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Association between employment stability and depression as moderated by gender among South Korean employees

Authors
 Jae Won Oh  ;  Jin Young Park  ;  San Lee 
Citation
 JOURNAL OF AFFECTIVE DISORDERS, Vol.298(Part A) : 308-315, 2022-02 
Journal Title
JOURNAL OF AFFECTIVE DISORDERS
ISSN
 0165-0327 
Issue Date
2022-02
MeSH
Depression* / epidemiology ; Employment* ; Female ; Humans ; Male ; Marital Status ; Nutrition Surveys ; Republic of Korea / epidemiology
Keywords
Depression ; Employment ; Gender ; Permanent ; Precarious ; Work
Abstract
Background: Research in Asian cultures regarding the association between employment status and health has been limited. The current study investigated the association between depression and employment status in Korea, moderated by gender.

Methods: Data from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey (KNHANES) were analysed. In total, 11,157 participants aged ≥ 19 years responded to the survey. The Korean version of the PHQ-9 was utilised in addition to questions assessing employment status.

Results: Precarious employment indicated a greater prevalence of depression in comparison to permanent employment (14.9% vs 10.8%, p < 0.001; 22.6% vs 20.2%, p < 0.001). Precariously employed men were 1.40 times more likely to have depression (adjusted Odds Ratio (OR): 1.40; 95% Confidence Interval (CI): 1.15-1.70; p= 0.001) while no such association existed among women (adjusted OR: 1.06; 95% CI: 0.89-1.27; p= 0.493). The subgroup analyses revealed that men working day shifts in a precarious employment were 1.48 times more likely to be depressed than those with permanent employment. In contrast, precarious employed women working night shifts were 2.13 times more likely to be depressed than those permanently employed counterparts.

Limitations: Current research did not investigate the causality of the variables hence was unable to identify whether employment instability from precarious engagements preceded the onset of depression.

Conclusions: These findings suggest gender can independently modify the relationship between employment stability and depression, as well as in association with additional variables - including work shift type and income.
Full Text
https://www.sciencedirect.com/science/article/pii/S0165032721012271
DOI
10.1016/j.jad.2021.11.009
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Lee, San(이산) ORCID logo https://orcid.org/0000-0003-4834-8463
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187842
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