Abstract
Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.
Highlights
Neuropsychiatric disorders are the leading cause of disability in the world [1,2]
The present study further explores the associations of 12-month common mental disorders with employment status in the adult population in the São Paulo Metropolitan Area, and its relation to gender and use of health care services, using data from the São Paulo Megacity Mental Health Survey 26
There were significant differences in gender distributions across current employment status groups; women were 5.5 times more likely to be economically inactive (95%CI: 4.38-6.90; p < 0.01), and had 35% more chance of being unemployed (95%CI: 1.09-1.66; p < 0.01), when compared to men
Summary
Neuropsychiatric disorders are the leading cause of disability in the world [1,2]. Low treatment-seeking rates reduce adequate rehabilitation and subsequent return to the workforce [7,9,10,14,15,16,22,23]. These associations, though, are likely to be two-way, as unemployment and its adverse consequences may deleteriously impact mental health [6,7,9,12,15,16,18,19]
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