Evidence map›Paper›PMID 39098343›Full record

ArticlePreventive medicine2024

Precarious employment and mental health in the United States: Results from the Medical Expenditure Panel Survey (MEPS), 2008-2021.

Eric W Lundstrom, Abay Asfaw, Andrea L Steege, Anasua Bhattacharya, Matthew Groenewold

Abstract read
In one paragraph

Article in Preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Eric W LundstromEpidemic Intelligence Service, Centers for Disease Control and Prevention, United States of America; Health Informatics Branch, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States of America. Electronic address: uqz3@cdc.gov.
Abay AsfawEconomics Research and Support Office, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States of America.
Andrea L SteegeHealth Informatics Branch, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States of America.
Anasua BhattacharyaEconomics Research and Support Office, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States of America.
Matthew GroenewoldHealth Informatics Branch, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States of America.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesTo measure associations between employment precarity and mental health among United States (US) workers.

methodsThis study used data from the US Medical Expenditure Panel Survey for 2008-2021. Multivariable generalized estimating equations were used to measure associations between employment precarity (operationalized as a multi-dimensional exposure) and self-rated mental health after adjusting for relevant confounders. Marginal effects analysis was used to assess potential dose-response relationships between precarity and mental health.

resultsOur sample (n = 57,529) was representative of >106 million US workers employed throughout 2008-2021. Compared to those with low levels of employment precarity, those with medium and high levels of precarity had an increased odds of reporting poor/fair mental health (aOR = 1.21; 95% CI = 1.11, 1.32 and 1.51; 95% CI = 1.36, 1.68, respectively). Marginal effects analysis indicated that increasing levels of precarity were associated with an increased probability of reporting poor/fair mental health.

conclusionsIncreasing levels of employment precarity were associated with poor/fair self-rated mental health, findings potentially indicative of a dose-response relationship between the two. These nationally representative findings suggest employment precarity is an important social determinant of mental health. Future research could investigate how best to mitigate the negative effects of precarity on workers' lives and well-being, particularly regarding mental health.

Indexed as

Job SecurityMental HealthAdultFemaleHealth ExpendituresHumansMaleMiddle AgedSurveys and QuestionnairesUnited StatesYoung AdultEmployment qualityMental healthOccupational healthPrecarious employmentSocial determinants of health

Identifiers

PMID39098343
PMCPMC11370106

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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.