Shields Marissa, Dimov Stefanie, King Tania L, Milner Allison, Kavanagh Anne, Spittal Matthew J, Disney George
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Occup Environ Med. 2020 Dec 10. doi: 10.1136/oemed-2020-107149.
To examine the association between labour force status, including young people who were unemployed and having problems looking for work, and psychological distress one year later. We then assessed whether this association is modified by disability status.
We used three waves of cohort data from the Longitudinal Surveys of Australian Youth. We fitted logistic regression models to account for confounders of the relationship between labour force status (employed, not in the labour force, unemployed and having problems looking for work) at age 21 years and psychological distress at age 22 years. We then estimated whether this association was modified by disability status at age 21 years.
Being unemployed and having problems looking for work at age 21 years was associated with odds of psychological distress that were 2.48 (95% CI 1.95 to 3.14) times higher than employment. There was little evidence for additive effect measure modification of this association by disability status (2.52, 95% CI -1.21 to 6.25).
Young people who were unemployed and having problems looking for work had increased odds of poor mental health. Interventions should focus on addressing the difficulties young people report when looking for work, with a particular focus on supporting those young people facing additional barriers to employment such as young people with disabilities.
研究劳动力状况（包括失业及找工作有困难的年轻人）与一年后的心理困扰之间的关联。然后我们评估这种关联是否因残疾状况而有所改变。
我们使用了澳大利亚青年纵向调查的三轮队列数据。我们拟合了逻辑回归模型，以解释21岁时的劳动力状况（就业、不在劳动力队伍中、失业及找工作有困难）与22岁时心理困扰之间关系的混杂因素。然后我们估计这种关联是否因21岁时的残疾状况而有所改变。
21岁时失业及找工作有困难与心理困扰几率相关，其比就业时高出2.48倍（95%可信区间1.95至3.14）。几乎没有证据表明残疾状况对这种关联有相加效应测量的改变作用（2.52，95%可信区间 -1.21至6.25）。
失业及找工作有困难的年轻人心理健康状况不佳的几率增加。干预措施应侧重于解决年轻人在找工作时报告的困难，尤其要关注支持那些面临就业额外障碍的年轻人，如残疾青年。
