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Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: The work, family, and health network study

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  • Okechukwu, C.A.
  • Ayadi, A.M.E.
  • Tamers, S.L.
  • Sabbath, E.L.
  • Berkman, L.

Abstract

We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. Methods. Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the association of depressive symptoms with household financial strain, food insufficiency, and work-family spillover (preoccupation with work-related concerns while at home and vice versa). Results. Depressive symptoms were significantly associated with household financial strain (odds ratio [OR]=1.82; 95% confidence interval [CI]=1.03, 3.21) and food insufficiency (OR=2.10; 95% CI=1.10, 4.18). Among primary earners, stratified analyses showed that food insufficiency was associated with depressive symptoms (OR=3.60; 95% CI=1.42, 9.11) but financial strain was not. Among nonprimary wage earners, depressive symptoms correlated with financial strain (OR=3.65; 95% CI=1.48, 9.01) and work-family spillover (OR=3.22; 95% CI=1.11, 9.35). Conclusions. Household financial strain, food insufficiency, and work-family spillover are pervasive problems for working populations, but associations vary by primary wage earner status. The prevalence of food insufficiency among fulltime employees was striking and might have a detrimental influence on depressive symptoms and the health of working-class families.

Suggested Citation

  • Okechukwu, C.A. & Ayadi, A.M.E. & Tamers, S.L. & Sabbath, E.L. & Berkman, L., 2012. "Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: The work, family, and health network study," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 126-133.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300323_5
    DOI: 10.2105/AJPH.2011.300323
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    Cited by:

    1. Carol B. Cunradi & Raul Caetano & William R. Ponicki & Harrison J. Alter, 2021. "Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    2. Tsai, Alexander C. & Bangsberg, David R. & Frongillo, Edward A. & Hunt, Peter W. & Muzoora, Conrad & Martin, Jeffrey N. & Weiser, Sheri D., 2012. "Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda," Social Science & Medicine, Elsevier, vol. 74(12), pages 2012-2019.
    3. Ivory H. Loh & Vanessa M. Oddo & Jennifer Otten, 2020. "Food Insecurity Is Associated with Depression among a Vulnerable Workforce: Early Care and Education Workers," IJERPH, MDPI, vol. 18(1), pages 1-13, December.
    4. Emmanuelle Cambois & Aïda Solé-Auró & Jean-Marie Robine, 2019. "Gender Differences in Disability and Economic Hardship in Older Europeans," European Journal of Population, Springer;European Association for Population Studies, vol. 35(4), pages 777-793, October.
    5. Kess L. Ballentine, 2024. "“I'm Not the Kind of Person to Just Call Off”: Workers’ Experiences Navigating Structural Barriers to Paid Time Off," Journal of Family and Economic Issues, Springer, vol. 45(2), pages 381-394, June.
    6. Okechukwu, Cassandra A. & Kelly, Erin L. & Bacic, Janine & DePasquale, Nicole & Hurtado, David & Kossek, Ellen & Sembajwe, Grace, 2016. "Supporting employees' work-family needs improves health care quality: Longitudinal evidence from long-term care," Social Science & Medicine, Elsevier, vol. 157(C), pages 111-119.
    7. Anne-Lise Biotteau & Carole Bonnet & Emmanuelle Cambois, 2019. "Risk of Major Depressive Episodes After Separation: The Gender-Specific Contribution of the Income and Support Lost Through Union Dissolution," European Journal of Population, Springer;European Association for Population Studies, vol. 35(3), pages 519-542, July.
    8. Carol B. Cunradi & William R. Ponicki & Raul Caetano & Harrison J. Alter, 2020. "Frequency of Intimate Partner Violence among an Urban Emergency Department Sample: A Multilevel Analysis," IJERPH, MDPI, vol. 18(1), pages 1-14, December.

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