scholarly journals Gains in employment status following antidepressant medication or cognitive therapy for depression

2015 ◽  
Vol 206 (4) ◽  
pp. 332-338 ◽  
Author(s):  
Jay C. Fournier ◽  
Robert J. DeRubeis ◽  
Jay Amsterdam ◽  
Richard C. Shelton ◽  
Steven D. Hollon

BackgroundDepression can adversely affect employment status.AimsTo examine whether there is a relative advantage of cognitive therapy or antidepressant medication in improving employment status following treatment, using data from a previously reported trial.MethodRandom assignment to cognitive therapy (n = 48) or the selective serotonin reuptake inhibitor paroxetine (n = 93) for 4 months; treatment responders were followed for up to 24 months. Differential effects of treatment on employment status were examined.ResultsAt the end of 28 months, cognitive therapy led to higher rates of full-time employment (88.9%) than did antidepressant medication among treatment responders (70.8%), χ21 = 5.78, P = 0.02, odds ratio (OR) = 5.66, 95% CI 1.16–27.69. In the shorter-term, the main effect of treatment on employment status was not significant following acute treatment (χ21 = 1.74, P = 0.19, OR = 1.77, 95% CI 0.75–4.17); however, we observed a site×treatment interaction (χ21 = 6.87, P = 0.009) whereby cognitive therapy led to a higher rate of full-time employment at one site but not at the other.ConclusionsCognitive therapy may produce greater improvements in employment v. medication, particularly over the longer term.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 190-190 ◽  
Author(s):  
Emma Blackmon ◽  
Janice Bell ◽  
Robin L. Whitney ◽  
Sarah C. Reed ◽  
Katherine Kim ◽  
...  

190 Background: Recent national reports highlight the dramatically rising costs of cancer care and its impact on financial hardship among survivors. Comparatively little attention, however, has been paid to the contributions of family and friends in unpaid caregiving roles—specifically, the impact of caregiving on caregivers jobs and work life. Methods: Using data collected in the 2012 LIVESTRONG Survey of People Affected by Cancer, we examined the prevalence of cancer survivors reporting that they had a friend or family member providing care to them during or after cancer treatment. Then, among those reporting they had a caregiver employed at that time, we used logistic regression to examine caregiver work modifications (i.e., paid time, unpaid time off, changing hours or duties, or making a change in employment status. All models controlled for survivor age at diagnosis, sex, race/ethnicity, income, education and employment status as potential predictors. Results: Of the respondents (n = 6310), 88% reported a family member or friend provided care as follows (in non-mutually exclusive categories): spouses (64%), friends (47%), parents (40%), siblings (31%), children (28%) or other family member (14%). Among survivors with employed caregivers (n = 4,984), 41% reported that their caregiver made a work modification; of these 57% took paid time off, 41% took unpaid time off, 4% switched from full time to part time and 3% took early retirement. Caregivers were more likely to make work modifications for survivors with low (versus high) income or education and for unemployed (versus employed) survivors. The age of the survivor was also a significant factor, with caregivers making more work modifications for younger survivors (ages 18-64) compared to older survivors (age > 65)—with ORs of caregiver work modfications increasing from 1.70 to 6.92 in a dose response by survivor age. Conclusions: Family and friends provide care to a majority of individuals with cancer and many make substantial modifications to their work—contributions which are not routinely counted in estimates of the cost of cancer care. Interventions may be warranted to support caregivers, particular those of survivors with lower income, less education and those of younger age.


2018 ◽  
Vol 99 (2) ◽  
pp. 170-183
Author(s):  
Elissa E. Madden ◽  
Scott Ryan ◽  
Donna M. Aguiniga ◽  
Michael Killian ◽  
Brenda Romanchik

Using data from an online survey of 223 birth mothers who had relinquished an infant for adoption during the last 25 years, this analysis examines the influence of the length of time that has passed since relinquishment on birth mothers’ satisfaction with their decision to place their child for adoption. Time since relinquishment, age of the respondent, education level, and income had a significant inverse relationship with birth mothers’ satisfaction to place their child for adoption. Two variables were predictive of increased satisfaction with their decision: having current contact with the child and full-time employment. The findings underscore the importance of agencies and adoption professionals ensuring that birth mothers have access to ongoing postrelinquishment support services throughout the life course.


