Document Detail


Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: the Work, Family, and Health Network study.
MedLine Citation:
PMID:  22095360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees.
METHODS: Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the association of depressive symptoms with household financial strain, food insufficiency, and work-family spillover (preoccupation with work-related concerns while at home and vice versa).
RESULTS: Depressive symptoms were significantly associated with household financial strain (odds ratio [OR] = 1.82; 95% confidence interval [CI] = 1.03, 3.21) and food insufficiency (OR = 2.10; 95% CI = 1.10, 4.18). Among primary earners, stratified analyses showed that food insufficiency was associated with depressive symptoms (OR = 3.60; 95% CI = 1.42, 9.11) but financial strain was not. Among nonprimary wage earners, depressive symptoms correlated with financial strain (OR = 3.65; 95% CI = 1.48, 9.01) and work-family spillover (OR = 3.22; 95% CI = 1.11, 9.35).
CONCLUSIONS: Household financial strain, food insufficiency, and work-family spillover are pervasive problems for working populations, but associations vary by primary wage earner status. The prevalence of food insufficiency among full-time employees was striking and might have a detrimental influence on depressive symptoms and the health of working-class families.
Authors:
Cassandra A Okechukwu; Alison M El Ayadi; Sara L Tamers; Erika L Sabbath; Lisa Berkman
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2011-11-28
Journal Detail:
Title:  American journal of public health     Volume:  102     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-03-06     Completed Date:  2012-04-25     Revised Date:  2013-07-17    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  126-33     Citation Subset:  AIM; IM    
Affiliation:
Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA. cokechuk@hsph.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Chi-Square Distribution
Confidence Intervals
Data Collection
Depression / epidemiology*,  etiology
Employment / psychology,  statistics & numerical data
Family Characteristics
Female
Food / economics*,  statistics & numerical data
Humans
Logistic Models
Male
Massachusetts / epidemiology
Middle Aged
Odds Ratio
Poverty / economics,  psychology*,  statistics & numerical data
Psychiatric Status Rating Scales
Social Class*
Socioeconomic Factors*
Young Adult
Grant Support
ID/Acronym/Agency:
3U01AG027669-06S1/AG/NIA NIH HHS; 5R25CA057711/CA/NCI NIH HHS; 5T76 MC 00001//PHS HHS; L60 MD003645/MD/NIMHD NIH HHS; T03MC07648//PHS HHS; U01 5186989//PHS HHS
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