Original article

Scand J Work Environ Health 2023;49(4):271-282    pdf

https://doi.org/10.5271/sjweh.4091 | Published online: 14 Apr 2023, Issue date: 01 May 2023

Trajectories of marginal part-time work and risk of depression. Does job or income insecurity mediate the relation?

by Nielsen HB, Kirchheiner-Rasmussen J, Dyreborg J, Larsen AD, Madsen IEH, Pedersen J, Garde AH

Objectives Working few hours a week, known as marginal part-time work, may increase both job and income insecurity, which have been linked to the risk of depression. This study examines the association between marginal part-time work and depression and the mediating role of job and income insecurity.

Methods We included 30 523 respondents of the Danish Labor Force Survey (DLFS) between 2010 and 2017 and linked them to register-based information on weekly working hours, which was used to identify full-time workers and model group-based trajectories of marginal part-time. These data were linked with survey information on job and income insecurity, and register-based information on hospital-diagnosed depression or redeemed anti-depressant drugs in the following two years. We estimated hazard ratios (HR) by Cox proportional hazards models and conducted mediation analyses to estimate the natural direct and indirect effects using job and income insecurity as mediators.

Results We identified three distinct trajectories of marginal part-time work: constant marginal part-time work, mobile towards marginal part-time work, and fluctuating in and out of marginal part-time work. Compared with full-time workers, the constant [HR 2.42, 95% confidence interval (CI) 1.83–3.20], mobile (HR 2.84, 95% CI 2.16–3.75), and fluctuating (HR 3.51, 95% CI 2.07–5.97) trajectories all had higher risks of depression. There was no evidence of mediation by either job (HR 1.02, 95% CI 0.92–1.12) or income (HR 0.98, 95% CI 0.89–1.08) insecurity.

Conclusions We found a higher risk of depression following marginal part-time work. The higher risk was not mediated by job or income insecurity.

This article refers to the following texts of the Journal: 2022;48(5):351-360  2020;46(3):235-247  2020;46(3):321-329  2019;45(5):429-443  2007;33(1):37-44
The following article refers to this text: 2024;50(4):233-243
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