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Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France

OBJECTIVE: To examine the relationship between young adults' labor force participation and depression in the context of the COVID-19 pandemic. DESIGN, SETTING, PARTICIPANTS: Data come from the nationally-representative EPICOV cohort study set up in France, and were collected in 2020 and 2021 (3...

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Autores principales: Melchior, Maria, Florence, Aline-Marie, Davisse-Paturet, Camille, Falissard, Bruno, Galéra, Cédric, Hazo, Jean-Baptiste, Vuillermoz, Cécile, Warszawski, Josiane, Dione, Fallou, Rouquette, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9638096/
https://www.ncbi.nlm.nih.gov/pubmed/36353287
http://dx.doi.org/10.3389/fpubh.2022.904665
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author Melchior, Maria
Florence, Aline-Marie
Davisse-Paturet, Camille
Falissard, Bruno
Galéra, Cédric
Hazo, Jean-Baptiste
Vuillermoz, Cécile
Warszawski, Josiane
Dione, Fallou
Rouquette, Alexandra
author_facet Melchior, Maria
Florence, Aline-Marie
Davisse-Paturet, Camille
Falissard, Bruno
Galéra, Cédric
Hazo, Jean-Baptiste
Vuillermoz, Cécile
Warszawski, Josiane
Dione, Fallou
Rouquette, Alexandra
author_sort Melchior, Maria
collection PubMed
description OBJECTIVE: To examine the relationship between young adults' labor force participation and depression in the context of the COVID-19 pandemic. DESIGN, SETTING, PARTICIPANTS: Data come from the nationally-representative EPICOV cohort study set up in France, and were collected in 2020 and 2021 (3 waves of online or telephone interviews: 02/05/2020–12/06/2020; 26/10/2020–14/12/2020; 24/06/2021–09/08/2021) among 2,217 participants aged 18–30 years. Participants with prior mental health disorder (n = 50) were excluded from the statistical analyses. RESULTS: Using Generalized Estimating Equation (GEE) models controlled for participants' socio-demographic and health characteristics and weighted to be nationally-representative, we found that compared to young adults who were employed, those who were studying or unemployed were significantly more likely to experience depression assessed using the PHQ-9 (multivariable ORs, respectively: OR: 1.29, 95% CI 1.05–1.60 and OR: 1.50, 1.13–1.99). Stratifying the analyses by age, we observed that unemployment was more strongly associated with depression among participants 25–30 years than among those who were 18–24 years (multivariable ORs, respectively, 1.78, 95% CI 1.17–2.71 and 1.41, 95% CI 0.96–2.09). Being out of the labor force was, to the contrary, more significantly associated with depression among participants 18–24 years (multivariable OR: 1.71, 95% CI 1.04–2.82, vs. 1.00, 95% CI 0.53–1.87 among participants 25–30 years). Stratifying the analyses by sex, we found no significant differences in the relationships between labor market characteristics and depression (compared to participants who were employed, multivariable ORs associated with being a student: men: 1.33, 95% CI 1.01–1.76; women: 1.19, 95% CI 0.85–1.67, multivariable ORs associated with being unemployed: men: 1.60, 95% CI 1.04–2.45; women: 1.47, 95% CI 1.01–2.15). CONCLUSIONS AND RELEVANCE: Our study shows that in addition to students, young adults who are unemployed also experience elevated levels of depression in the context of the COVID-19 pandemic. These two groups should be the focus of specific attention in terms of prevention and mental health treatment. Supporting employment could also be a propitious way of reducing the burden of the COVID-19 pandemic on the mental health of young adults.
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spelling pubmed-96380962022-11-08 Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France Melchior, Maria Florence, Aline-Marie Davisse-Paturet, Camille Falissard, Bruno Galéra, Cédric Hazo, Jean-Baptiste Vuillermoz, Cécile Warszawski, Josiane Dione, Fallou Rouquette, Alexandra Front Public Health Public Health OBJECTIVE: To examine the relationship between young adults' labor force participation and depression in the context of the COVID-19 pandemic. DESIGN, SETTING, PARTICIPANTS: Data come from the nationally-representative EPICOV cohort study set up in France, and were collected in 2020 and 2021 (3 waves of online or telephone interviews: 02/05/2020–12/06/2020; 26/10/2020–14/12/2020; 24/06/2021–09/08/2021) among 2,217 participants aged 18–30 years. Participants with prior mental health disorder (n = 50) were excluded from the statistical analyses. RESULTS: Using Generalized Estimating Equation (GEE) models controlled for participants' socio-demographic and health characteristics and weighted to be nationally-representative, we found that compared to young adults who were employed, those who were studying or unemployed were significantly more likely to experience depression assessed using the PHQ-9 (multivariable ORs, respectively: OR: 1.29, 95% CI 1.05–1.60 and OR: 1.50, 1.13–1.99). Stratifying the analyses by age, we observed that unemployment was more strongly associated with depression among participants 25–30 years than among those who were 18–24 years (multivariable ORs, respectively, 1.78, 95% CI 1.17–2.71 and 1.41, 95% CI 0.96–2.09). Being out of the labor force was, to the contrary, more significantly associated with depression among participants 18–24 years (multivariable OR: 1.71, 95% CI 1.04–2.82, vs. 1.00, 95% CI 0.53–1.87 among participants 25–30 years). Stratifying the analyses by sex, we found no significant differences in the relationships between labor market characteristics and depression (compared to participants who were employed, multivariable ORs associated with being a student: men: 1.33, 95% CI 1.01–1.76; women: 1.19, 95% CI 0.85–1.67, multivariable ORs associated with being unemployed: men: 1.60, 95% CI 1.04–2.45; women: 1.47, 95% CI 1.01–2.15). CONCLUSIONS AND RELEVANCE: Our study shows that in addition to students, young adults who are unemployed also experience elevated levels of depression in the context of the COVID-19 pandemic. These two groups should be the focus of specific attention in terms of prevention and mental health treatment. Supporting employment could also be a propitious way of reducing the burden of the COVID-19 pandemic on the mental health of young adults. Frontiers Media S.A. 2022-10-24 /pmc/articles/PMC9638096/ /pubmed/36353287 http://dx.doi.org/10.3389/fpubh.2022.904665 Text en Copyright © 2022 Melchior, Florence, Davisse-Paturet, Falissard, Galéra, Hazo, Vuillermoz, Warszawski, Dione and Rouquette. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Melchior, Maria
Florence, Aline-Marie
Davisse-Paturet, Camille
Falissard, Bruno
Galéra, Cédric
Hazo, Jean-Baptiste
Vuillermoz, Cécile
Warszawski, Josiane
Dione, Fallou
Rouquette, Alexandra
Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title_full Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title_fullStr Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title_full_unstemmed Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title_short Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France
title_sort labor market participation and depression during the covid-19 pandemic among young adults (18 to 30 years): a nationally representative study in france
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9638096/
https://www.ncbi.nlm.nih.gov/pubmed/36353287
http://dx.doi.org/10.3389/fpubh.2022.904665
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