Park Youngsun, Oh Juyeon, Park Heejoo, Lee Jian, Yun Byungyoon, Yoon Jin-Ha
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Republic of Korea.
Saf Health Work. 2024 Sep;15(3):352-359. doi: 10.1016/j.shaw.2024.06.005. Epub 2024 Jul 4.
Organizational downsizing may be significantly linked to depressive symptoms, yet research on this impact in Asian contexts is limited. This study investigates the association between downsizing during the COVID-19 pandemic and depressive symptoms across diverse employment statuses.
This study used the data from 6th Korean Working Conditions Survey. Depressive symptoms were measured using WHO-5 well-being index with a cut-off of 50. Downsizing was defined as decrease in the number of employees during last three years. Multivariable logistic regression adjusted for socio-demographic and occupational factors was used to estimate the adjusted odds ratio (OR) and 95% confidence interval (CI) for depressive symptoms associated with downsizing, including subgroup analyses.
Among 26,247 Korean workers (mean age: 43.4, men: 47.5%), the prevalence of depressive symptoms was 29.5% ( = 7,751), and the proportion of downsizing was 15.2% ( = 3,978). The prevalence of depressive symptoms was significantly higher among the downsizing group (36.7%, = 1,460) than among the no-downsizing group (28.3%, = 6,291). The result of logistic regression revealed a significant association between downsizing and depressive symptoms (adjusted OR [95% CI]: 1.39 [1.29-1.50]), particularly pronounced among high socioeconomic status workers.
This study underscores the significant association between depressive symptoms and organizational downsizing, especially high vulnerability of socioeconomically advantaged and stable workers. These findings highlight the necessity for targeted mental health support and further longitudinal research to clarify the relationship between employment changes and mental health within the Korean workforce.
组织精简可能与抑郁症状显著相关,但在亚洲背景下关于这种影响的研究有限。本研究调查了新冠疫情期间的组织精简与不同就业状况下的抑郁症状之间的关联。
本研究使用了第六次韩国工作条件调查的数据。抑郁症状采用世界卫生组织-5幸福指数进行测量,临界值为50。组织精简定义为过去三年员工数量的减少。采用经社会人口学和职业因素调整的多变量逻辑回归来估计与组织精简相关的抑郁症状的调整优势比(OR)和95%置信区间(CI),包括亚组分析。
在26247名韩国工人中(平均年龄:43.4岁,男性:47.5%),抑郁症状的患病率为29.5%(n = 7751),组织精简的比例为15.2%(n = 3978)。组织精简组中抑郁症状的患病率(36.7%,n = 1460)显著高于非组织精简组(28.3%,n = 6291)。逻辑回归结果显示组织精简与抑郁症状之间存在显著关联(调整后的OR [95% CI]:1.39 [1.29 - 1.50]),在社会经济地位较高的工人中尤为明显。
本研究强调了抑郁症状与组织精简之间的显著关联,特别是社会经济地位优越且稳定的工人的高脆弱性。这些发现凸显了针对性心理健康支持的必要性以及进一步的纵向研究,以阐明韩国劳动力中就业变化与心理健康之间的关系。