Kim Hyung Doo, Park Shin-Goo
Department of Occupational and Environmental Medicine, Inha University Hospital, Incheon, Republic of Korea.
Department of Environmental Sciences, Seoul National University Graduate School of Public Health, Seoul, Republic of Korea.
Saf Health Work. 2021 Mar;12(1):108-113. doi: 10.1016/j.shaw.2020.09.012. Epub 2020 Oct 1.
This study aimed to investigate the relationship between changes in employment status and new-onset depressive symptoms through a one-year follow-up of permanent waged workers.
We analyzed the open-source data from the Korea Welfare Panel Study. Using the 2017 data, we selected 2,314 permanent waged workers aged 19 to 59 years without depressive symptoms as a base group. The final analysis targeted 2,073 workers who were followed up in 2018. In 2018, there were five categories of employment status for workers who were followed up: permanent, precarious, unemployed, self-employed, and economically inactive. Multiple logistic regression was used to determine the association between employment status change and new-onset depressive symptoms.
Adjusted multiple logistic regression analysis showed that among male workers, workers who went from permanent status to being unemployed (odds ratio: 4.50, 95% confidence interval: 1.19 to 17.06) and from permanent status to being precarious workers (odds ratio: 3.15, 95% confidence interval: 1.30 to 7.65) had significantly high levels of new-onset depressive symptoms compared with those who retained their permanent employment status. There were no significant increases in new-onset depressive symptoms of male workers who went from permanent status to being self-employed or economically inactive. On the other hand, no significant differences were found among female workers.
Our study suggests that the change of employment status to precarious workers or unemployment can cause new-onset depressive symptoms in male permanent waged workers.
本研究旨在通过对长期有薪工人进行为期一年的随访,调查就业状况变化与新发抑郁症状之间的关系。
我们分析了韩国福利面板研究的开源数据。利用2017年的数据,我们选择了2314名年龄在19至59岁之间且无抑郁症状的长期有薪工人作为基础组。最终分析针对2018年接受随访的2073名工人。2018年,接受随访的工人有五类就业状况:长期、不稳定、失业、自营职业和经济不活跃。采用多元逻辑回归分析来确定就业状况变化与新发抑郁症状之间的关联。
调整后的多元逻辑回归分析显示,在男性工人中,从长期就业状态转变为失业状态(比值比:4.50,95%置信区间:1.19至17.06)以及从长期就业状态转变为不稳定工人状态(比值比:3.15,95%置信区间:1.30至7.65)的工人,与保持长期就业状态的工人相比,新发抑郁症状水平显著较高。从长期就业状态转变为自营职业或经济不活跃状态的男性工人,其新发抑郁症状没有显著增加。另一方面,女性工人之间未发现显著差异。
我们的研究表明,就业状态转变为不稳定工人或失业状态会导致男性长期有薪工人出现新发抑郁症状。