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职业不满是女性工人出现抑郁症状和自杀意念的风险因素:来自韩国全国性纵向研究的证据。

Job dissatisfaction as a risk factor of depressive symptoms and suicidal ideation among female workers: evidence from a nationwide longitudinal study in South Korea.

机构信息

Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University Health System, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Arch Womens Ment Health. 2024 Feb;27(1):57-66. doi: 10.1007/s00737-023-01383-4. Epub 2023 Oct 21.

DOI:10.1007/s00737-023-01383-4
PMID:37864607
Abstract

This study aimed to investigate the relationship between job dissatisfaction (JD) and depressive symptoms and suicidal ideation among female workers. Additionally, it examined how the cumulative exposure to JD over multiple years can exacerbate the effect. We conducted our analyses on a nationwide sample of 6111 female workers from the Korean Longitudinal Survey of Women and Family (Waves 5-7). Depressive symptoms were measured using the 10-item version of the Centre for Epidemiologic Studies Depression Scale. JD was classified into quartiles (Q1-Q4), and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using generalised estimating equations. The overall prevalence of depressive symptoms and suicidal ideation among study participants was 13.9% and 2.4%, respectively. Our findings revealed that female workers with the highest level of JD (Q4) had a significantly greater risk of depressive symptoms (OR [95% CI]: 1.61 [1.37-1.89]) and suicidal ideation (OR [95% CI]: 2.08 [1.37-3.17]) after 2-year follow-up compared to those with the lowest level of JD (Q1). Consecutive exposure to JD over multiple years was also associated with depressive symptoms and suicidal ideation after a 2-year follow-up. For instance, women exposed to JD for three consecutive waves exhibited a high risk of depressive symptoms (OR [95% CI]: 1.61 [1.33-1.95]) and suicidal ideation (OR [95% CI]: 1.67 [1.04-2.70]). JD was positively associated with depressive symptoms and suicidal ideation. Our study suggests that JD is a risk factor for mental health problems in female workers.

摘要

这项研究旨在探讨女性工作者的工作不满(JD)与抑郁症状和自杀意念之间的关系。此外,还研究了多年来 JD 的累积暴露如何加剧这种影响。我们对来自韩国女性和家庭纵向调查(第 5-7 波)的 6111 名女性的全国性样本进行了分析。抑郁症状使用流行病学研究中心抑郁量表的 10 项版本进行测量。JD 分为四等分(Q1-Q4),使用广义估计方程计算优势比(OR)及其 95%置信区间(CI)。研究参与者中抑郁症状和自杀意念的总体患病率分别为 13.9%和 2.4%。我们的研究结果表明,JD 水平最高的女性工作者(Q4)在 2 年随访后出现抑郁症状(OR [95%CI]:1.61 [1.37-1.89])和自杀意念(OR [95%CI]:2.08 [1.37-3.17])的风险显著增加与 JD 水平最低的女性工作者(Q1)相比。多年来连续暴露于 JD 也与 2 年随访后的抑郁症状和自杀意念有关。例如,连续暴露于 JD 三个波的女性出现抑郁症状的风险较高(OR [95%CI]:1.61 [1.33-1.95])和自杀意念(OR [95%CI]:1.67 [1.04-2.70])。JD 与抑郁症状和自杀意念呈正相关。我们的研究表明,JD 是女性工作者心理健康问题的一个风险因素。

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