Pauls Ceciel, Fleischmann Maria, Klein Michel, Bouwhuis Stef, Bosmans Judith E
Department of Health Sciences, Vrije Universiteit Amsterdam, Netherlands.
Hogeschool Rotterdam, Lectoraar Verloskunde en Geboortezorg, Netherlands.
SSM Popul Health. 2024 Jul 2;27:101696. doi: 10.1016/j.ssmph.2024.101696. eCollection 2024 Sep.
To create better understanding of the mechanisms underlying the association between employment precariousness (EP) and mental health by considering household poverty as a moderator while stratifying for gender across welfare state types (WSTs): Scandinavian, South European, Central- and East European, Bismarckian and Anglo-Saxon.
Data from the sixth wave of the European Working Conditions Survey (N = 18,725) was used. The Employment Precariousness Scale was used to assess EP on a continuous scale. Mental health was measured using the WHO-5 Well-Being Index. A binary variable for subjective household poverty was created. We estimated gender-stratified, multi-level models with a random intercept at country-level for the association between EP and mental health, with an interaction term between EP and subjective household poverty, for each WST separately. Models were adjusted for age, education, having a partner and having children under age 18 in the household.
In all WSTs, among men as well as women, we found a negative relation between EP and mental health. Among women, this relation was not moderated by household poverty. Among men in the Anglo-Saxon WST, the negative relation between EP and mental health was stronger among employees that reported household poverty compared to those who did not report household poverty.
Evidence of a moderating effect of household poverty on the association between EP and mental health was only found amongst men in the Anglo-Saxon WSTs and the combined full sample. Other factors that might affect the association between EP and mental health should be investigated.
通过将家庭贫困视为调节变量，并按福利国家类型（斯堪的纳维亚、南欧、中东欧、俾斯麦式和盎格鲁 - 撒克逊）对性别进行分层，以更好地理解就业不稳定（EP）与心理健康之间关联的潜在机制。
使用了欧洲工作条件调查第六波的数据（N = 18,725）。就业不稳定量表用于连续评估就业不稳定程度。心理健康使用世界卫生组织 - 5幸福指数进行测量。创建了一个关于主观家庭贫困的二元变量。我们分别为每种福利国家类型估计了按性别分层的多层次模型，在国家层面有随机截距，用于就业不稳定与心理健康之间的关联，并包含就业不稳定与主观家庭贫困之间的交互项。模型对年龄、教育程度、是否有伴侣以及家庭中是否有18岁以下子女进行了调整。
在所有福利国家类型中，无论男性还是女性，我们都发现就业不稳定与心理健康之间存在负相关。在女性中，这种关系不受家庭贫困的调节。在盎格鲁 - 撒克逊福利国家类型的男性中，报告家庭贫困的员工与未报告家庭贫困的员工相比，就业不稳定与心理健康之间的负相关更强。
仅在盎格鲁 - 撒克逊福利国家类型的男性以及合并的全样本中发现家庭贫困对就业不稳定与心理健康之间关联有调节作用的证据。应研究其他可能影响就业不稳定与心理健康之间关联的因素。
