Employment Industry and Occupational Class in Relation to Serious Psychological Distress in the United States

被引:3
作者
Gullett, Lauren R. [1 ]
Alhasan, Dana M. [1 ]
Jackson, W. Braxton, II [2 ]
Jackson, Chandra L. [1 ,3 ]
机构
[1] NIEHS, Epidemiol Branch, Dept Hlth & Human Serv, NIH, Durham, NC 27709 USA
[2] DLH Holdings Co, Social & Sci Syst Inc, Durham, NC 27703 USA
[3] Natl Inst Minor Hlth & Hlth Dispar, Intramural Program, Dept Hlth & Human Serv, NIH, Bethesda, MD 20892 USA
关键词
occupations; occupational health; psychological distress; employment; race factors; economic status; mental health; MENTAL-HEALTH; WORK; WORKPLACE; SLEEP; DISCRIMINATION; DISPARITIES; DISEASE; ILLNESS; IMPACT; BLACK;
D O I
10.3390/ijerph19148376
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Occupational characteristics may influence serious psychological distress (SPD) and contribute to health inequities; yet, few studies have examined multiple employment industries and occupational classes in a large, racially diverse sample of the United States. Using data from the National Health Interview Survey, we investigated employment industry and occupational class in relation to SPD in the overall population and by race/ethnicity, gender, age, household income, and health status. We created eight employment industry categories: professional/administrative/management, agricultural/manufacturing/construction, retail trade, finance/information/real estate, educational services, health care/social assistance, accommodation/food services, and public administration/arts/other services. We also created three occupational class categories: professional/management, support services, and laborers. SPD was measured using the Kessler Psychological Distress Scale and scores >= 13 indicated SPD. We adjusted for confounders and used Poisson regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). Among the 245,038 participants, the mean age was 41.7 +/- 0.1 years, 73% were Non-Hispanic (NH)-White, and 1.5% were categorized as having SPD. Compared to the professional/administrative/management industry, working in other industries (e.g., manufacturing/construction (PR = 0.82 [95% CI: 0.70-0.95]) and educational services (PR = 0.79 [95% CI: 0.66-0.94])) was associated with lower SPD. Working in support services and laborer versus professional/management positions were both associated with 19% higher prevalence of SPD (95% CI: 1.04-1.35; 95% CI: 1.04-1.38, respectively). Furthermore, working in a support services or laborer versus professional/management position was associated with higher SPD in most employment industries. Industry-specific workplace interventions to equitably improve mental health are warranted.
引用
收藏
页数:26
相关论文
共 61 条
[1]  
Andrade GO, 2015, REV BRAS ANESTESIOL, V65, P504, DOI [10.1016/j.bjan.2013.03.021, 10.1016/j.bjane.2013.03.021]
[2]  
[Anonymous], 2002, National Health Interview Survey 2002
[3]   Understanding persons with psychological distress in primary health care [J].
Arvidsdotter, Tina ;
Marklund, Bertil ;
Kylen, Sven ;
Taft, Charles ;
Ekman, Inger .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2016, 30 (04) :687-694
[4]   Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio [J].
Aluísio JD Barros ;
Vânia N Hirakata .
BMC Medical Research Methodology, 3 (1) :1-13
[5]   Psychosocial work environment and mental health among construction workers [J].
Boschman, J. S. ;
van der Molen, H. F. ;
Sluiter, J. K. ;
Frings-Dresen, M. H. W. .
APPLIED ERGONOMICS, 2013, 44 (05) :748-755
[6]   Bad Jobs, Bad Health? How Work and Working Conditions Contribute to Health Disparities [J].
Burgard, Sarah A. ;
Lin, Katherine Y. .
AMERICAN BEHAVIORAL SCIENTIST, 2013, 57 (08) :1105-1127
[7]   Institutional and Individual Factors Affecting Health and Employment for Low-Income Women With Chronic Health Conditions [J].
Carolan, Kelsi ;
Gonzales, Ernest ;
Lee, Kathy ;
Harootyan, Robert A. .
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2020, 75 (05) :1062-1071
[8]   Racial/Ethnic Workplace Discrimination Association with Tobacco and Alcohol Use [J].
Chavez, Laura J. ;
Ornelas, India J. ;
Lyles, Courtney R. ;
Williams, Emily C. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2015, 48 (01) :42-49
[9]   Industry Sectors Highly Affected by Worksite Outbreaks of Coronavirus Disease, Los Angeles County, California, USA, March 19 September 30, 2020 [J].
Contreras, Zuelma ;
Van Ngo ;
Pulido, Marifi ;
Washburn, Faith ;
Meschyan, Gayane ;
Gluck, Fruma ;
Kuguru, Karen ;
Reporter, Roshan ;
Curley, Condessa ;
Civen, Rachel ;
Terashita, Dawn ;
Baiter, Sharon ;
Halai, Umme-Aiman .
EMERGING INFECTIOUS DISEASES, 2021, 27 (07) :1759-1775
[10]   Who is Responsible for Work-Life Balance? [J].
Federman, Myke Drayer .
FRONTIERS IN PEDIATRICS, 2016, 3