The positive association between employment and self-reported mental health in the USA: a robust application of marginalized zero-inflated negative binomial regression (MZINB).

Autor:	Eric C; Department of Clinical Pharmacy and Outcomes Science, University of South Carolina College of Pharmacy, Columbia, South Carolina, 29208, USA., Melanie G; Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, 29208, USA., Yuan H; Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29208, USA., Jiajia Z; Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29208, USA., Bankole O; Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, 29208, USA.
Jazyk:	angličtina
Zdroj:	Journal of public health (Oxford, England) [J Public Health (Oxf)] 2020 May 26; Vol. 42 (2), pp. 340-352.
DOI:	10.1093/pubmed/fdaa030
Abstrakt:	Background: Few studies have assessed the impact of employment on mental health among chronically ill patients. This study investigated the association between employment and self-reported mental unhealthy days among US adults. Methods: For this cross-sectional cohort study, we pooled 2011-2017 Behavioral Risk Factor Surveillance System (BRFSS) survey data. We examined the association between employment and mental health in nine self-reported chronic conditions using marginalized zero-inflated negative binomial regression (MZINB). All analyses were conducted using SAS statistical software 9.4. Results: Respondents (weighted n = 245 319 917) were mostly white (77.16%), aged 18-64 (78.31%) and employed (57.08%). Approximately 10% of respondents reported one chronic condition. Expected relative risk of mental unhealthy days was highest for employed respondents living with arthritis (RR = 1.70, 95% CI = [1.66, 1.74]), COPD (RR = 1.45, 95% CI = [1.41, 1.49]) and stroke (RR = 1.31, 95% CI = [1.25, 1.36]) compared to unemployed respondents. Employed males had 25% lower risk of self-reported mental unhealthy days compared to females. Conclusions: Results show the interactive effects of employment on self-reported mental health. Employment may significantly impact on self-reported mental health among patients suffering from chronic conditions than those without chronic conditions. (© The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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