Relationship Between Mental Health Disorders and Unemployment Status in Australian Adults

Author:

Comino Elizabeth J.1,Harris Elizabeth1,Chey Tien2,Manicavasagar Vijaya3,Wall Jonine Penrose4,Davies Gawaine Powell5,Harris Mark F.6

Affiliation:

1. Centre for Health Equity, Training, Research, and Evaluation, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, 2170, Australia

2. Epidemiology Unit, South Western Sydney Area Health Service, Liverpool Hospital, Sydney, Australia

3. School of Psychiatry, University of New South Wales, Sydney, Australia

4. RANZCP Mental Health Clinical Guideline Program, RANZCG Melbourne, Australia

5. Centre for General Practice Integration Studies, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia

6. School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia

Abstract

Objectives: To compare the prevalence of anxiety and affective disorders among employed and unemployed patients and to compare the type of treatment received between the two groups for these disorders. Method: A secondary analysis of the 1997 National Survey of Mental Health and Wellbeing of Adults cross-sectional study was undertaken. Results: Unemployed adults were more likely to have symptoms of anxiety (OR = 3.09, 95% CI = 2.80–3.41) or an affective disorder (OR = 2.11, 95% CI = 1.95–2.27) or anxiety and/or affective disorders (OR = 2.53, 95% CI = 2.37–2.69). Unemployed participants with symptoms were less likely to have seen a general practitioner for treatment but when they did they received similar care to employed participants. Conclusions: These results confirm studies reported elsewhere that the prevalence of symptoms of anxiety and/or affective disorders is higher for unemployed people. The data provide further evidence that people with an anxiety and/or affective disorder who are unemployed are not seeking medical treatment. However, unlike previous research undertaken by our group, these results indicate that symptomatic adults who seek help receive comparable treatment in general practice irrespective of their employment status.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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