Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2603
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dc.contributor.authorCórdoba-Doña, Juan Antonio-
dc.contributor.authorEscolar-Pujolar, Antonio-
dc.contributor.authorSan Sebastián, Miguel-
dc.contributor.authorGustafsson, Per E-
dc.date.accessioned2017-04-03T12:53:47Z-
dc.date.available2017-04-03T12:53:47Z-
dc.date.issued2016-03-15-
dc.identifier.citationCórdoba-Doña JA, Escolar-Pujolar A, San Sebastián M, Gustafsson PE. How are the employed and unemployed affected by the economic crisis in Spain? Educational inequalities, life conditions and mental health in a context of high unemployment. BMC Public Health. 2016 Mar 15;16:267es_ES
dc.identifier.issn1471-2458 (Online)es_ES
dc.identifier.otherPMC4791891es_ES
dc.identifier.urihttp://hdl.handle.net/10668/2603-
dc.description.abstractBackground. Despite an increasing number of studies on the factors mediating the impact of the economic recession on mental health, research beyond the individual employment status is scarce. Our objectives were to investigate in which ways the mental health of employed and unemployed populations is differently affected by the current economic recession along the educational scale and to examine whether financial strain and social support explain these effects of the crisis. Methods. A repeated cross-sectional study, using two waves of the Andalusian Health Survey in 2007 (pre-crisis) and 2011–2012 (crisis). A population aged between 19 and 64 years was selected. The dependent variable was the Mental Component Summary of the SF-12 questionnaire. We performed Poisson regression models stratified by working status, with period, educational level, financial strain and social support as independent variables. We examined interactions between period and educational level. Age, sex, main earner, cohabitation and partner's working status were considered as covariates. Results. The study included 3210 individuals (1185 women) in 2007 and 3633 individuals (1486 women) in 2011–2012. In working individuals the prevalence of poor mental health increased for secondary and complete primary studies groups during crisis compared to the pre-crisis period, while it decreased significantly in the university study group (PR = 0.76, 95 % CI: 0.58–0.99). However, in unemployed individuals prevalence ratios for poor mental health increased significantly only in the secondary studies group (PR = 1.73, 95 % CI: 1.06–2.83). Financial strain and social support yielded consistent associations with mental health in all subgroups. Only financial strain could partly explain the crisis effect on mental health among the unemployed. Conclusions. Our study supports the finding that current economic recession is associated with poorer mental health differentially according to labour market status and educational level. Those with secondary studies may be at risk in times of economic recession. In connection with this, emerging educational inequalities in mental health among the employed population were observed. Our research also suggests a partial mediating role of financial strain for the effects of crisis on poor mental health among the unemployed. Good social support appears to buffer poor mental health in all subgroups but not specifically during crisis period.es_ES
dc.description.sponsorshipThis work has been partly supported by the Umeå Center for Global Health Research, funded by FAS, the Swedish Council for Working Life and Social Research (Grant no. 2006–1512).es_ES
dc.language.isoenes_ES
dc.publisherBioMed Centrales_ES
dc.relation.ispartofBMC Public Healthes_ES
dc.subjectEconomic crisises_ES
dc.subjectMental healthes_ES
dc.subjectEmployment statuses_ES
dc.subjectEducational inequalitieses_ES
dc.subjectFinancial straines_ES
dc.subjectSocial supportes_ES
dc.subjectSpaines_ES
dc.subjectRecesión económicaes_ES
dc.subjectSalud mentales_ES
dc.subjectEmpleoes_ES
dc.subjectApoyo sociales_ES
dc.subjectEspañaes_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adultes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studieses_ES
dc.subject.meshMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Economics::Economic Recessiones_ES
dc.subject.meshMedical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employmentes_ES
dc.subject.meshMedical Subject Headings::Check Tags::Femalees_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveyses_ES
dc.subject.meshMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humanses_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adult::Middle Agedes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalencees_ES
dc.subject.meshMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Socioeconomic Factorses_ES
dc.subject.meshMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spaines_ES
dc.subject.meshMedical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employment::Unemploymentes_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adult::Young Adultes_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Healthes_ES
dc.titleHow are the employed and unemployed affected by the economic crisis in Spain? Educational inequalities, life conditions and mental health in a context of high unemploymentes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.versionYeses_ES
dc.identifier.pmid26979336es_ES
dc.rights.accessRightsAcceso abiertoes_ES
dc.identifier.doi10.1186/s12889-016-2934-zes_ES
dc.type.versioninfo:eu-repo/semantics/publishedes_ES
dc.relation.publisherversionhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2934-zes_ES
dc.contributor.authoraffiliation[Córdoba-Doña,JA; Escolar-Pujolar,A] Delegación Territorial de Igualdad, Salud y Políticas Sociales de Andalucía, Cádiz, Spain. [Córdoba-Doña,JA; San Sebastián,M] Department of Public Health and Clinical Medicine, Epidemiology and Global Health, and [Gustafsson,PE] Department of Public Health and Clinical Medicine, Social Medicine. Umeå University, Umeå, Swedenes_ES
dc.type.subtypeArtículo originales_ES
Appears in Collections:01- Artículos - Consejería de Salud y Familias

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