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Open Access 01-12-2012 | Research article

Mental health, duration of unemployment, and coping strategy: a cross-sectional study of unemployed migrant workers in eastern china during the economic crisis

Authors: Li Chen, Wenhu Li, Jincai He, Lanhua Wu, Zheng Yan, Wenjie Tang

Published in: BMC Public Health | Issue 1/2012

Abstract

Background

20 million migrant workers in China lost their jobs during the economic crisis of 2008. Both urban migration and unemployment have long been documented to be associated with vulnerability to mental problems. This study aims to examine the mental health of unemployed migrant workers in Eastern China and its relation to duration of unemployment and coping strategy during the recent economic crisis.

Methods

The data were collected through interview-based survey with a sample of 210 unemployed migrant workers in Zhejiang Province of China from 2008 to 2009. Symptom Checklist-90-Revised, Coping Strategies Questionnaire, and seven short demographic questions were used.

Results

The majority of the unemployed migrant workers were found to be young male manufacturing industry workers with short-term unemployment and a relatively low education level. Nearly 50% of unemployed migrant workers were classified as mentally unhealthy and the most frequently reported symptom was depression. Compared with the adult norm of 1986, 2003, and 2007 in China, unemployed migrants had more mental problems. Long-term unemployed migrant workers had more psychiatric symptoms than the short-term unemployed workers and employed migrant workers. Unemployed migrant workers with immature coping strategies expressed significantly more psychiatric symptoms than those with mixed and mature coping strategies. Duration of unemployment and two coping strategies, problem-solving and self-blaming, predicted the mental problems of unemployed migrant workers.

Conclusions

The results indicated that mental health status of unemployed migrant workers in Eastern China was poorer than the national adult norm. More psychiatric symptoms are evidenced among unemployed migrant workers who lost their jobs for a long term and who had immature coping strategies. These findings can be used for prevention and intervention of mental illness among unemployed migrant workers.

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Hintikka J, Lehto SM, Niskanen L, et al: Unemployment and ill health: a connection through inflammation?. BMC Public Health. 2009, 9: 410-10.1186/1471-2458-9-410.CrossRefPubMedPubMedCentral

Janlert U: Economic crisis, unemployment and public health. Scand J Public Health. 2009, 37 (8): 783-784. 10.1177/1403494809351070.CrossRefPubMed

Bartley M, Sacker A, Clarke P: Employment status, employment conditions, and limiting illness: prospective evidence from the British household panel survey 1991-2001. J Epidemiol Community Health. 2004, 58 (6): 501-506. 10.1136/jech.2003.009878.CrossRefPubMedPubMedCentral

Bartley M: Unemployment and ill health: understanding the relationship. J Epidemiol Community Health. 1994, 48 (4): 333-337. 10.1136/jech.48.4.333.CrossRefPubMedPubMedCentral

Wilson SH, Walker GM: Unemployment and health: a review. Public Health. 1993, 107 (3): 153-162. 10.1016/S0033-3506(05)80436-6.CrossRefPubMed

McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ: Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005, 90 (1): 53-76.CrossRefPubMed

Butterworth P, Leach LS, Pirkis J, Kelaher M: Poor mental health influences risk and duration of unemployment: a prospective study. Soc Psychiatry Psychiatr Epidemiol. 2012, 47 (6): 1013-1021. 10.1007/s00127-011-0409-1.CrossRefPubMed

Madianos M, Economou M, Alexiou T, Stefanis C: Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide. Soc Psychiatry Psychiatr Epidemiol. 2011, 46 (10): 943-952. 10.1007/s00127-010-0265-4.CrossRefPubMed

Liwowsky I, Kramer D, Mergl R, et al: Screening for depression in the older long-term unemployed. Soc Psychiatry Psychiatr Epidemiol. 2009, 44 (8): 622-627. 10.1007/s00127-008-0478-y.CrossRefPubMed

10.

Classen TJ, Dunn RA: The effect of job loss and unemployment duration on suicide risk in the United States: a new look using mass-layoffs and unemployment duration. Health Econ. 2012, 21 (3): 338-350. 10.1002/hec.1719.CrossRefPubMed

11.

