Mental health by gender-specific occupational groups: Profiles, risks and dominance of predictors

Jaana I. Halonen , Aki Koskinen , Pekka Varje , Anne Kouvonen , Jari J. Hakanen , Ari Väänänen


Background: We defined gender-specific profiles of mental ill-health for the main occupational groups using three outcomes; antidepressant use, sickness absence (SA) due to depression, and suicides. We also examined which occupational groups had the highest risk of the outcomes, and compared the importance of their predictors. Methods: From a random register cohort of Finnish working age population, individuals in the six largest occupational groups in 2004 for men and women were included (N=414 357). We used register data to define the first antidepressant purchase (i.e. use), the first long-term SA spell for depression, and suicide between Jan 1st 2005 and Dec 31st 2014. We assessed the risk of each outcome by occupational group with logistic regression models, and used dominance analysis to compare the relative importance of predictors. Results: In all six occupational groups for women, the prevalence of antidepressant use and SA for depression was higher than in the men's occupational groups. The opposite was observed for suicides. The risk of antidepressant use was lower, but the risk of suicide was 2-times higher among men in low vs. high-skilled occupations. Among women, a lower skill-level was associated with a higher risk of SA due to depression. Gender was the most important predictor of all outcomes. Limitations: We lacked information on history of medication use or health problems prior to follow-up. Conclusions: Gendered occupational status was an underlying factor explaining distinctive mental health profiles in the working population. Occupational class-dependent behavioural patterns related to mental health existed among men.
Author Jaana I. Halonen
Jaana I. Halonen,,
, Aki Koskinen
Aki Koskinen,,
, Pekka Varje
Pekka Varje,,
, Anne Kouvonen (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Anne Kouvonen,,
- II Wydział Psychologii we Wrocławiu
, Jari J. Hakanen
Jari J. Hakanen,,
, Ari Väänänen
Ari Väänänen,,
Journal seriesJournal of Affective Disorders, ISSN 0165-0327, (A 35 pkt)
Issue year2018
Publication size in sheets0.5
Keywords in EnglishAntidepressant; Depression; Gender; Mental health; Occupation; Sickness absence; Suicide
ASJC Classification2738 Psychiatry and Mental health; 3203 Clinical Psychology
Languageen angielski
Mental health by gender_tekst.pdf 608.51 KB
Additional file
Mental health_oświadczenie.pdf 33.11 KB
Score (nominal)35
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.362; WoS Impact Factor: 2017 = 3.786 (2) - 2017=4.035 (5)
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