Abstract:
UNLABELLED:This study simultaneously tests the effect of county, organizational, workplace, and individual level variables on depressive disorders among low-income nursing assistants employed in US nursing homes. A total of 482 observations are used from two waves of survey data collection, with an average two-year interval between initial and follow-up surveys. The overall response rate was 62 percent. The hierarchically structured data was analyzed using multilevel modeling to account for cross-classifications across levels of data. Nursing assistants working in nursing homes covered by a single union in three states were asked about aspects of their working conditions, job stress, physical and mental health status, individual and family health-care needs, household economics and household strain. PARTICIPANTS:The 241 nursing assistants who participated in this study were employed in 34 nursing homes and lived in 49 counties of West Virginia, Ohio and Kentucky. MAIN RESULTS:The study finds that emotional strain, related to providing direct care to elderly and disabled clients, is associated with depressive disorder, as is nursing home ownership type (for-profit versus not-for-profit). However, when controlling for county level socioeconomic variables (Gini index and proportion of African Americans living in the county), neither workplace nor organizational level variables were found to be statistically significant associated with depressive disorder. CONCLUSIONS:This study supports previous findings that emotional demand in health-care environments is an important correlate of mental health. It also adds empirical evidence to support a link between financial strain and depression in US women. While this study does not find that lack of a seniority wage benefits--a factor that can conceivably exacerbate financial strain over time--is associated with depressive disorder among low-income health-care workers, it does find county level measures of poverty to be statistically significant predictors of depressive disorder. Longitudinal county level measures of low-income as predictors of depression may even offer a methodological advantage in that they are presumably more stable indicators of cumulative exposure of low income than are more transient workplace indicators. Incorporating measures of cumulative exposure to low income into empirical studies would be particularly timely given the global changes that are currently restructuring the labor force and influencing work organization and labor processes--most notably the growth in low income jobs and the deskilling of labor. Though this study provides evidence that workplace and organizational level variables are associated with depressive disorder among low-wage nursing assistants in US nursing homes, the fact that these relationships do not hold once county level measures of poverty are controlled for, suggests that more distal upstream determinants of workplace mental health problems, such economic inequality, may be at play in determining the mental health of low wage workers.
journal_name
Health Placejournal_title
Health & placeauthors
Muntaner C,Li Y,Xue X,Thompson T,O'Campo P,Chung H,Eaton WWdoi
10.1016/j.healthplace.2005.09.004subject
Has Abstractpub_date
2006-12-01 00:00:00pages
688-700issue
4eissn
1353-8292issn
1873-2054pii
S1353-8292(05)00060-2journal_volume
12pub_type
杂志文章相关文献
HEALTH & PLACE文献大全abstract:OBJECTIVE:To evaluate the effects of exposure to air pollution by NO(x) and SO(2) on the development of pulmonary function of children, characterized by different health status. METHODS:A cohort of 1181 schoolchildren from the 2nd to 5th grades, residing near a major coal-fired power plant in the Hadera district of Is...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2009.11.013
更新日期:2010-03-01 00:00:00
abstract::This article explores the spatio-temporal logics at work in global health. Influenced by ideas of time-space compression, the global health literature argues that the world is characterised by a convergence of disease patterns and biomedical knowledge. While not denying the influence of these temporalities and spatial...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2015.04.004
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Growing research documents associations between neighborhood social cohesion with better health and well-being. However, other work has identified social cohesion's "dark side" and its ability to promote negative outcomes. It remains unclear if such diverging findings are attributable to differences in study...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2020.102420
更新日期:2020-11-01 00:00:00
abstract::This article examines the lived experiences of 17 renters residing in Clark County, Nevada. Using a phenomenological study design, we used semistructured interviews to investigate how renters navigate living in substandard housing. The qualitative analysis revealed four main themes: (a) housing serves as a mediator wi...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2019.05.021
更新日期:2019-07-01 00:00:00
abstract::A small but provocative literature suggests that neighbourhood socioeconomic conditions experienced by children early in life influence a variety of health and developmental outcomes later in life. We contribute to this literature by testing the degree to which neighbourhood socioeconomic conditions that children expe...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2009.11.009