Comino EJ, Harris E, Silove D, Manicavasagar V, Harris MF: Prevalence, detection and management of anxiety and depressive symptoms in unemployed patients attending general practitioners. Aust N Z J Psychiatry. 2000, 34 (1): 107-113. 10.1046/j.1440-1614.2000.00645.x.CrossRefPubMed

12.

Buerhaus PI, Auerbach DI: The recession's effect on hospital registered nurse employment growth. Nurs Econ. 2011, 29 (4): 163-167.PubMed

13.

Mantler J, Matejicek A, Matheson K, Anisman H: Coping with employment uncertainty: a comparison of employed and unemployed workers. J Occup Health Psychol. 2005, 10 (3): 200-209.CrossRefPubMed

14.

Leino-Loison K, Gien LT, Katajisto J, Valimaki M: Sense of coherence among unemployed nurses. J Adv Nurs. 2004, 48 (4): 413-422. 10.1111/j.1365-2648.2004.03210.x.CrossRefPubMed

15.

Binitie A: Mental health implications of economic growth in developing countries. Ment Health Soc. 1976, 3 (5–6): 272-285.PubMed

16.

Cooper B: Economic recession and mental health: an overview. Neuropsychiatr. 2011, 25 (3): 113-117.PubMed

17.

Mirowsky J, Ross CE: Age and the effect of economic hardship on depression. J Health Soc Behav. 2001, 42 (2): 132-150. 10.2307/3090174.CrossRefPubMed

18.

Levecque K, Van Rossem R, De Boyser K, Van de Velde S, Bracke P: Economic hardship and depression across the life course: the impact of welfare state regimes. J Health Soc Behav. 2011, 52 (2): 262-276. 10.1177/0022146510394861.CrossRefPubMed

19.

Butterworth P, Rodgers B, Windsor TD: Financial hardship, socio-economic position and depression: results from the PATH Through Life Survey. Soc Sci Med. 2009, 69 (2): 229-237. 10.1016/j.socscimed.2009.05.008.CrossRefPubMed

20.

Lee S, Guo WJ, Tsang A, et al: Evidence for the 2008 economic crisis exacerbating depression in Hong Kong. J Affect Disord. 2010, 126 (1–2): 125-133.CrossRefPubMed

21.

Li L, Wang HM, Ye XJ, et al: The mental health status of Chinese rural-urban migrant workers: comparison with permanent urban and rural dwellers. Soc Psychiatry Psychiatr Epidemiol. 2007, 42 (9): 716-722. 10.1007/s00127-007-0221-0.CrossRefPubMed

22.

Cai F, Chan KW: The global economic crisis and unemployment in China. Eurasian Geography and Economics. 2009, 50 (5): 513-553. 10.2747/1539-7216.50.5.513.CrossRef

23.

Wong DF, He X, Leung G, Lau Y, Chang Y: Mental health of migrant workers in China: prevalence and correlates. Soc Psychiatry Psychiatr Epidemiol. 2008, 43 (6): 483-489. 10.1007/s00127-008-0341-1.CrossRefPubMed

24.

Wong DF, Leung G: The functions of social support in the mental health of male and female migrant workers in China. Health Soc Work. 2008, 33 (4): 275-285. 10.1093/hsw/33.4.275.CrossRefPubMed

25.

Tang J, Gao X, Yu Y, Ahmed NI, Zhu H, Wang J, et al: Sexual Knowledge, attitudes and behaviors among unmarried migrant female workers in China: a comparative analysis. BMC Public Health. 2011, 11: 917-10.1186/1471-2458-11-917.CrossRefPubMedPubMedCentral

26.

Stankunas M, Kalediene R, Starkuviene S, Kapustinskiene V: Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC Public Health. 2006, 6: 174-10.1186/1471-2458-6-174.CrossRefPubMedPubMedCentral

27.

Mossakowski KN: The influence of past unemployment duration on symptoms of depression among young women and men in the United States. Am J Public Health. 2009, 99 (6): 1826-1832.CrossRefPubMedPubMedCentral

28.

