How does social support shape the association between depressive symptoms and labour market participation: a four-way decomposition.

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dc.contributor.authorVeldman, K.
dc.contributor.authorPingel, R.
dc.contributor.authorHallqvist, J.
dc.contributor.authorBean, C.
dc.contributor.authorHammarström, A.
dc.date.issued2022
dc.description.abstractBackground: Little is known about factors that may explain the association between depressive symptoms and poor labour market participation (LMP). The aim of this study is to examine the mediation and interaction effects of social support on the association between depressive symptoms and LMP. Methods: Data were used from 985 participants (91% of the initial cohort) of the Northern Swedish Cohort, a longitudinal study of Swedish participants followed from adolescence throughout adulthood. Depressive symptoms were measured at age 16, social support at age 21 and LMP from age 30 to 43. Poor LMP was defined as being unemployed for a total of 6 months or more between the ages of 30 and 43. A four-way decomposition approach was applied to identify direct, mediation and interaction effects, together and separately. Results: Both depressive symptoms during adolescence and social support at young adulthood were associated with poor LMP [odds ratio (OR) = 1.70, 95% confidence interval (CI) 1.17–2.47 and OR = 2.56, 95% CI 1.78-3.68 respectively]. The association between depressive symptoms and poor LMP was partially mediated by a lack of social support. No interaction effect of a lack of social support was found. Conclusion: The results suggest that depressive symptoms influence not only later LMP but also the intermediary level of social support, and in turn influencing later LMP. Recommendations for public health are to detect and treat depressive symptoms at an early stage and to focus on the development of social skills, facilitating the increased availability of social support, thereby improving future LMP.
dc.description.statementofresponsibilityKarin Veldman, Ronnie Pingel, Johan Hallqvist, Christopher G. Bean, Anne Hammarström
dc.identifier.citationEuropean Journal of Public Health, 2022; 32(1):8-13
dc.identifier.doi10.1093/eurpub/ckab185
dc.identifier.issn1101-1262
dc.identifier.issn1464-360X
dc.identifier.orcidBean, C. [0000-0003-3249-3383]
dc.identifier.urihttps://hdl.handle.net/2440/146555
dc.language.isoen
dc.publisherOxford University Press
dc.rights© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.source.urihttps://doi.org/10.1093/eurpub/ckab185
dc.subjectadolescent; adult; depressive disorders; social support; unemployment; labor market; social determinants
dc.subject.meshHumans
dc.subject.meshCohort Studies
dc.subject.meshLongitudinal Studies
dc.subject.meshDepression
dc.subject.meshSocial Support
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshUnemployment
dc.subject.meshYoung Adult
dc.titleHow does social support shape the association between depressive symptoms and labour market participation: a four-way decomposition.
dc.typeJournal article
pubs.publication-statusPublished

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