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Precarious employment and new-onset severe depressive symptoms: a population-based prospective study in South Korea

Authors
 Jang S-Y  ;  Jang S-I  ;  Bae H-C  ;  Shin J  ;  Park E-C 
Citation
 Scandinavian Journal of Work, Environment & Health, Vol.41(4) : 329-337, 2015 
Journal Title
 Scandinavian Journal of Work, Environment & Health 
ISSN
 0355-3140 
Issue Date
2015
Abstract
OBJECTIVES: Considering the effect of sex and head of household responsibilities, this study was designed to evaluate whether precarious employment is associated with the development of new-onset severe depressive symptoms. METHODS: We followed 2214 male and 1276 female waged workers, ≤59 years of age and without moderate depressive symptom, from the Korean Welfare Panel Study 2007-2013. Their employment status was classified as full-time permanent, precarious, self-employed, or unemployed after baseline. Except for occupation and company size, all variables were treated as time-dependent. Severe depressive symptoms were measured using the 11-item Center for Epidemiologic Studies Depression Scale (CES-D-11). A generalized estimating equation was used to evaluate the effect of employment status on the development of new-onset severe depressive symptoms. RESULTS: After adjusting for initial baseline CES-D-11 score, chronic disease, and other socioeconomic covariates, precarious employment was associated with the development of new-onset severe depressive symptoms among male heads of household [odds ratio (OR) 1.52, 95% confidence interval (95% CI) 1.02-2.25] and female heads of household (OR 4.19, 95% CI 1.70-10.32). In addition, the transition from full-time permanent employment to another employment status was associated with the development of new-onset severe depressive symptoms among both sexes, with an especially strong association among females. CONCLUSION: The present study suggests that, depending on head of household status and sex, precarious employment is associated with the development of new-onset severe depressive symptoms.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140583
DOI
10.5271/sjweh.3498
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실)
Yonsei Authors
박은철(Park, Eun-Cheol) ; 배홍철(Bae, Hong Chul) ; 신재용(Shin, Jae Yong) ; 장석용(Jang, Suk Yong) ; 장성인(Jang, Sung In)
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Full Text
http://www.sjweh.fi/show_abstract.php?abstract_id=3498
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