TY - CONF
T1 - 122 Precarious employment and mental health – moderation by family composition and disposable income? A Swedish register study
AU - Méndez Rivero, Fabrizio
PY - 2025
Y1 - 2025
N2 - Objective: The Swedish labour market is increasingly characterized by precarious employment (PE) conditions and PE has been linked to mental ill-health. Since mental ill-health has increased in prevalence in the last decades, it is important to understand the mechanisms linking the two phenomena. Previous research suggests that household-related factors can buffer or exacerbate the mental health of workers in PE, but evidence is scarce. This study investigates the role of family composition and family disposable income on the association between PE and mental ill-health.
Materials and Methods: The study used register data from the Swedish Work, Illness, and Labour-market Participation cohort (SWIP). The study population consisted of all individuals aged between 25-65 years and employed in 2016 (n=2,856,891). PE was assessed based on a precarity score following the Swedish Register-based Operationalization of Precarious Employment (SWE-ROPE). Any mental health disorder during follow-up (2017-2019) was extracted from the National Patient and Prescription Drug Registers. Data on family composition and disposable income in 2016 was collected from nationwide registers. Cox regression models were fitted to estimate the effect of PE on mental health. The moderating effects were measured by adding two-way interaction terms to the main effects models.
Results: 8% of the sample was in precarious employment, 35% in substandard, and 57% in standard employment at baseline. 160,252 individuals (6%) experienced mental ill-health during follow-up. Preliminary adjusted Cox regression models show increased risk of mental ill- health among those in PE compared with standard employment. The impact of PE appears stronger for those with lower disposable income, as well as for single parents compared with those living with a partner.
Conclusions: Family type and disposable income can modify the mental health effects of PE conditions. This longitudinal study provides evidence on the impact of household-related factors on the mental health of workers in PE and can inform targeted policy interventions.
AB - Objective: The Swedish labour market is increasingly characterized by precarious employment (PE) conditions and PE has been linked to mental ill-health. Since mental ill-health has increased in prevalence in the last decades, it is important to understand the mechanisms linking the two phenomena. Previous research suggests that household-related factors can buffer or exacerbate the mental health of workers in PE, but evidence is scarce. This study investigates the role of family composition and family disposable income on the association between PE and mental ill-health.
Materials and Methods: The study used register data from the Swedish Work, Illness, and Labour-market Participation cohort (SWIP). The study population consisted of all individuals aged between 25-65 years and employed in 2016 (n=2,856,891). PE was assessed based on a precarity score following the Swedish Register-based Operationalization of Precarious Employment (SWE-ROPE). Any mental health disorder during follow-up (2017-2019) was extracted from the National Patient and Prescription Drug Registers. Data on family composition and disposable income in 2016 was collected from nationwide registers. Cox regression models were fitted to estimate the effect of PE on mental health. The moderating effects were measured by adding two-way interaction terms to the main effects models.
Results: 8% of the sample was in precarious employment, 35% in substandard, and 57% in standard employment at baseline. 160,252 individuals (6%) experienced mental ill-health during follow-up. Preliminary adjusted Cox regression models show increased risk of mental ill- health among those in PE compared with standard employment. The impact of PE appears stronger for those with lower disposable income, as well as for single parents compared with those living with a partner.
Conclusions: Family type and disposable income can modify the mental health effects of PE conditions. This longitudinal study provides evidence on the impact of household-related factors on the mental health of workers in PE and can inform targeted policy interventions.
U2 - 10.1136/oemed-2024-EPICOHabstracts.122
DO - 10.1136/oemed-2024-EPICOHabstracts.122
M3 - Resumen
ER -
SDG 3 Good Health and Well-being