Garzón-Duque María Osley, Uribe-Cárdenas Paula Andrea, Rodríguez-Ospina Fabio León, Cardona-Arango Doris, Segura-Cardona Angela María, Marulanda-Henao Sara
Facultad de Medicina, Universidad CES, Medellín, Colombia.
Facultad de Medicina, Universidad CES, Medellín, Colombia.
Rev Colomb Psiquiatr (Engl Ed). 2021 Jan 30. doi: 10.1016/j.rcp.2020.11.013.
To determine the working and non-working conditions related to depressive symptoms in informal workers in the centre of Medellín in 2015-2019.
Cross-sectional study with analytical intention and primary sources of information. Data collection with assisted survey in one of its union headquarters in 2016, after a pilot test and standardisation of pollsters. A total of 291 women workers were taken as a census, and their working and non-working conditions were explored.
The women had an average age of 45 years, ≤5 years of schooling, low and middle-income housing, and income below the 2016 minimum wage. About 60% suffered moderate-severe food insecurity, and received no state benefits. They were mainly the head of the family, with 1 or 2 dependents, and were responsible for the work at home. They worked at least 8hours a day, 6 or 7 days a week, with parents or relatives selling in the street, and at least 20 years in their work. About 60% had a partner, 21.6% with family dysfunction, and 15.4% moderate-severe depressive symptoms. Living in one room or a slum, with a low socioeconomic status and moderate-severe family dysfunction were associated with, and contributed to the explanation of, moderate-severe depressive symptoms.
The non-working conditions that are associated with and explain the moderate-severe depressive symptoms of female workers can be modified with actions that impact on the social determinants of health.
确定2015 - 2019年麦德林市中心非正规就业女性与抑郁症状相关的工作和非工作状况。
采用具有分析意图的横断面研究及一手信息来源。2016年在其一个工会总部进行辅助调查收集数据,此前进行了预试验和调查员标准化。共普查了291名女工,对她们的工作和非工作状况进行了探究。
这些女性平均年龄45岁,受教育年限≤5年,居住在中低收入住房,收入低于2016年最低工资。约60%遭受中度至重度粮食不安全,且未获得国家福利。她们主要是家庭户主,有1或2名受抚养人,负责家务劳动。她们每天至少工作8小时,每周工作6或7天,与父母或亲属在街上售卖商品,且工作至少20年。约60%有伴侣,21.6%存在家庭功能障碍,15.4%有中度至重度抑郁症状。居住在单间或贫民窟、社会经济地位低以及中度至重度家庭功能障碍与中度至重度抑郁症状相关,并有助于解释这些症状。
与女工中度至重度抑郁症状相关并能解释这些症状的非工作状况可通过影响健康社会决定因素的行动加以改善。