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首页> 外文期刊>Journal of Epidemiology & Community Health >Employment status and mental health among persons with and without a disability: evidence from an Australian cohort study
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Employment status and mental health among persons with and without a disability: evidence from an Australian cohort study

机译：残疾人与非残疾人的就业状况和心理健康：一项来自澳大利亚队列研究的证据

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Background Unemployment and economic inactivity are associated with worse mental health in the general population, but there is limited understanding of whether these relationships are different for those persons with mental or physical disabilities. The aim of this study was to assess whether there were differences in mental health by labour force status among persons with and without disabilities. Method Over eight annual waves of the Household, Income and Labour Dynamics in Australia (HILDA) survey, a total of 2379 people with disabilities and 11417 people without disabilities were identified. Mental health using the Mental Component Summary (MCS) from the Short Form 36 was modelled as a function of labour force status using fixed-effects regression models to control for time invariant confounding. Differences between those with and without disabilities were assessed by including an interaction term in regression models. Results After finding evidence of effect modification, regression models were stratified by disability status. After adjustment, unemployment and economic inactivity were associated with a -1.85 (95% CI -2.96 to -0.73, p=0.001) and -2.66 (95% CI -3.46 to -1.86, p＜0.001) reduction in scores of the MCS among those with a disability. For those without a disability, there were smaller declines associated with unemployment (-0.57, 95% CI -1.02 to -0.12, p=0.013) and economic inactivity (-0.34, 95% CI -0.64 to 0.05, p=0.022). Conclusions These results suggest a greater reduction in mental health for those persons with disabilities who were unemployed or economically inactive than those who were employed. This highlights the value of employment for people with disabilities.
机译：背景技术失业和经济不活跃与普通人群的心理健康状况较差有关，但是对于这些关系对于精神或身体残障人士是否有所不同的了解有限。这项研究的目的是通过劳动力状况评估残疾人与非残疾人之间在心理健康方面是否存在差异。方法在澳大利亚住户，收入和劳动动态（HILDA）调查的八次年度浪潮中，共鉴定出2379名残疾人和11417名非残疾人。使用固定效应回归模型来控制时间不变的混杂因素，使用简短表格36中的“心理成分摘要”（MCS）将心理健康建模为劳动力状况的函数。通过在回归模型中包括一个交互项来评估有残疾和没有残疾的人之间的差异。结果在找到效果改善的证据后，按残疾状况对回归模型进行分层。调整后，失业和经济不活跃与MCS得分降低-1.85（95％CI -2.96--0.73，p = 0.001）和-2.66（95％CI -3.46 --1.86，p ＜0.001）有关其中有残疾人。对于那些没有残疾的人，与失业（-0.57，95％CI -1.02至-0.12，p = 0.013）和经济不活跃（-0.34，95％CI -0.64至0.05，p = 0.022）相关的下降较小。结论这些结果表明，失业或从事经济活动较弱的残疾人比受雇的残疾人的心理健康更大。这凸显了就业对残疾人的价值。

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  • 来源
    《Journal of Epidemiology & Community Health》 |2014年第11期|1064-1071|共8页
  • 作者

    A Milner; A D LaMontagne; Z Aitken; R Bentley; A M Kavanagh;

  • 作者单位

    Research Fellow, The McCaughey Vichealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010 Australia;

    The McCaughey Vichealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia,Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Melbourne, Victoria, Australia;

    Gender and Women's Health, Centre for Health Equity, Melbourne School of Population and Global Health,The University of Melbourne, Melbourne, Victoria, Australia;

    Gender and Women's Health, Centre for Health Equity, Melbourne School of Population and Global Health,The University of Melbourne, Melbourne, Victoria, Australia;

    Gender and Women's Health, Centre for Health Equity, Melbourne School of Population and Global Health,The University of Melbourne, Melbourne, Victoria, Australia;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
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