2021 ◽  
Author(s):  
◽  
Paul Callister

<p>Despite a period of dramatic job loss from the mid 1980s to the mid 1990s, long-term employment data do not support the view that paid work has been disappearing from the New Zealand economy. However, the distribution of work for people aged 25-59 has been changing. In particular, between 1986 and 1996 there was a strong decline in full-time employment of prime-aged men, along with a decline in full-time employment amongst young people. In 1986, just over a tenth of prime-aged men were either not in paid work or worked part time. By 1996, this had increased to a quarter. While most of the changes in male employment were driven by shifts in labour demand, a small group of men actively chose to reduce their hours of work or to have breaks from paid work. In the decade 1986 to 1996, formal educational qualifications became a more powerful predictor of a person's employment status. In particular, by the early 1990s, prime-aged men and women without a formal educational qualification faced major disadvantages in the labour market. In contrast, the variable of gender, while still very important, weakened as a predictor of employment status. Employment data also show that there was some shift away from "standard" weekly hours of paid work for prime-aged people between 1986 and 1996. For both men and women, there was some growth in the proportion who worked very short hours as well as an increase in the proportion working 50 or more hours per week. Some of this appears to have taken place by choice, but some due to changing demands by employers. Employment status also has some association with living arrangement for prime-aged men. However, while employed men were far more likely to live in a couple than men not in work at both the beginning and end of the main period studied, this relationship weakened. In 1986, education had little predictive power regarding male living arrangements. However, by 1996, its importance had increased. Assortative mating patterns mean that couples tend to be education-rich or education-poor. However, the concentration of education within particular couples changed little over the decade. There was a shift within prime-aged couples and households to either work-poor or work-rich status between 1986 and 1996. In 1996, just under a fifth of prime-aged households were work-poor. The significant growth in the proportion of work-poor couples and households took place in the period of job loss between 1986 and 1991. While the strong employment growth in the economy in the next five years increased the proportion of work-rich households it only marginally reduced the proportion of work-poor households. In the 1990s, education-poor couples were over-represented amongst prime-aged work-poor couples. Yet, the New Zealand data suggest that a wide range of other factors influence the growth of this family type. This includes health issues and barriers to employment amongst well-qualified immigrants. The reasons behind the growth of work-rich couples are also complex. They include push factors such as well-educated women increasingly wanting to have a long-term attachment to the labour force, through to pull factors of women obtaining work to supplement family income in the face of declining male income. On a geographic area basis, the data does show that in the 1990s there were extremes of work-rich and work-poor residential areas. In addition, using various measures, the proportion of work-poor areas increased between 1986 and 1996. There was also a small, but important, group of area units that remained work-poor for the ten years studied. A significant proportion of long-term work-poor areas were also classified as "deprived". Finally, the rapid rise in educational attainment over the last decade was unevenly spread on a geographic basis. While there remain many communities where there is a wide mixture of education levels amongst the residents, the spatial clustering of similarly qualified (or unqualified) people is important in New Zealand.</p>


