Social and material determinants of health in participants in an active labor market program in Barcelona
González-Marín, Patricia (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Puig-Barrachina, Vanessa (Agència de Salut Pública de Barcelona)
Cortès-Franch, Imma (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Bartoll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Artazcoz, Lucía 1963- (Institut d'Investigació Biomèdica Sant Pau)
Malmusi, Davide (Ajuntament de Barcelona. Àrea de Drets Socials)
Clotet, Eva (Barcelona Activa)
Daban Aguilar, Ferran (Universitat Pompeu Fabra)
Díez, Elia (Institut d'Investigació Biomèdica Sant Pau)
Cardona, Àfrica (Barcelona Activa)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)

Data:	2018
Resum:	Unemployment affects the physical and mental health of affected individuals, which can be explained by its direct effect on worsening finances due to the lack of income as well as by its negative psychosocial effects. "Employment in the Neighborhoods" return to work program was implemented in Barcelona specifically in the neighborhoods characterized with a greater economic deprivation and by high unemployment to improve personal and occupational abilities and skills of the participants to reintegrate them into the workforce. The aim of this study is to determine the association between the lack of economic resources and psychosocial factors with respect to mental health and self-rated health in unemployed persons participating in the program "Employment in the Neighborhoods". Cross-sectional study. Data collected from a self-administered questionnaire. Generalized linear models were constructed, adjusted by age and social class, to estimate prevalence ratios and analyze any possible association between economic resources, psychosocial factors and poor self-rated health and mental health. Nine hundred forty-eight persons of 2763 participants in the "Employment in the Neighborhoods" program completed the questionnaire. 46. 9% were women. 72. 5% of women and 61. 9% of men were at risk of poor mental health and 25. 5% of women and 21. 1% of men reported poor self-rated health. Low self-esteem [women: PR 1. 88 95%CI (1. 24-2. 84); men: PR 2. 51 95%CI (1. 57-4. 02)] and medium social support [2. 01 (1. 30-3. 09)], in men, and low social support [1. 74 (1. 13-2. 68)] in women are associated with worsening of self-rated health. In men, low self-esteem [1. 40 (1. 19-1. 64)] and delay in paying bills [1. 38 (1. 17-1. 64)] were associated with the risk of poor mental health; in women were associated low self-esteem [1. 27 (1. 11-1. 44)] and received a non-contributory allowance [1. 37 (1. 09-1. 74)]. Economic resources, self-esteem and social support are necessary for good general and mental health among unemployed persons. The high prevalence of poor mental health among persons participating in the active labor market program "Employment in the Neighborhoods" could be due to a substantial deficit in these factors.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Unemployment ; Active labor market policy ; Return to work program ; Mental health ; Self-rated health ; Economic resources ; Self-esteem ; Social support
Publicat a:	Archives of Public Health, Vol. 76 (october 2018) , ISSN 2049-3258

DOI: 10.1186/s13690-018-0310-4
PMID: 30386597

8 p, 580.0 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats