Hospitalisation for depressive disorder following unemployment—differentials by gender and immigrant status: a population-based cohort study in Sweden
| Autor: | Jan Ekberg, Bo Burström, Daniel Bruce, Solvig Ekblad, Anna-Clara Hollander |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Epidemiology media_common.quotation_subject Emigrants and Immigrants Risk Factors Humans Medicine Prospective Studies Risk factor Psychiatry Prospective cohort study media_common Sweden Depressive Disorder business.industry Public Health Environmental and Occupational Health Middle Aged Mental health Hospitalization Socioeconomic Factors Unemployment Relative risk Cohort Marital status Female business Demography Cohort study |
| Zdroj: | Journal of Epidemiology and Community Health. 67:875-881 |
| ISSN: | 1470-2738 0143-005X |
| DOI: | 10.1136/jech-2013-202701 |
| Popis: | Background The association between unemployment and poor mental health in general is explained by both causation and selection. The aim was to study whether experiencing unemployment was a risk factor for hospitalisation for depressive disorder specifically, and whether gender and immigrant status modified the hypothesised risk. Methods A register-based prospective cohort study, 2000–2006, of persons aged 18–64 with a strong connection to the Swedish labour market. Outcome : hospital admission for a depressive episode; F32 in International Classification of Diseases, 10th revision. Exposure : employment status. Explanatory variables : gender and immigrant status. Confounders: age group, education and marital status. Cox regression models were used to estimate HRs with 95% CIs. Results The cohort comprised 3 284 896 adults, 47.5% women. An excess relative risk for hospitalisation was found among those who became unemployed (HR=1.94, 95% CI 1.85 to 2.03). Foreign-born women who experienced unemployment had the highest relative risk (HR=3.47 95% CI 3.02 to 3.98). Conclusions Among persons with a strong connection to the labour market experiencing unemployment, is a risk factor for hospitalisation for depressive disorders. Unemployed foreign-born women had the highest relative risk compared with all Swedish born, all foreign-born men and to employed foreign-born women. |
| Databáze: | OpenAIRE |
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