Evidence map›Paper›PMID 31269944›Full record

ArticleBMC public health2019

Is the association between precarious employment and mental health mediated by economic difficulties in males? Results from two Italian studies.

Gianluigi Ferrante, Francesca Fasanelli, Antonella Gigantesco, Elisa Ferracin, Benedetta Contoli, Giuseppe Costa, Lidia Gargiulo, Michele Marra, Maria Masocco, Valentina Minardi and 4 more

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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.

  1. Job Quality as an Upstream Social Determinant of Health in Middle Age.Journal of occupational and environmental medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Precarious work on the rise.BMC public health · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The Impact of Mandate Contract and Self-Employment on Workers' Health-Evidence from Poland.International journal of environmental research and public health · 2021
    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

14 authors.

Gianluigi FerranteNational Centre for Drug Research and Evaluation, National Institute of Health (ISS), Rome, Italy.
Francesca FasanelliUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and University of Turin, Turin, Italy.
Antonella GigantescoCentre of Behavioural Sciences and Mental Health, Italian National Institute of Health (ISS), Rome, Italy.
Elisa FerracinUnit of Epidemiology, Regional Health Service ASL TO3, Grugliasco (TO), Italy.
Benedetta ContoliNational Center for Disease Prevention and Health Promotion, National Institute of Health (ISS), Rome, Italy.
Giuseppe CostaUnit of Epidemiology, Regional Health Service ASL TO3, Grugliasco (TO), Italy.
Lidia GargiuloNational Institute of Statistics (ISTAT), Rome, Italy.
Michele MarraEpidemiologia&Precariato, Group for the study of precarious work of the Italian Association of Epidemiology (AIE), Rome, Italy.
Maria MasoccoNational Center for Disease Prevention and Health Promotion, National Institute of Health (ISS), Rome, Italy.
Valentina MinardiNational Center for Disease Prevention and Health Promotion, National Institute of Health (ISS), Rome, Italy.
Cristiano ViolaniDepartment of Psychology, Faculty of Medicine and Psychology, University Sapienza, Rome, Italy.
Nicolás ZengariniEpidemiologia&Precariato, Group for the study of precarious work of the Italian Association of Epidemiology (AIE), Rome, Italy.
Angelo d'ErricoUnit of Epidemiology, Regional Health Service ASL TO3, Grugliasco (TO), Italy.
Fulvio RicceriEpidemiologia&Precariato, Group for the study of precarious work of the Italian Association of Epidemiology (AIE), Rome, Italy. fulvio.ricceri@unito.it.ORCID http://orcid.org/0000-0001-8749-9737

Funding

Ministero della Salute CCM 2016 PROGRAMME
6 · The paper itself

Abstract

backgroundFlexible employment is increasing across Europe and recent studies show an association with poor mental health. The goal of the current study is to examine this association in the Italian population to assess the possible mediating role of financial strain.

methodsData were obtained by two Italian cross-sectional studies (PASSI and HIS) aimed at monitoring the general population health status, health behaviours and determinants. Mental health status was assessed using alternatively two validated questionnaires (the PHQ-2 and the MCS-12 score) and Poisson regression models were performed to assess if precarious work was associated with poor mental health. A formal mediation analysis was conducted to evaluate if the association between precarious work and mental health was mediated by financial strain.

resultsThe analyses were performed on 31,948 subjects in PASSI and on 21,894 subjects in HIS. A nearly two-fold risk of depression and poor mental health was found among precarious workers, compared to workers with a permanent contract, which was strongly mediated by financial strain.

conclusionsEven with the limitations of a cross-sectional design, this research supports that precarious employment contributes through financial strain to reduce the mental health related quality of life and to increase mental disorders such as symptoms of depression or dysthymia. This suggests that when stability in work cannot be guaranteed, it would be appropriate to intervene on the wages of precarious jobs and to provide social safety nets for ensuring adequate income.

Indexed as

AdultCross-Sectional StudiesEmploymentHumansItalyMaleMental DisordersMiddle AgedRisk FactorsSocioeconomic FactorsSurveys and QuestionnairesFinancial strainMediation analysisPrecarious work; mental health

Identifiers

PMID31269944
PMCPMC6609380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.