Evidence map›Paper›PMID 26289668›Full record

ArticleBMC public health2015

Do unfavourable working conditions explain mental health inequalities between ethnic groups? Cross-sectional data of the HELIUS study.

Karen Nieuwenhuijsen, Aart H Schene, Karien Stronks, Marieke B Snijder, Monique H W Frings-Dresen, Judith K Sluiter

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Mental health: who is more vulnerable to high work intensity? Evidence from Australian longitudinal data.International archives of occupational and environmental health · 2021
    Article
  5. Article
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  11. A Mental Health Survey of Different Ethnic and Occupational Groups in Xinjiang, China.International journal of environmental research and public health · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Karen NieuwenhuijsenCoronel Institute of Occupational Health, Academic Medical Center (AMC), University of Amsterdam, P.O. Box 22700, Amsterdam, The Netherlands. K.Nieuwenhuijsen@amc.nl.
Aart H ScheneDepartment of Psychiatry, Radboud University Medical Center, Reinier Postlaan 6, 6500 HB, Nijmegen, The Netherlands. Aart.Schene@radboudumc.nl.
Karien StronksDepartment of Public Health, Academic Medical Center (AMC), University of Amsterdam, P.O. Box 22700, Amsterdam, The Netherlands. K.Stronks@amc.nl.
Marieke B SnijderDepartment of Public Health, Academic Medical Center (AMC), University of Amsterdam, P.O. Box 22700, Amsterdam, The Netherlands. m.b.snijder@amc.nl.
Monique H W Frings-DresenCoronel Institute of Occupational Health, Academic Medical Center (AMC), University of Amsterdam, P.O. Box 22700, Amsterdam, The Netherlands. M.Frings@amc.nl.
Judith K SluiterCoronel Institute of Occupational Health, Academic Medical Center (AMC), University of Amsterdam, P.O. Box 22700, Amsterdam, The Netherlands. J.Sluiter@amc.nl.
University of Amsterdam · NLAcademic Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthnic inequalities in mental health have been found in many high-income countries. The purpose of this study is to test whether mental health inequalities between ethnic groups are mediated by exposure to unfavourable working conditions.

methodsWorkers (n = 6278) were selected from baseline data of the multi-ethnic HELIUS study. Measures included two indices of unfavourable working conditions (lack of recovery opportunities, and perceived work stress), and two mental health outcomes (generic mental health: MCS-12 and depressive symptoms: PHQ-9). Mediation of the relationships between ethnicity and mental health by unfavourable working conditions was tested using the bias-corrected bootstrap confidence intervals technique. Linear models with and without the mediators included, and adjusted for gender and age. Attenuation was calculated as the change in B between the models with and without mediators.

resultsThe sample comprised Dutch (1355), African Surinamese (1290), South-Asian Surinamese (1121), Turkish (1090), Ghanaian (729), and Moroccan (693) workers. After controlling for age and gender, all ethnic minorities had a higher risk of mental health problems as compared to the Dutch host population, with the exception of Ghanaians in the case of depressive symptoms, and African Surinamese workers with regard to both outcomes. The Turkish group stands out with the lowest mental health on both mental health indices, followed by Moroccan and South-Asian Surinamese workers. A lack of recovery opportunities mediated the relationship between ethnic group and a higher risk of mental health problems. Perceived work stress did not contribute to the explanation of ethnic inequalities.

conclusionsThe higher risk of mental health problems in ethnic minority groups can be partly accounted for by a lack of recovery opportunities at work, but not by perceived work stress. This may imply that workplace prevention targeting recovery opportunities have the potential to reduce ethnic inequalities, but ethnic-specific experiences at the workplace need to be further explored.

Indexed as

Socioeconomic FactorsWorkplaceAdolescentAdultAgedAsian PeopleBlack PeopleCohort StudiesCross-Sectional StudiesDepressive DisorderEthnicityFemaleHumansMaleMiddle AgedNetherlands

Identifiers

PMID26289668
PMCPMC4546028
OpenAlexW2138420988

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.