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. 2022 Apr 20:18:101101.
doi: 10.1016/j.ssmph.2022.101101. eCollection 2022 Jun.

Association between informal employment and depressive symptoms in 11 cities in Latin America

Tran B Huynh  1 , Vanessa M Oddo  2 , Bricia Trejo  3   4 , Kari Moore  3 , D Alex Quistberg  1   3 , Jannie J Kim  4 , Francisco Diez-Canseco  5 , Alejandra Vives  6
Affiliations

Association between informal employment and depressive symptoms in 11 cities in Latin America

Tran B Huynh et al. SSM Popul Health. .

Abstract

Background: Mental health is an important contributor to the global burden of disease, and depression is the most prevalent mental disorder in Latin America and the Caribbean (LAC). Informal jobs, often characterized by precarious working conditions, low wages, and limited employment benefits, are also highly prevalent in LAC and may be associated with poorer mental health. Our study tests the association between informal employment and major depressive symptoms in LAC cities.

Methods: We used individual-level data collected by the Development Bank of Latin America via their "Encuesta CAF" (ECAF) 2016, a cross-sectional household survey of 11 LAC cities (N = 5430). Depressive symptoms were measured using the 10-item Center for Epidemiologic Studies Short Depression Scale with possible total score ranging from 0 to 30. Scores were dichotomized, with a score > ‾ 16 indicating the presence of major depressive symptoms. Informal employment was defined based on self-reported lack of contribution to the social security system. We used generalized estimating equation (GEE) log-binomial models to estimate the association between informal employment and depressive symptoms overall and by gender. Models were adjusted for age, education, and household characteristics.

Results: Overall, individuals employed in informal jobs had a 27% higher prevalence of major depressive symptoms (Prevalence Ratio [PR]: 1.27; 95% Confidence Interval [CI]: 1.00, 1.62) compared to those in formal jobs. The prevalence of depressive symptoms among individuals with informal jobs was higher compared to those with formal jobs in both women (PR: 1.36, 95% CI: 1.06, 1.74) and men (PR: 1.22; 95% CI: 0.90, 1.65).

Conclusions: Informal employment in LAC was associated with a higher prevalence of major depressive symptoms. It is important to develop policies aiming at reducing informal jobs and increasing universal social protection for informal workers.

Keywords: Depression; Informal employment; Latin American and the Caribbean; Mental health.

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References

    1. Amrhein V., Greenland S., McShane B. Scientists rise up against statistical significance. Nature. 2019;567(7748):305–307. doi: 10.1038/d41586-019-00857-9. - DOI - PubMed
    1. Andrade L.H., Wang Y.-P., Andreoni S., Silveira C.M., Alexandrino-Silva C., Siu E.R.…Viana M.C. Mental Disorders in Megacities: Findings from the São Paulo Megacity Mental Health Survey, Brazil. PLoS ONE. 2012;7(2):e31879. doi: 10.1371/journal.pone.0031879. - DOI - PMC - PubMed
    1. Andresen E.M., Byers K., Friary J., Kosloski K., Montgomery R. Vol. 1. SAGE Open Medicine; 2013. (Performance of the 10-item center for epidemiologic studies depression scale for caregiving research). - DOI - PMC - PubMed
    1. de Araújo T.M., Siegrist J., Moreno A.B., de Jesus Mendes da Fonseca M., Barreto S.M., Chor D., Griep R.H. Effort-reward imbalance, over-commitment and depressive episodes at work: Evidence from the ELSA-Brasil cohort study. International Journal of Environmental Research and Public Health. 2019;16(17):3025. doi: 10.3390/ijerph16173025. - DOI - PMC - PubMed
    1. Bartoll X., Gil J., Ramos R. Temporary employment, work stress and mental health before and after the Spanish economic recession. International Archives of Occupational and Environmental Health. 2019;92(7):1047–1059. doi: 10.1007/s00420-019-01443-2. - DOI - PubMed