2021 ◽  
Author(s):  
◽  
Paul Callister

<p>Despite a period of dramatic job loss from the mid 1980s to the mid 1990s, long-term employment data do not support the view that paid work has been disappearing from the New Zealand economy. However, the distribution of work for people aged 25-59 has been changing. In particular, between 1986 and 1996 there was a strong decline in full-time employment of prime-aged men, along with a decline in full-time employment amongst young people. In 1986, just over a tenth of prime-aged men were either not in paid work or worked part time. By 1996, this had increased to a quarter. While most of the changes in male employment were driven by shifts in labour demand, a small group of men actively chose to reduce their hours of work or to have breaks from paid work. In the decade 1986 to 1996, formal educational qualifications became a more powerful predictor of a person's employment status. In particular, by the early 1990s, prime-aged men and women without a formal educational qualification faced major disadvantages in the labour market. In contrast, the variable of gender, while still very important, weakened as a predictor of employment status. Employment data also show that there was some shift away from "standard" weekly hours of paid work for prime-aged people between 1986 and 1996. For both men and women, there was some growth in the proportion who worked very short hours as well as an increase in the proportion working 50 or more hours per week. Some of this appears to have taken place by choice, but some due to changing demands by employers. Employment status also has some association with living arrangement for prime-aged men. However, while employed men were far more likely to live in a couple than men not in work at both the beginning and end of the main period studied, this relationship weakened. In 1986, education had little predictive power regarding male living arrangements. However, by 1996, its importance had increased. Assortative mating patterns mean that couples tend to be education-rich or education-poor. However, the concentration of education within particular couples changed little over the decade. There was a shift within prime-aged couples and households to either work-poor or work-rich status between 1986 and 1996. In 1996, just under a fifth of prime-aged households were work-poor. The significant growth in the proportion of work-poor couples and households took place in the period of job loss between 1986 and 1991. While the strong employment growth in the economy in the next five years increased the proportion of work-rich households it only marginally reduced the proportion of work-poor households. In the 1990s, education-poor couples were over-represented amongst prime-aged work-poor couples. Yet, the New Zealand data suggest that a wide range of other factors influence the growth of this family type. This includes health issues and barriers to employment amongst well-qualified immigrants. The reasons behind the growth of work-rich couples are also complex. They include push factors such as well-educated women increasingly wanting to have a long-term attachment to the labour force, through to pull factors of women obtaining work to supplement family income in the face of declining male income. On a geographic area basis, the data does show that in the 1990s there were extremes of work-rich and work-poor residential areas. In addition, using various measures, the proportion of work-poor areas increased between 1986 and 1996. There was also a small, but important, group of area units that remained work-poor for the ten years studied. A significant proportion of long-term work-poor areas were also classified as "deprived". Finally, the rapid rise in educational attainment over the last decade was unevenly spread on a geographic basis. While there remain many communities where there is a wide mixture of education levels amongst the residents, the spatial clustering of similarly qualified (or unqualified) people is important in New Zealand.</p>


Demography ◽  
2022 ◽  
Author(s):  
Andrés Villarreal ◽  
Wei-hsin Yu

Abstract We investigate the impact of the COVID-19 epidemic on gender disparities in three employment outcomes: labor force participation, full-time employment, and unemployment. Using data from the monthly Current Population Survey, in this research note we test individual fixed-effects models to examine the employment status of women relative to that of men in the nine months following the onset of the epidemic in March of 2020. We also test separate models to examine differences between women and men based on the presence of young children. Because the economic effects of the epidemic coincided with the summer months, when women's employment often declines, we account for seasonality in women's employment status. After doing so, we find that women's full-time employment did not decline significantly relative to that of men during the months following the beginning of the epidemic. Gender gaps in unemployment and labor force participation did increase, however, in the early and later months of the year, respectively. Our findings regarding women's labor force participation and employment have implications for our understanding of the long-term effects of the health crisis on other demographic outcomes.


2019 ◽  
Vol 80 (2) ◽  
pp. 63-71 ◽  
Author(s):  
Melissa Anne Fernandez ◽  
Marie Marquis ◽  
Sophie Desroches ◽  
Mylène Turcotte ◽  
Véronique Provencher

Purpose: To explore the associations between full-time employment status, food skills, and diet quality of Canadian parents. Methods: A sample of Canadian parents (n = 767) were invited to complete a web-based survey that included sociodemographic variables, questions about food skills, and a validated food frequency questionnaire. Results were analyzed with linear and logistic regression models, controlling for sociodemographic variables and multiple testing. Results: After controlling for covariates and multiple testing, there were no statistically significant differences in foods skills between parents’ employment status. Time was the most reported barrier for meal preparation, regardless of work status, but was significantly greater for full-time compared with other employment status (P < 0.0001). Additionally, parents who worked full-time had lower odds of reporting food preferences or dietary restrictions (P = 0.0001) and health issues or allergies (P = 0.0003) as barriers to food preparation, compared with parents with other employment status. These results remained statistically significant even after controlling for covariates and multiple testing. Conclusions: Overall, food skills did not differ significantly between parents’ employment status. Time, however, was an important barrier for most parents, especially those working full time. To promote home-based food preparation among parents, strategies to manage time scarcity are needed.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e16058-e16058
Author(s):  
Sarah L. Kerns ◽  
Chunkit Fung ◽  
Sophie D. Fossa ◽  
Paul C Dinh ◽  
Patrick O. Monahan ◽  
...  

