational and Environmental Medicine, Soonchunhyang University College of Medicine (Dr Lee), Seoul, Republic of Korea.
J Occup Environ Med. 2020 Oct;62(10):e559-e566. doi: 10.1097/JOM.0000000000001981.
To compare how depression develops in precarious employment and in unemployment, as how precarious jobs impact unemployment-related depression is relatively unknown.
Using the 1st to 4th Korean Longitudinal Study of Aging survey data, 5638 older people were analyzed to measure depression incidence in relation to employment status. A Center for Epidemiological Studies-Depression Scale form was chosen to identify depression. Hazard ratios (HRs) and 95% confidence intervals (CIs) were derived from Cox proportional hazards models adjusted for a number of variables.
Unemployment-related depression risk was significantly higher than for precarious employment. Depression risk was significantly lower for male full-time permanent workers than precarious workers, but was not significantly different in women.
To prevent the deterioration of mental health in the elderly, an extensive job promotion campaign including precarious work is required.
比较不稳定就业和失业中抑郁的发展情况，因为不稳定工作对失业相关抑郁的影响尚不清楚。
使用第 1 至第 4 次韩国老龄化纵向研究调查数据，分析了 5638 名老年人，以衡量与就业状况相关的抑郁发生率。选择了流行病学研究中心抑郁量表形式来确定抑郁。使用 Cox 比例风险模型得出危害比（HR）和 95%置信区间（CI），并调整了多个变量。
失业相关的抑郁风险明显高于不稳定就业。与不稳定工人相比，男性全职固定工人的抑郁风险明显较低，但女性则没有显著差异。
为了防止老年人心理健康恶化，需要开展广泛的促进就业运动，包括不稳定工作。
