Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study
| Autor: | Susanna Toivanen, Mikael Rostila, Gun Johansson, Hugo Westerlund, Anna Nyberg |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Employment Male sick leave Logistic regression Cohort Studies gender theory Surveys and Questionnaires gender cohort study Medicine Humans status incongruence Prospective Studies Occupations Sex Distribution Prospective cohort study depressive symptom Depression (differential diagnoses) Aged Sweden prospective cohort study register business.industry Public Health Environmental and Occupational Health mild-to-severe depressive symptom Middle Aged sickness absence Status inconsistency Confidence interval Occupational Diseases status inconsistency Sick leave depression human service occupation Female Public aspects of medicine RA1-1270 business register-based sickness absence mental health Demography Cohort study Social status |
| Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 46, Iss 2, Pp 209-217 (2020) |
| ISSN: | 0355-3140 |
| Popis: | OBJECTIVE: This study aimed to investigate the hypothesis that negative status incongruence may contribute to explain higher risk of mental ill-health and sickness absence in human service occupations (HSO). METHODS: Participants from the Swedish Longitudinal Occupational Survey of Health who responded to questionnaires in both 2014 and 2016 (N=11 814; 42% men, 58% women) were included. Status incongruence between register-based educational level and subjective social status was assessed. The association between employment in a HSO and status incongruence was estimated in linear regression analyses adjusted for age, income, work hours, sickness absence, childcare, and job qualification match. The prospective associations between status incongruence and mild-to-severe depressive symptoms and register-based sickness absence ≥31 days respectively were estimated with logistic regression analyses in models adjusted for age and outcomes at baseline. All analyses were stratified by gender. RESULTS: Employment in a HSO was associated with more negative status incongruence in both genders [standardized coefficient men 0.04, 95% confidence interval (CI) 0.02–0.07; women 0.06, 95% CI 0.04–0.09]. More negative status incongruence was furthermore associated with higher odds of mild-to-severe depressive symptoms (men OR 1.18, 95% CI 1.08−1.29; women OR 1.17, 95% CI 1.09−1.26) and sickness absence ≥31 days (men OR 1.40, 95% CI 1.23−1.59; women OR 1.17, 95% CI 1.07−1.28) two years later. CONCLUSION: Status incongruence is somewhat higher among HSO than other occupations and associated with increased odds of depressive symptoms and sickness absence. |
| Databáze: | OpenAIRE |
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