Ye Lu, Kavanagh Anne, Petrie Dennis, Dickinson Helen, Aitken Zoe
Disability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.
Centre for Health Economics, Monash Business School, Monash University, Caulfield East, Victoria, Australia.
SSM Popul Health. 2023 Jun 7;23:101446. doi: 10.1016/j.ssmph.2023.101446. eCollection 2023 Sep.
This paper investigates the relationship between part-time and full-time employment and mental health for people with and without disability, as well as differences in the relationship by age and sex.
Using data from 13,219 working-aged people (15-64 years) in the labour force who participated in five annual waves of a longitudinal cohort study in Australia, the analysis used fixed effect regression models to examine within-person changes in mental health associated with changes in employment status (full-time; part-time; unemployed). Differences in the relationship between employment status and mental health by disability, sex, and age were assessed.
Among people with disability, there was evidence that working part-time and full-time were associated with a 4.2-point (95% CI 2.6, 5.7) and 6.0-point (95% CI 4.4, 7.6) increase in mental health scores compared with when they were unemployed. For people without disability, there were much smaller differences in mental health associated with working part-time ( = 1.0, 95% CI 0.2, 1.9) and full-time ( = 1.4, 95% CI 0.5, 2.2) compared with when they were unemployed. The positive effects of both part-time and full-time employment were of greater magnitude for people with disability aged younger than 45 years compared to those aged 45 years and older.
The results of this study suggest that both part-time and full-time employment may have beneficial effects on the mental health of people with disability, particularly for younger people. The findings underscore the value of employment for people with disability, given we found much larger beneficial mental health effects in comparison to people without disability.
本文研究了残疾人和非残疾人兼职与全职工作和心理健康之间的关系，以及这种关系在年龄和性别上的差异。
利用来自澳大利亚一项纵向队列研究的五轮年度调查中13219名劳动力市场上15至64岁工作年龄人群的数据，分析采用固定效应回归模型，以检验与就业状况变化（全职；兼职；失业）相关的心理健康的个体内变化。评估了就业状况与心理健康之间关系在残疾、性别和年龄方面的差异。
在残疾人中，有证据表明，与失业时相比，兼职和全职工作分别使心理健康得分提高4.2分（95%置信区间2.6, 5.7）和6.0分（95%置信区间4.4, 7.6）。对于非残疾人，与失业时相比，兼职（β = 1.0，95%置信区间0.2, 1.9）和全职（β = 1.4，95%置信区间0.5,2.2）工作对心理健康的影响要小得多。与45岁及以上的残疾人相比，45岁以下的残疾人从事兼职和全职工作的积极影响更大。
本研究结果表明，兼职和全职工作可能对残疾人的心理健康有有益影响，尤其是对年轻人。鉴于我们发现与非残疾人相比，残疾人在心理健康方面有更大的有益影响，这些发现强调了就业对残疾人的价值。