Viinamaki H, Koskela K, Niskanen L, Arnkill R, Tikkanen J: Unemployment and mental wellbeing: a factory closure study in Finland. Acta Psychiatr Scand. 1993, 88 (6): 429-433. 10.1111/j.1600-0447.1993.tb03486.x.CrossRefPubMed

29.

Nandi A, Galea S, Tracy M, et al: Job loss, unemployment, work stress, job satisfaction, and the persistence of posttraumatic stress disorder one year after the September 11 attacks. J Occup Environ Med. 2004, 46 (10): 1057-1064. 10.1097/01.jom.0000141663.22902.0a.CrossRefPubMed

30.

Zubin J, Spring B: Vulnerability: a new view on schizophrenia. J Abnorm Psychol. 1977, 86 (2): 103-126.CrossRefPubMed

31.

Nuechterlein KH, Dawson ME: A heuristic vulnerability/stress model of schizophrenic episodes. Schizophr Bull. 1984, 10 (2): 300-312.CrossRefPubMed

32.

Taylor SE, Stanton AL: Coping resources, coping processes, and mental health. Annu Rev Clin Psychol. 2007, 3: 377-401. 10.1146/annurev.clinpsy.3.022806.091520.CrossRefPubMed

33.

Silber E, Hamburg D, Coelho G, et al: Adaptive behavior in competent adolescents: Coping with the anticipation of college. Arch Gen Psychiatry. 1961, 5: 354-365. 10.1001/archpsyc.1961.01710160034004.CrossRefPubMed

34.

Lamberg T, Virtanen P, Vahtera J, Luukkaala T, Koskenvuo M: Unemployment, depressiveness and disability retirement: a follow-up study of the Finnish HeSSup population sample. Soc Psychiatry Psychiatr Epidemiol. 2010, 45 (12): 259-264.CrossRefPubMed

35.

Gubrium JF, Holstein JA: Handbook of Interview Research: Context and Method. 2002, Sage, Thousand Oaks,CA, 537-556.

36.

Crippa JA, de Lima OF, Del-Ben CM, et al: Comparability between telephone and face-to-face structured clinical interview for DSM-IV in assessing social anxiety disorder. Perspect Psychiatr Care. 2008, 44 (4): 241-247. 10.1111/j.1744-6163.2008.00183.x.CrossRefPubMed

37.

Lee S, Tsang A, Lau L, et al: Concordance between telephone survey classification and face-to-face structured clinical interview in the diagnosis of generalized anxiety disorder in Hong Kong. J Anxiety Disord. 2008, 22: 1403-1411. 10.1016/j.janxdis.2008.02.008.CrossRefPubMed

38.

Han W, Xu L, Muhuang Z, et al: Study on the unemployment insurance for migrant workers. China Soft Science. 2010, 8: 37-45.

39.

Shi R: Health Statistics and epidemiology practice course. 2008, Fudan press, Shanghai, 1

40.

Wang ZY: Symptom check list 90(SCL-90). Shanghai Jingshen Yixue. 1984, 22 (2): 68-70.

41.

Derogatis LR, Yevzeroff H, Wittelsberger B: Social class, psychological disorder, and the nature of the psychopathologic indicator. J Consult Clin Psychol. 1975, 43 (2): 183-191.CrossRefPubMed

42.

Tong HJ: A research of twenty years’ vicissitude: SCL-90 and its norm. Psychol Sci. 2010, 33: 928-930.

43.

Xiao JH, Xu XF: The research of reliability and validity of the “Coping Style Questionnaire”. China Mental Health. 1996, 10: 164-168.

44.

Folkman S, Lazarus RS: An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980, 21 (3): 219-239. 10.2307/2136617.CrossRefPubMed

45.

Chen SL, Li LJ: Re-testing reliability, validity and norm applicability of SCL-90. Chin J Nerv Ment Dis. 2003, 29 (5): 323-327.

46.

Liao CJ, Mao HP, Gong BH: Research on Mental health of migrant farmers in cities: an example of Wenzhou, Zhejiang. Ecol Econ. 2010, 224 (5): 183-184.

47.

