Universidade do Extremo Sul Catarinense, Criciúma, Brasil.
Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2024 Jun 14;40(5):e00110523. doi: 10.1590/0102-311XEN110523. eCollection 2024.
This study aimed to evaluate the association between employment status and mental health, considering food insecurity as a mediator of this relation. A cross-sectional population-based study was conducted with adults (≥ 18 and < 60 years) during the COVID-19 outbreak in two cities from Southern Brazil. Employment status was categorized into working, not working, and lost job. The mental health outcomes evaluated were depressive symptoms, perceived stress, and sadness. Food insecurity was identified by the short-form version of the Brazilian Food Insecurity Scale. Adjusted analyses using Poisson regression were performed to assess the association between employment status and mental health. Mediation analysis was performed to investigate the direct and indirect effects of employment status on mental health outcomes. In total, 1,492 adults were analyzed. The not working status was associated with 53% and 74% higher odds of perceived stress and of sadness, respectively. Being dismissed during the pandemic increased the odds of depressive symptoms, perceived stress, and sadness by 68%, 123%, and 128%, respectively. Mediation analyses showed that food insecurity was an important mediator of the association between employment status and depressive symptoms and sadness, but not of perceived stress. The complexity of these results highlights economic and nutritional aspects involved in mental health outcomes.
本研究旨在评估就业状况与心理健康之间的关联，并考虑食物不安全感作为这种关系的中介因素。在新冠疫情期间，巴西南部两个城市开展了一项基于人群的横断面研究，纳入了成年人（≥ 18 岁且< 60 岁）。就业状况分为工作、不工作和失业。评估的心理健康结果包括抑郁症状、感知压力和悲伤。通过巴西食物不安全感量表的简化版来确定食物不安全感。采用泊松回归调整分析来评估就业状况与心理健康之间的关联。进行中介分析以调查就业状况对心理健康结果的直接和间接影响。总共分析了 1492 名成年人。不工作状态与感知压力和悲伤的发生风险分别增加 53%和 74%有关。在大流行期间被解雇使抑郁症状、感知压力和悲伤的发生风险分别增加了 68%、123%和 128%。中介分析表明，食物不安全感是就业状况与抑郁症状和悲伤之间关联的一个重要中介因素，但不是与感知压力之间关联的重要中介因素。这些复杂结果突显了与心理健康结果相关的经济和营养方面。
