Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study
OBJECTIVE: This study aimed to investigate the hypothesis that negative status incongruence may contribute to explain higher risk of mental ill-health and sickness absence in human service occupations (HSO). METHODS: Participants from the Swedish Longitudinal Occupational Survey of Health who respon...
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Nordic Association of Occupational Safety and Health (NOROSH)
2020-03-01
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doaj-6e255b7fca3c4d46936b21f036b9b8002021-04-20T12:41:50ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2020-03-0146220921710.5271/sjweh.38533853Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort studyAnna Nyberg0Gun JohanssonHugo WesterlundMikael RostilaSusanna ToivanenAnna Nyberg, Stress Research Institute, Stockholm University, 106 91 Stockholm, Sweden.OBJECTIVE: This study aimed to investigate the hypothesis that negative status incongruence may contribute to explain higher risk of mental ill-health and sickness absence in human service occupations (HSO). METHODS: Participants from the Swedish Longitudinal Occupational Survey of Health who responded to questionnaires in both 2014 and 2016 (N=11 814; 42% men, 58% women) were included. Status incongruence between register-based educational level and subjective social status was assessed. The association between employment in a HSO and status incongruence was estimated in linear regression analyses adjusted for age, income, work hours, sickness absence, childcare, and job qualification match. The prospective associations between status incongruence and mild-to-severe depressive symptoms and register-based sickness absence ≥31 days respectively were estimated with logistic regression analyses in models adjusted for age and outcomes at baseline. All analyses were stratified by gender. RESULTS: Employment in a HSO was associated with more negative status incongruence in both genders [standardized coefficient men 0.04, 95% confidence interval (CI) 0.02–0.07; women 0.06, 95% CI 0.04–0.09]. More negative status incongruence was furthermore associated with higher odds of mild-to-severe depressive symptoms (men OR 1.18, 95% CI 1.08−1.29; women OR 1.17, 95% CI 1.09−1.26) and sickness absence ≥31 days (men OR 1.40, 95% CI 1.23−1.59; women OR 1.17, 95% CI 1.07−1.28) two years later. CONCLUSION: Status incongruence is somewhat higher among HSO than other occupations and associated with increased odds of depressive symptoms and sickness absence. https://www.sjweh.fi/show_abstract.php?abstract_id=3853 depressiongendersickness absenceprospective cohort studydepressive symptomregisterstatus inconsistencygender theorystatus incongruencehuman service occupationmild-to-severe depressive symptomregister-based sickness absencesick leavecohort studymental health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anna Nyberg Gun Johansson Hugo Westerlund Mikael Rostila Susanna Toivanen |
spellingShingle |
Anna Nyberg Gun Johansson Hugo Westerlund Mikael Rostila Susanna Toivanen Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study Scandinavian Journal of Work, Environment & Health depression gender sickness absence prospective cohort study depressive symptom register status inconsistency gender theory status incongruence human service occupation mild-to-severe depressive symptom register-based sickness absence sick leave cohort study mental health |
author_facet |
Anna Nyberg Gun Johansson Hugo Westerlund Mikael Rostila Susanna Toivanen |
author_sort |
Anna Nyberg |
title |
Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study |
title_short |
Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study |
title_full |
Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study |
title_fullStr |
Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study |
title_full_unstemmed |
Status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: A prospective cohort study |
title_sort |
status incongruence in human service occupations and implications for mild-to-severe depressive symptoms and register-based sickness absence: a prospective cohort study |
publisher |
Nordic Association of Occupational Safety and Health (NOROSH) |
series |
Scandinavian Journal of Work, Environment & Health |
issn |
0355-3140 1795-990X |
publishDate |
2020-03-01 |
description |
OBJECTIVE: This study aimed to investigate the hypothesis that negative status incongruence may contribute to explain higher risk of mental ill-health and sickness absence in human service occupations (HSO). METHODS: Participants from the Swedish Longitudinal Occupational Survey of Health who responded to questionnaires in both 2014 and 2016 (N=11 814; 42% men, 58% women) were included. Status incongruence between register-based educational level and subjective social status was assessed. The association between employment in a HSO and status incongruence was estimated in linear regression analyses adjusted for age, income, work hours, sickness absence, childcare, and job qualification match. The prospective associations between status incongruence and mild-to-severe depressive symptoms and register-based sickness absence ≥31 days respectively were estimated with logistic regression analyses in models adjusted for age and outcomes at baseline. All analyses were stratified by gender. RESULTS: Employment in a HSO was associated with more negative status incongruence in both genders [standardized coefficient men 0.04, 95% confidence interval (CI) 0.02–0.07; women 0.06, 95% CI 0.04–0.09]. More negative status incongruence was furthermore associated with higher odds of mild-to-severe depressive symptoms (men OR 1.18, 95% CI 1.08−1.29; women OR 1.17, 95% CI 1.09−1.26) and sickness absence ≥31 days (men OR 1.40, 95% CI 1.23−1.59; women OR 1.17, 95% CI 1.07−1.28) two years later. CONCLUSION: Status incongruence is somewhat higher among HSO than other occupations and associated with increased odds of depressive symptoms and sickness absence. |
topic |
depression gender sickness absence prospective cohort study depressive symptom register status inconsistency gender theory status incongruence human service occupation mild-to-severe depressive symptom register-based sickness absence sick leave cohort study mental health |
url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3853
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