Mental health by gender-specific occupational groups: Profiles, risks and dominance of predictors
| Autor: | Jari Hakanen, Pekka Varje, Ari Väänänen, Jaana I. Halonen, Aki Koskinen, Anne Kouvonen |
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| Přispěvatelé: | Academic Disciplines of the Faculty of Social Sciences, Center for Population, Health and Society, Faculty of Social Sciences, University of Helsinki, Centre of Excellence in Research on Ageing and Care |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male HELP-SEEKING DISORDERS Occupational prestige Antidepressant SICKNESS ABSENCE Social class Logistic regression Cohort Studies 03 medical and health sciences Sex Factors 0302 clinical medicine Risk Factors Humans Medicine 030212 general & internal medicine Occupations Finland Depression (differential diagnoses) SOCIAL-CLASS WORK Occupation MULTIPLE-REGRESSION Depression business.industry Mental Disorders Gender ta3142 Middle Aged Mental health 3142 Public health care science environmental and occupational health Antidepressive Agents Help-seeking 3. Good health 030227 psychiatry Suicide Psychiatry and Mental health Clinical Psychology LIFE-STYLES Mental Health Dominance (ethology) 5141 Sociology Cohort INEQUALITIES Female business Demography |
| Zdroj: | Journal of Affective Disorders. 238:311-316 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2018.06.007 |
| Popis: | Background We defined gender-specific profiles of mental ill-health for the main occupational groups using three outcomes; antidepressant use, sickness absence (SA) due to depression, and suicides. We also examined which occupational groups had the highest risk of the outcomes, and compared the importance of their predictors. Methods From a random register cohort of Finnish working age population, individuals in the six largest occupational groups in 2004 for men and women were included (N = 414 357). We used register data to define the first antidepressant purchase (i.e. use), the first long-term SA spell for depression, and suicide between Jan 1st 2005 and Dec 31st 2014. We assessed the risk of each outcome by occupational group with logistic regression models, and used dominance analysis to compare the relative importance of predictors. Results In all six occupational groups for women, the prevalence of antidepressant use and SA for depression was higher than in the men's occupational groups. The opposite was observed for suicides. The risk of antidepressant use was lower, but the risk of suicide was 2-times higher among men in low vs. high-skilled occupations. Among women, a lower skill-level was associated with a higher risk of SA due to depression. Gender was the most important predictor of all outcomes. Limitations We lacked information on history of medication use or health problems prior to follow-up. Conclusions Gendered occupational status was an underlying factor explaining distinctive mental health profiles in the working population. Occupational class-dependent behavioural patterns related to mental health existed among men. |
| Databáze: | OpenAIRE |
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