From the boom to the crisis: changes in employment conditions of immigrants in Spain and their effects on mental health

Background: Migrant workers have been one of the groups most affected by the economic crisis. This study evaluates the influence of changes in employment conditions on the incidence of poor mental health of immigrant workers in Spain, after a period of 3 years, in context of economic crisis. Methods: Follow-up survey was conducted at two time points, 2008 and 2011, with a reference population of 318 workers from Colombia, Ecuador, Morocco and Romania residing in Spain. Individuals from this population who reported good mental health in the 2008 survey (n = 214) were interviewed again in 2011 to evaluate their mental health status and the effects of their different employment situations since 2008 by calculating crude and adjusted odds ratios (aORs) for sociodemographic and employment characteristics. Findings: There was an increased risk of poor mental health in workers who lost their jobs (aOR = 3.62, 95%CI: 1.64–7.96), whose number of working hours increased (aOR = 2.35, 95%CI: 1.02–5.44), whose monthly income decreased (aOR = 2.75, 95%CI: 1.08–7.00) or who remained within the low-income bracket. This was also the case for people whose legal status (permission for working and residing in Spain) was temporary or permanent compared with those with Spanish nationality (aOR = 3.32, 95%CI: 1.15–9.58) or illegal (aOR = 17.34, 95%CI: 1.96–153.23). In contrast, a decreased risk was observed among those who attained their registration under Spanish Social Security system (aOR = 0.10, 95%CI: 0.02–0.48). Conclusion: There was an increase in poor mental health among immigrant workers who experienced deterioration in their employment conditions, probably influenced by the economic crisis.

La actividad laboral de las familias africanas y latinoamericanas reagrupadas en la España mediterránea

La investigación se basa en los resultados de una encuesta realizada en 2009-2010, por el equipo investigador, a 348 inmigrados reagrupantes africanos y a 457 latinoamericanos que residen en las provincias litorales entre Girona y Almería. La información que se ofrece está referida a los aspectos laborales de estos dos colectivos continentales, tanto a escala del conjunto territorial indicado como para tres subáreas incluidas en él: Cataluña litoral, Comunidad Valenciana y Murcia-Almería; según los temas, se trata por separado a los reagrupantes y a los subgrupos familiares que conviven en España (reagrupantes, cónyuges, hijos). El estudio se centra en las estructuras de empleo por sectores económicos. También se estudian las redes migratorias, tan decisivas en la orientación de estos flujos hacia España, la regulación laboral de estos trabajadores, la repercusión de la crisis actual en los empleos de las familias reagrupadas (paro, número de ocupados por familia e ingresos), la satisfacción laboral de los miembros de las familias (horas de trabajo, problemas laborales y salariales) y la estabilidad laboral (antigüedad en el empleo, cursos de formación profesional, trabajo actual y expectativas del inmigrante). El recorrido por los temas laborales indicados, vinculados a los distintos grupos continentales y familiares y a las diferentes escalas territoriales, concluyen en mostrar situaciones económicas y sociales muy diferentes entre africanos y latinoamericanos, y entre los que residen en Cataluña litoral y en Murcia-Almería, en lo que intervienen, entre otras causas, los distintos «capitales» personales aportados por los dos colectivos continentales para acceder al empleo (formación, idioma, …) y las diferentes estructuras económicas de los territorios estudiados. Los africanos y los que residen en las provincias meridionales son los que presentan peores situaciones socioeconómicas.

Gender inequalities in occupational health related to the unequal distribution of working and employment conditions: a systematic review

Introduction: Gender inequalities exist in work life, but little is known about their presence in relation to factors examined in occupation health settings. The aim of this study was to identify and summarize the working and employment conditions described as determinants of gender inequalities in occupational health in studies related to occupational health published between 1999 and 2010. Methods: A systematic literature review was undertaken of studies available in MEDLINE, EMBASE, Sociological Abstracts, LILACS, EconLit and CINAHL between 1999 and 2010. Epidemiologic studies were selected by applying a set of inclusion criteria to the title, abstract, and complete text. The quality of the studies was also assessed. Selected studies were qualitatively analysed, resulting in a compilation of all differences between women and men in the prevalence of exposure to working and employment conditions and work-related health problems as outcomes. Results: Most of the 30 studies included were conducted in Europe (n=19) and had a cross-sectional design (n=24). The most common topic analysed was related to the exposure to work-related psychosocial hazards (n=8). Employed women had more job insecurity, lower control, worse contractual working conditions and poorer self-perceived physical and mental health than men did. Conversely, employed men had a higher degree of physically demanding work, lower support, higher levels of effort-reward imbalance, higher job status, were more exposed to noise and worked longer hours than women did. Conclusions: This systematic review has identified a set of working and employment conditions as determinants of gender inequalities in occupational health from the occupational health literature. These results may be useful to policy makers seeking to reduce gender inequalities in occupational health, and to researchers wishing to analyse these determinants in greater depth.