2023-09-28 14:46:10 +00:00
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abstract: 'Occupational characteristics may influence serious psychological
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distress (SPD) and contribute to health inequities; yet, few studies
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have examined multiple employment industries and occupational classes in
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a large, racially diverse sample of the United States. Using data from
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the National Health Interview Survey, we investigated employment
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industry and occupational class in relation to SPD in the overall
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population and by race/ethnicity, gender, age, household income, and
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health status. We created eight employment industry categories:
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professional/administrative/management,
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agricultural/manufacturing/construction, retail trade,
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finance/information/real estate, educational services, health
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care/social assistance, accommodation/food services, and public
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administration/arts/other services. We also created three occupational
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class categories: professional/management, support services, and
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laborers. SPD was measured using the Kessler Psychological Distress
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Scale and scores >= 13 indicated SPD. We adjusted for confounders and
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used Poisson regression to estimate prevalence ratios (PRs) and 95\%
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confidence intervals (CIs). Among the 245,038 participants, the mean age
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was 41.7 +/- 0.1 years, 73\% were Non-Hispanic (NH)-White, and 1.5\%
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were categorized as having SPD. Compared to the
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professional/administrative/management industry, working in other
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industries (e.g., manufacturing/construction (PR = 0.82 {[}95\% CI:
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0.70-0.95]) and educational services (PR = 0.79 {[}95\% CI: 0.66-0.94]))
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was associated with lower SPD. Working in support services and laborer
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versus professional/management positions were both associated with 19\%
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higher prevalence of SPD (95\% CI: 1.04-1.35; 95\% CI: 1.04-1.38,
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respectively). Furthermore, working in a support services or laborer
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versus professional/management position was associated with higher SPD
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in most employment industries. Industry-specific workplace interventions
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to equitably improve mental health are warranted.'
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affiliation: 'Jackson, CL (Corresponding Author), NIEHS, Epidemiol Branch, Dept Hlth
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\& Human Serv, NIH, Durham, NC 27709 USA.
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Jackson, CL (Corresponding Author), Natl Inst Minor Hlth \& Hlth Dispar, Intramural
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Program, Dept Hlth \& Human Serv, NIH, Bethesda, MD 20892 USA.
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Gullett, Lauren R.; Alhasan, Dana M.; Jackson, Chandra L., NIEHS, Epidemiol Branch,
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Dept Hlth \& Human Serv, NIH, Durham, NC 27709 USA.
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Jackson, W. Braxton, II, DLH Holdings Co, Social \& Sci Syst Inc, Durham, NC 27703
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USA.
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Jackson, Chandra L., Natl Inst Minor Hlth \& Hlth Dispar, Intramural Program, Dept
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Hlth \& Human Serv, NIH, Bethesda, MD 20892 USA.'
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article-number: '8376'
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author: Gullett, Lauren R. and Alhasan, Dana M. and Jackson II, W. Braxton and Jackson,
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Chandra L.
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author-email: 'lauren.gullett@nih.gov
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dana.alhasan@nih.gov
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braxton.jackson@dlhcorp.com
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chandra.jackson@nih.gov'
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author_list:
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- family: Gullett
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given: Lauren R.
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- family: Alhasan
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given: Dana M.
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- family: Jackson II
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given: W. Braxton
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- family: Jackson
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given: Chandra L.
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da: '2023-09-28'
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doi: 10.3390/ijerph19148376
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eissn: 1660-4601
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files: []
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journal: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
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keywords: 'occupations; occupational health; psychological distress; employment;
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race factors; economic status; mental health'
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keywords-plus: 'MENTAL-HEALTH; WORK; WORKPLACE; SLEEP; DISCRIMINATION; DISPARITIES;
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DISEASE; ILLNESS; IMPACT; BLACK'
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language: English
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month: JUL
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number: '14'
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number-of-cited-references: '61'
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orcid-numbers: 'Jackson, Chandra/0000-0002-0915-8272
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AlHasan, Dana/0000-0002-6388-6035'
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papis_id: 7032411be42df908ddabda013512cfb4
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ref: Gullett2022employmentindustry
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researcherid-numbers: 'Jackson, Chandra/A-6291-2017
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'
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times-cited: '3'
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title: Employment Industry and Occupational Class in Relation to Serious Psychological
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Distress in the United States
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000831989600001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '2'
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volume: '19'
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web-of-science-categories: Environmental Sciences; Public, Environmental \& Occupational
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Health
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year: '2022'
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