更新日期:2010-03-01 00:00:00
abstract::This study identifies population and environment drivers of genetic change in H5N1 avian influenza viruses (AIV) in Vietnam using a landscape genetics approach. While prior work has examined how combinations of local-level environmental variables influence H5N1 occurrence, this research expands the analysis to the com...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2012.04.009
更新日期:2012-09-01 00:00:00
abstract::Socio-economic features of a community influence people's health. However, not all inhabitants are affected similarly. The present study explores gendered contextual effects on problem drinking and depression with the differential exposure, vulnerability and expression hypotheses of the social stress model in mind. An...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2009.04.003
更新日期:2009-12-01 00:00:00
abstract::The retail food environment is a potential population-level determinant of diet and nutrition-related chronic diseases, yet little is known about its composition and association with diabetes in low- and middle-income countries. Our objectives were: (1) to describe changes in the composition of the retail food environ...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2020.102461
更新日期:2020-11-01 00:00:00
abstract::We propose that, beyond their educational function, schools can serve as catalysts for community participation, social cohesion and the vitality of neighbourhoods. The paper explores the impacts of a school closure on families in an urban neighbourhood in Invercargill, New Zealand. The highest urban depopulation rate ...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/s1353-8292(01)00023-5
更新日期:2001-12-01 00:00:00
abstract::Recent studies reveal disparities in neighborhood access to food and fitness facilities, particularly in US cities; but few studies assess the effects of multiple neighborhood factors on obesity. This study measured the multilevel relations between neighborhood food availability, opportunities and barriers for physica...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2009.12.007
更新日期:2010-05-01 00:00:00
abstract::Differences in mosquito control practices at the local level involve the interplay of place, scale and politics. During the Chicago West Nile Virus (WNV) outbreak of 2002, mosquito abatement districts represent distinct suburban clusters of human WNV cases, independent of characteristics of the local population, housi...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2010.08.003
更新日期:2010-11-01 00:00:00
abstract::Using a sample of English school children, we use accelerometery and global positioning systems to identify whether different intensities of activity (light, moderate, and vigorous) occur in different environments, and whether environments for bouts of moderate to vigorous activity (MVPA) vary from those for non-bout ...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2012.11.008
更新日期:2013-03-01 00:00:00
abstract::Places where people live are important for their personal and social lives. This is also the case for people with mental health problems living in supported housing. To summarise the existing knowledge, we conducted a systematic review of 13 studies with different methodologies regarding the built environment in suppo...
journal_title:Health & place
pub_type: 杂志文章,评审
doi:10.1016/j.healthplace.2019.03.006
更新日期:2019-05-01 00:00:00
abstract::The Page Avenue health impact assessment (HIA) was focused on a redevelopment in Missouri. This case study describes a comprehensive HIA led by an interdisciplinary academic team with community partners, as well as compliance with North American HIA Practice Standards. Some of the key lessons learned included: (1) int...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2011.07.005
更新日期:2012-01-01 00:00:00
abstract::The purpose of this study was to quantify the agreement between perceived and objective measures of the natural environment and to assess their associations with physical activity. Perception of the natural environment was obtained through survey data. Objective measures of weather and hills were created using Geograp...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2006.07.002
更新日期:2007-09-01 00:00:00
abstract::This paper draws on a qualitative study (n = 52) and applies a political ecology of health framework to examine men's perceptions of women's reproductive health in South Sudan. The findings suggest that political practices of place making configure men's views of women's reproductive roles in this new nation state. In...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2019.102157
更新日期:2019-07-01 00:00:00
abstract::There is growing concern about the outer-suburbs in Australia as healthy places to raise children. This paper aimed to explore this from the perspectives of parents raising preschool-age children in an outer-Melbourne municipality. Findings showed that parents were positive about the natural environment as well as the...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2014.02.013
更新日期:2014-05-01 00:00:00