e16058 Background: We aim to provide new information on cisplatin-related AHOs and employment status in TCS and evaluate impact on SRH. Methods: 1,815 TCS ³1 year post-chemotherapy underwent physical exam, audiometry, renal function evaluation, and completed questionnaires. Therapy data were obtained from medical records. A cumulative burden of morbidity score (CBMPt) assessed the number and severity of platinum-related AHOs (peripheral sensory neuropathy (PSN), hearing loss, tinnitus, and renal function) with grading per CTCAE v4.03. Multivariable regression assessed relations between CBMPt score, individual AHOs and employment status as well as SRH, adjusting for sociodemographic/clinical factors. Unemployment in TCS was compared with subjects in the Behavioral Risk Factor Surveillance System (BRFSS) of similar age/race/ethnicity. Results: Almost 1 in 10 TCS were either on disability leave (2.4%) or unemployed (6.8%) at a median age of 37 yr (median follow-up: 4 yr). TCS with tinnitus (OR = 3.1, grade 3 vs. 0, P = 0.04), renal dysfunction (OR = 13.5, grade 3 vs. 0, P = 0.01), or pain (OR = 7.2 and 40.9, grade 2 or 3 vs. 0, respectively; P < 0.001 each) had significantly greater odds of disability leave vs. full-time employment after adjusting for sociodemographic/clinical factors; pain was strongly correlated with PSN (Pearson r2= 0.40; P < 0.001). CBMPt score was associated with disability leave (OR = 1.5, P = 0.04), but not with unemployment. A significantly higher percentage of TCS were unemployed vs. BRFSS norms (e.g. 3.6% of TCS age 35-39 vs. 2.0% in BRFSS). PSN (OR = 2.2, grade 3 vs. 0, P = 0.02), self-reported hearing loss (OR = 1.8, grade 2/3 vs. 0, P = 0.04), and pain (OR = 2.8 and 8.5, grade 2 or 3 vs. 0, respectively; P < 0.01 each) were each associated with increased odds of unemployment vs. full-time employment. Cisplatin-related AHOs and pain were associated with significantly worse SRH (P < 0.05). Conclusions: Our findings have new, important implications regarding productivity loss and socioeconomic costs in TCS. Survivorship care strategies should include inquiries about employment status, and every effort made to assist affected TCS in returning to the work force.


2021 ◽  
pp. 103530462110413
Author(s):  
Jaslin K Kalsi ◽  
Siobhan Austen ◽  
Astghik Mavisakalyan

This study applies a methodology used by De Henau and Himmelweit (2013) to study resource allocation in Australian mixed-sex couple households. Using 18 waves of data from the Household, Income and Labour Dynamics in Australia survey and by means of fixed effects estimations, the study identifies how men’s and women’s contributions via paid and unpaid work influences their satisfaction with the financial situation (SWFS) within households. Employment status is used to proxy each partner’s contribution to household resources. The results reveal that paid contributions through full-time employment have a strong role in determining SWFS. This is a source of gender difference because Australian men are much more likely to be engaged in full-time employment than women. Most often, for both men and women, unpaid contributions to household resources (proxied by less than full-time employment) has a detrimental effect on their own SWFS, but smaller effects on their partner’s SWFS. These results imply that gender asymmetry in paid and unpaid contributions to household resources contributes to the reproduction of gender inequalities within Australian households. The results add external validity to the relevance of De Henau and Himmelweit’s (2013) analysis of these issues. JEL codes: B54, I31, E24


2011 ◽  
Vol 53 (3) ◽  
pp. 303-323 ◽  
Author(s):  
Therese Jefferson ◽  
Alison Preston

In this article we present data on earnings and hours in 2010 and, using data over a longer time frame, show how the character of the Australian labour market has significantly changed in recent decades. Among other things, we demonstrate a continued shift towards part-time work and, across full-time and part-time labour markets, a change in the distribution of jobs towards more highly skilled occupations. We continue to argue that traditional indicators of labour-market activity, such as headline unemployment and earnings in full-time employment, are only able to partially explain the health of the labour market. There is an urgent need to better understand other dimensions such as underemployment, part-time employment and part-time earnings.


