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Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration

OBJECTIVES: Unemployment and temporary employment are known to impact psychological health. However, the extent to which the effect is altered by migration-related and sociodemographic determinants is less clear. The purpose of this study was to investigate whether the association between employment...

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Autores principales: Sidorchuk, Anna, Engström, Karin, Johnson, Charisse M, Kayser Leeoza, Naima, Möller, Jette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558822/
https://www.ncbi.nlm.nih.gov/pubmed/28389494
http://dx.doi.org/10.1136/bmjopen-2016-014698
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author Sidorchuk, Anna
Engström, Karin
Johnson, Charisse M
Kayser Leeoza, Naima
Möller, Jette
author_facet Sidorchuk, Anna
Engström, Karin
Johnson, Charisse M
Kayser Leeoza, Naima
Möller, Jette
author_sort Sidorchuk, Anna
collection PubMed
description OBJECTIVES: Unemployment and temporary employment are known to impact psychological health. However, the extent to which the effect is altered by migration-related and sociodemographic determinants is less clear. The purpose of this study was to investigate whether the association between employment status and psychological distress differs between immigrants and Swedish-born and to what extent, the association is modified by gender and reason for immigration. DESIGN: Cross-sectional survey study. PARTICIPANTS AND SETTING: Data from public health surveys undertaken in 2002, 2006 and 2010 from random samples of Stockholm County residents, Sweden, were used to analyse a weighted sample of 51 118 individuals aged 18–64 (43 444 Swedish-born, 4055 non-refugees, 3619 refugees). According to their activity in the labour market, the participants were categorised into permanently/self-employed, temporarily employed and unemployed. OUTCOMES MEASURES: Associations between self-reported employment and psychological distress measured by a 12-item version of the General Health Questionnaire were explored across individuals with different migration status and reasons for immigration using logistic regression and pairwise comparisons. The analyses were stratified by gender and adjusted for age, socioeconomic characteristics and survey year. RESULTS: Unemployment was associated with elevated likelihood of psychological distress across the study population, regardless of migration status and gender. Fully adjusted models revealed nearly a 3-fold higher odds of distress in unemployed Swedish-born (OR 3.05, 95% CI 2.66 to 3.51), non-refugees (OR 3.51, 95% CI 2.44 to 5.05) and refugees (OR 2.91, 95% CI 2.20 to 3.85) when compared with permanently/self-employed. Temporary employment also increased the likelihood of distress, particularly among refugees and Swedish-born. CONCLUSIONS: The effect of unemployment on increased likelihood of poor psychological well-being overcomes gender-specific and migration-specific differences and is equally pronounced for Swedish-born, non-refugees and refugees. Exclusion from the labour market appears to be a major determinant of psychological health inequalities in contemporary Sweden.
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spelling pubmed-55588222017-08-18 Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration Sidorchuk, Anna Engström, Karin Johnson, Charisse M Kayser Leeoza, Naima Möller, Jette BMJ Open Epidemiology OBJECTIVES: Unemployment and temporary employment are known to impact psychological health. However, the extent to which the effect is altered by migration-related and sociodemographic determinants is less clear. The purpose of this study was to investigate whether the association between employment status and psychological distress differs between immigrants and Swedish-born and to what extent, the association is modified by gender and reason for immigration. DESIGN: Cross-sectional survey study. PARTICIPANTS AND SETTING: Data from public health surveys undertaken in 2002, 2006 and 2010 from random samples of Stockholm County residents, Sweden, were used to analyse a weighted sample of 51 118 individuals aged 18–64 (43 444 Swedish-born, 4055 non-refugees, 3619 refugees). According to their activity in the labour market, the participants were categorised into permanently/self-employed, temporarily employed and unemployed. OUTCOMES MEASURES: Associations between self-reported employment and psychological distress measured by a 12-item version of the General Health Questionnaire were explored across individuals with different migration status and reasons for immigration using logistic regression and pairwise comparisons. The analyses were stratified by gender and adjusted for age, socioeconomic characteristics and survey year. RESULTS: Unemployment was associated with elevated likelihood of psychological distress across the study population, regardless of migration status and gender. Fully adjusted models revealed nearly a 3-fold higher odds of distress in unemployed Swedish-born (OR 3.05, 95% CI 2.66 to 3.51), non-refugees (OR 3.51, 95% CI 2.44 to 5.05) and refugees (OR 2.91, 95% CI 2.20 to 3.85) when compared with permanently/self-employed. Temporary employment also increased the likelihood of distress, particularly among refugees and Swedish-born. CONCLUSIONS: The effect of unemployment on increased likelihood of poor psychological well-being overcomes gender-specific and migration-specific differences and is equally pronounced for Swedish-born, non-refugees and refugees. Exclusion from the labour market appears to be a major determinant of psychological health inequalities in contemporary Sweden. BMJ Publishing Group 2017-04-05 /pmc/articles/PMC5558822/ /pubmed/28389494 http://dx.doi.org/10.1136/bmjopen-2016-014698 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Epidemiology
Sidorchuk, Anna
Engström, Karin
Johnson, Charisse M
Kayser Leeoza, Naima
Möller, Jette
Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title_full Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title_fullStr Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title_full_unstemmed Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title_short Employment status and psychological distress in a population-based cross-sectional study in Sweden: the impact of migration
title_sort employment status and psychological distress in a population-based cross-sectional study in sweden: the impact of migration
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558822/
https://www.ncbi.nlm.nih.gov/pubmed/28389494
http://dx.doi.org/10.1136/bmjopen-2016-014698
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