abstract::This paper presents findings from a qualitative study of young adults living in a relatively deprived metropolitan area in Sweden. The analysis of interview data yielded four separate types of neighbourhood discourses, each related to a major hegemonic 'discourse of the problematic area'. The discursive model was used...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2003.11.001
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:Physical distance affects hospital use. In a densely populated city in China, we examined if child public hospital use was associated with individual-level proximity, and any differences by admission type or geo-spatially. METHODS:We used negative binomial regression in a large, population-representative bi...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2011.06.011
更新日期:2011-09-01 00:00:00
abstract::This article explores why women in rural and remote areas of Australia use complementary and alternative medicine (CAM) at higher rates than their counterparts in urban areas. Drawing on qualitative interviews with 60 women 60-65 years of age, currently living in rural Australia, we explore the possibility that CAM us...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2012.12.005
更新日期:2013-03-01 00:00:00
abstract::In choosing appropriate buffer sizes to study environmental influences on physical activity, studies are hampered by insufficient insight into the distance elderly travel actively. This study aims at getting insight into the number of trips walked and cycled within various buffer sizes using GPS measures. Data were ob...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2014.01.012
更新日期:2014-05-01 00:00:00
abstract::Greater accessibility to geospatial technologies has led to a surge of spatialized public health research, much of which has focused on food environments. The purpose of this study was to analyze differing spatial measures of exposure to supermarkets and farmers׳ markets among women of reproductive age in eastern Nort...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2014.09.007
更新日期:2014-11-01 00:00:00
abstract::Socioeconomic status (SES) as well as adolescents' perceptions of the neighborhood's built and social environments have been shown to influence adolescents' physical activity. Twenty-four adolescents from two low SES neighborhoods in Sweden participated as citizen scientists, using the Stanford Discovery Tool app on t...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2020.102387
更新日期:2020-09-01 00:00:00
abstract::This study assessed the importance of county characteristics in explaining county-level variations in health insurance coverage. Using public databases from 2008 to 2012, we studied 3112 counties in the United States. Rates of uninsurance ranged widely from 3% to 53%. Multivariate analysis suggested that poverty, unem...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2015.03.015
更新日期:2015-07-01 00:00:00
abstract::Much research into spatial inequalities in health has sought the balance between compositional and contextual influences on observed patterns. Research published recently by the authors sought to determine whether composition of areas alone might account for the changing geography of mortality in Britain, between 1983...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/s1353-8292(01)00032-6
更新日期:2002-03-01 00:00:00
abstract::Research in the geographies of care has identified the central role of mothers in caring for children, although much less explored are the experiences of men who also participate in care. Drawing upon research conducted in the UK with children and their families, this paper contributes to existing debates in the geogr...
journal_title:Health & place
pub_type: 杂志文章,多中心研究
doi:10.1016/j.healthplace.2010.04.001
更新日期:2011-03-01 00:00:00
abstract::We seek to map and describe variation in geographic access to the set of 189 specialist adult inpatient hospices in England and Wales. Using almost 35,000 small Census areas (Local Super Output Areas: LSOAs) as our units of analysis, the locations of hospices, and estimated drive times from LSOAs to hospices we constr...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2012.03.009
更新日期:2012-07-01 00:00:00
abstract::This paper examines the nature and characteristics of research in environmental health, viewed as the effects of the environment on human health. It is argued that most of this work has been predicated on an epidemiological approach which has yielded significant (if sometimes equivocal) findings about exposure-outcome...
journal_title:Health & place
pub_type: 杂志文章,评审
doi:10.1016/s1353-8292(96)00031-7
更新日期:1997-03-01 00:00:00
abstract::Urban regeneration programs, such as "Programa Quiero mi Barrio" (PQMB) that is carried out in neighborhoods with greater deprivation across Chile, can improve health and quality of life in socio-economically deprived neighborhoods. The aim of this study was to analyze the effects of this program on the physical, soci...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2021.102511
更新日期:2021-01-22 00:00:00
abstract::In 2005, Carlisle suffered severe flooding and 1600 houses were affected. A qualitative research project to study the social and health impacts was undertaken. People whose homes had been flooded and workers who had supported them were interviewed. The findings showed that there was severe disruption to people's lives...
journal_title:Health & place
pub_type: 杂志文章
doi:10.1016/j.healthplace.2008.08.009
更新日期:2009-06-01 00:00:00