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2015-2019 年,在麦德林市中心从事生存工作的女性工人中,与抑郁症状存在相关的工作和非工作条件。

Working and non-working conditions related to the presence of depressive symptoms in women workers with subsistence jobs in the centre of Medellín, 2015-2019.

机构信息

Facultad de Medicina, Universidad CES, Medellín, Colombia.

Facultad de Medicina, Universidad CES, Medellín, Colombia.

出版信息

Rev Colomb Psiquiatr (Engl Ed). 2022 Oct-Dec;51(4):281-292. doi: 10.1016/j.rcpeng.2020.11.012. Epub 2022 Nov 18.

Abstract

OBJECTIVE

To determine the working and non-working conditions related to depressive symptoms in informal workers in the centre of Medellín in 2015-2019.

METHODS

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.

RESULTS

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 8 h 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.

CONCLUSIONS

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.

摘要

目的

确定 2015 年至 2019 年在麦德林市中心非正规工人中与抑郁症状相关的工作和非工作条件。

方法

这是一项具有分析意向的横断面研究,主要信息源为初级资料。2016 年,在其一个工会总部进行了辅助调查式数据收集,在此之前,先进行了试点测试和民意调查员的标准化。总共抽取了 291 名女性工人作为总体进行普查,并对其工作和非工作条件进行了探讨。

结果

这些女性的平均年龄为 45 岁,接受过 ≤5 年的学校教育,住房为中低收入,收入低于 2016 年的最低工资。约 60%的人遭受中度至重度粮食不安全,且未获得国家福利。她们主要是家庭的户主,有 1 至 2 个受抚养人,负责家务劳动。她们每天至少工作 8 小时,每周工作 6 至 7 天,其父母或亲属在街上销售商品,而且至少已经工作 20 年。约 60%的人有伴侣,21.6%的人家庭功能失调,15.4%的人有中度至重度抑郁症状。居住在一个房间或贫民窟、社会经济地位低、家庭功能失调中度至重度与中度至重度抑郁症状相关,并有助于对其做出解释。

结论

可通过对健康的社会决定因素产生影响的行动,来改变与女性工人的中度至重度抑郁症状相关且能对此做出解释的非工作条件。

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