Hwang SS, Xi J, Cao Y, Feng X, Qiao X: Anticipation of migration and psychological stress and the Three Gorges Dam project, China. Soc Sci Med. 2007, 65 (5): 1012-1024. 10.1016/j.socscimed.2007.05.003.CrossRefPubMedPubMedCentral

48.

Jackson PR, Warr PB: Unemployment and psychological ill-health: the moderating role of duration and age. Psychol Med. 1984, 14 (3): 605-614. 10.1017/S003329170001521X.CrossRefPubMed

49.

Prussia GE, Fugate M, Kinicki AJ: Explication of the coping goal construct: implications for coping and reemployment. J Appl Psychol. 2001, 86 (6): 1179-1190.CrossRefPubMed

50.

Anderson DG: Coping strategies and burnout among veteran child protection workers. Child Abuse Negl. 2000, 24 (6): 839-848. 10.1016/S0145-2134(00)00143-5.CrossRefPubMed

51.

Lemaire JB, Wallace JE: Not all coping strategies are created equal: a mixed methods study exploring physicians' self reported coping strategies. BMC Health Serv Res. 2010, 10: 208-10.1186/1472-6963-10-208.CrossRefPubMedPubMedCentral

52.

Grossi G: Coping and emotional distress in a sample of Swedish unemployed. Scand J Psychol. 1999, 40 (3): 157-165. 10.1111/1467-9450.00113.CrossRefPubMed

53.

Yan HQ: New challenges of psychiatry: the development of mental health service in Shanghai. Psychiatry Clin Neurosci. 1998, 52: S357-S358.CrossRefPubMed

54.

Smari J, Arason E, Hafsteinsson H, Ingimarsson S: Unemployment, coping and psychological distress. Scand J Psychol. 1997, 38 (2): 151-156. 10.1111/1467-9450.00021.CrossRefPubMed

55.

Hamilton VL, Hoffman WS, Broman CL, Rauma D: Unemployment, distress, and coping: a panel study of autoworkers. J Pers Soc Psychol. 1993, 65 (2): 234-247.CrossRefPubMed

56.

Starrin B, Larsson G: Coping with unemployment-a contribution to the understanding of women's unemployment. Soc Sci Med. 1987, 25 (2): 163-171. 10.1016/0277-9536(87)90384-4.CrossRefPubMed

57.

Cohen L, Fouladi RT, Katz J: Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery. J Psychosom Res. 2005, 58 (2): 201-209. 10.1016/j.jpsychores.2004.07.007.CrossRefPubMed

58.

Goodwin RD: Association between coping with anger and feelings of depression among youths. Am J Public Health. 2006, 96 (4): 664-669. 10.2105/AJPH.2004.049742.CrossRefPubMedPubMedCentral

59.

Tobin DL, Griffing AS: Coping and depression in bulimia nervosa. Int J Eat Disord. 1995, 18 (4): 359-363. 10.1002/1098-108X(199512)18:4<359::AID-EAT2260180409>3.0.CO;2-A.CrossRefPubMed

60.

Billings DW, Folkman S, Acree M, Moskowitz JT: Coping and physical health during caregiving: the roles of positive and negative affect. J Pers Soc Psychol. 2000, 79 (1): 131-142.CrossRefPubMed

61.

Castellani B, Wootton E, Rugle L, et al: Homelessness, negative affect, and coping among veterans with gambling problems who misused substances. Psychiatr Serv. 1996, 47 (3): 298-299.CrossRefPubMed

62.

Spoor ST, Bekker MH, Van Strien T, et al: Relations between negative affect, coping, and emotional eating. Appetite. 2007, 48 (3): 368-376. 10.1016/j.appet.2006.10.005.CrossRefPubMed

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/12/597/prepub

Title: Mental health, duration of unemployment, and coping strategy: a cross-sectional study of unemployed migrant workers in eastern china during the economic crisis
Authors: Li Chen
Wenhu Li
Jincai He
Lanhua Wu
Zheng Yan
Wenjie Tang
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/1471-2458-12-597

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Mental health, duration of unemployment, and coping strategy: a cross-sectional study of unemployed migrant workers in eastern china during the economic crisis

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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