2014 ◽  
Vol 35 (6) ◽  
pp. 798-816 ◽  
Author(s):  
Yuval Arbel ◽  
Yossef Tobol ◽  
Erez Siniver

Purpose – Previous studies of immigrant populations suggest that ceteris paribus an immigrant's level of income is strongly and positively correlated with his proficiency in the local language. The purpose of this paper is to extend this literature using data from a telephone survey carried out in 2005 among a representative sample of Former Soviet Union (FSU) immigrants. Unlike previous surveys, the data includes responses to detailed subjective questions on degree of social involvement, in addition to the number of years since migration and level of proficiency in the local language. The authors are able to demonstrate that a higher degree of assimilation is associated with a significantly higher likelihood of finding full-time employment. Moreover, the estimation results for the wage equation reveal that the effect on income previously attributed solely to language proficiency is in fact also the result of more successful assimilation in the receiving culture. The findings thus stress the importance of assimilation in determining success in job search and in explaining variations in income among immigrants who are already employed in full-time jobs. Finally, the results obtained when differentiating according to gender show that male immigrants have better prospects of finding a job than female immigrants and higher incomes once they find one, which is consistent with the existing literature. Design/methodology/approach – In order to compare the relative importance of the language proficiency variable (LANGUAGE i ) to that of the social involvement variable (ASSIMILATION i ), The authors apply the probit model to two separate equations. The first is the prospects of finding a job and the second is the wage equation. Findings –The authors are able to demonstrate that a higher degree of assimilation is associated with a significantly higher likelihood of finding full-time employment. Moreover, the estimation results for the wage equation reveal that the effect on income previously attributed solely to language proficiency is in fact also the result of more successful assimilation in the receiving culture. The findings thus stress the importance of assimilation in determining success in job search and in explaining variations in income among immigrants who are already employed in full-time jobs. Finally, the results obtained when differentiating according to gender show that male immigrants have better prospects of finding a job than female immigrants and higher incomes once they find one, which is consistent with the existing literature. Research limitations/implications – The limitation is, like all of the existing literature and in particular the few studies that deal with social networking, that the database is exclusively based on either interviews or surveys consisting of self-assessment questions (such as, Dustman, 1996; Lazear, 1999; Amuedo-Dorantes and Mundra, 2007). Consequently, the implicit assumption is that the respondent's self-perceived level of assimilation constitutes a good proxy for the true level. Practical implications – The implications are the following: the findings are thus consistent with those of Lazear (1999), who anticipates a negative correlation between the relative size of a minority group and the level of proficiency in the local language. In the case of Israel, which received a massive wave of 1.5 million immigrants from the FSU, the findings indeed suggest that the chances of an immigrant job seeker finding a job are far more dependent on his degree of assimilation than his level of language proficiency. Moreover, the effect of the degree of assimilation, which has not previously been included in estimations, was mistakenly attributed to language proficiency. The findings of this research thus reveal the importance of the degree of assimilation in finding a job and can explain income differences among those who have already found full-time employment. Originality/value – Previous studies of immigrant populations suggest that ceteris paribus the level of income is strongly and positively correlated with proficiency in the local language. The current study extends this literature using data from a telephone survey carried out in 2005 among a representative sample of FSU immigrants. Unlike previous surveys, the data includes responses to detailed subjective questions on degree of social involvement, in addition to the number of years since migration and level of proficiency in the local language. The authors are able to demonstrate that a higher degree of assimilation is associated with a significantly higher likelihood of finding full-time employment. Moreover, the estimation results for the wage equation reveal that the effect on income previously attributed to language proficiency is in fact the result of more successful assimilation in the receiving culture. The results are robust to gender differences. The findings thus stress the importance of assimilation in determining success in job search and in explaining variations in income among immigrants who are already employed in full-time jobs.


Sign in / Sign up

Export Citation Format

Share Document