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Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies

BACKGROUND: Flexible employment is increasing across Europe and recent studies show an association with poor mental health. The goal of the current study is to examine this association in the Italian population to assess the possible mediating role of financial strain. METHODS: Data were obtained by...

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Autores principales: Ferrante, Gianluigi, Fasanelli, Francesca, Gigantesco, Antonella, Ferracin, Elisa, Contoli, Benedetta, Costa, Giuseppe, Gargiulo, Lidia, Marra, Michele, Masocco, Maria, Minardi, Valentina, Violani, Cristiano, Zengarini, Nicolás, d’Errico, Angelo, Ricceri, Fulvio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609380/
https://www.ncbi.nlm.nih.gov/pubmed/31269944
http://dx.doi.org/10.1186/s12889-019-7243-x
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author Ferrante, Gianluigi
Fasanelli, Francesca
Gigantesco, Antonella
Ferracin, Elisa
Contoli, Benedetta
Costa, Giuseppe
Gargiulo, Lidia
Marra, Michele
Masocco, Maria
Minardi, Valentina
Violani, Cristiano
Zengarini, Nicolás
d’Errico, Angelo
Ricceri, Fulvio
author_facet Ferrante, Gianluigi
Fasanelli, Francesca
Gigantesco, Antonella
Ferracin, Elisa
Contoli, Benedetta
Costa, Giuseppe
Gargiulo, Lidia
Marra, Michele
Masocco, Maria
Minardi, Valentina
Violani, Cristiano
Zengarini, Nicolás
d’Errico, Angelo
Ricceri, Fulvio
author_sort Ferrante, Gianluigi
collection PubMed
description BACKGROUND: Flexible employment is increasing across Europe and recent studies show an association with poor mental health. The goal of the current study is to examine this association in the Italian population to assess the possible mediating role of financial strain. METHODS: Data were obtained by two Italian cross-sectional studies (PASSI and HIS) aimed at monitoring the general population health status, health behaviours and determinants. Mental health status was assessed using alternatively two validated questionnaires (the PHQ-2 and the MCS-12 score) and Poisson regression models were performed to assess if precarious work was associated with poor mental health. A formal mediation analysis was conducted to evaluate if the association between precarious work and mental health was mediated by financial strain. RESULTS: The analyses were performed on 31,948 subjects in PASSI and on 21,894 subjects in HIS. A nearly two-fold risk of depression and poor mental health was found among precarious workers, compared to workers with a permanent contract, which was strongly mediated by financial strain. CONCLUSIONS: Even with the limitations of a cross-sectional design, this research supports that precarious employment contributes through financial strain to reduce the mental health related quality of life and to increase mental disorders such as symptoms of depression or dysthymia. This suggests that when stability in work cannot be guaranteed, it would be appropriate to intervene on the wages of precarious jobs and to provide social safety nets for ensuring adequate income. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-019-7243-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-66093802019-07-16 Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies Ferrante, Gianluigi Fasanelli, Francesca Gigantesco, Antonella Ferracin, Elisa Contoli, Benedetta Costa, Giuseppe Gargiulo, Lidia Marra, Michele Masocco, Maria Minardi, Valentina Violani, Cristiano Zengarini, Nicolás d’Errico, Angelo Ricceri, Fulvio BMC Public Health Research Article BACKGROUND: Flexible employment is increasing across Europe and recent studies show an association with poor mental health. The goal of the current study is to examine this association in the Italian population to assess the possible mediating role of financial strain. METHODS: Data were obtained by two Italian cross-sectional studies (PASSI and HIS) aimed at monitoring the general population health status, health behaviours and determinants. Mental health status was assessed using alternatively two validated questionnaires (the PHQ-2 and the MCS-12 score) and Poisson regression models were performed to assess if precarious work was associated with poor mental health. A formal mediation analysis was conducted to evaluate if the association between precarious work and mental health was mediated by financial strain. RESULTS: The analyses were performed on 31,948 subjects in PASSI and on 21,894 subjects in HIS. A nearly two-fold risk of depression and poor mental health was found among precarious workers, compared to workers with a permanent contract, which was strongly mediated by financial strain. CONCLUSIONS: Even with the limitations of a cross-sectional design, this research supports that precarious employment contributes through financial strain to reduce the mental health related quality of life and to increase mental disorders such as symptoms of depression or dysthymia. This suggests that when stability in work cannot be guaranteed, it would be appropriate to intervene on the wages of precarious jobs and to provide social safety nets for ensuring adequate income. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-019-7243-x) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-03 /pmc/articles/PMC6609380/ /pubmed/31269944 http://dx.doi.org/10.1186/s12889-019-7243-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ferrante, Gianluigi
Fasanelli, Francesca
Gigantesco, Antonella
Ferracin, Elisa
Contoli, Benedetta
Costa, Giuseppe
Gargiulo, Lidia
Marra, Michele
Masocco, Maria
Minardi, Valentina
Violani, Cristiano
Zengarini, Nicolás
d’Errico, Angelo
Ricceri, Fulvio
Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title_full Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title_fullStr Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title_full_unstemmed Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title_short Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies
title_sort is the association between precarious employment and mental health mediated by economic difficulties in males? results from two italian studies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609380/
https://www.ncbi.nlm.nih.gov/pubmed/31269944
http://dx.doi.org/10.1186/s12889-019-7243-x
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