Beyond chronological age. Examining perceived future time and subjective health as age-related mediators in relation to work-related motivations and well-being

Abstract

The aim of this study was to explore whether the association between depression and work characteristics (demands and control) is free from the subjective bias of employees. This study examined the relation between psychosocial work characteristics (job demands and job control) and major depression in 343 participants employed in three occupational sectors in Germany. Participants were divided into a case group and a mentally healthy control group. Since depression itself may bias the reporting of work characteristics were assessed twice: (a) objectively, by job analysis experts and (b) by employees' self-reports. Major depression was assessed according to DSM-IV criteria using an international standard clinical interview. The results showed that objective demand but not control was significantly associated with major depression. Employees who had suffered an incidence of depression had higher objective job demands than those in the control group. Self-rated job demands partially mediated the relationship between objective demands and depression. Additionally, employees in the case group perceived significantly less job control than those classed as mentally healthy. The results indicate that high job demands were associated with major depression, a finding that cannot be better explained by distorted response behaviour due to the depression. However, objectively assessed job control was not found to be related to depression.     

Improving extreme quantile estimation via a folding procedure

In many applications (geosciences, insurance, etc.), the peaks-over-thresholds (POT) approach is one of the most widely used methodology for extreme quantile inference. It mainly consists of approximating the distribution of exceedances above a high threshold by a generalized Pareto distribution (GPD). The number of exceedances which is used in the POT inference is often quite small and this leads typically to a high volatility of the estimates. Inspired by perfect sampling techniques used in simulation studies, we define a folding procedure that connects the lower and upper parts of a distribution. A new extreme quantile estimator motivated by this theoretical folding scheme is proposed and studied. Although the asymptotic behaviour of our new estimate is the same as the classical (non-folded) one, our folding procedure reduces significantly the mean squared error of the extreme quantile estimates for small and moderate samples. This is illustrated in the simulation study. We also apply our method to an insurance dataset.     

Germany's Social Long-term Care Insurance: Design, Implementation and Evaluation

Across all industrialized countries, issues surrounding population ageing have captured the attention of policymakers. Among its manifold ramifications, disability-related poverty and the projected growth in public funding of long-term care demand close attention. Comparative studies have revealed distinct policy approaches to long-term care across different countries, but a shared interest in market-oriented policy design and cost containment. In Germany, legislation on mandatory and universal dependency care insurance came into force recently. The 1994 Dependency Insurance Act responded to limited market insurance against the financial risk of long-term care, deficiencies in servicing long-term care dependants and the fiscal crisis of German communities, which had to provide social assistance to a growing number of destitute care clients. The new social long-term care insurance scheme adopts basic features of existing German social insurance schemes even as it challenges the country's social insurance legacy in terms of cost containment strategies and consumer-directed provision. After three years of operation, the new programme is technically in place and financially healthy. However, critics point to its tight screening procedures, persistent shortages in the supply of formal care, and fraud. Equity issues, quality of care and consumer direction have also drawn critical attention. A variety of scenarios for programme improvement are conceivable. Coverage could be extended and payments offered to family caregivers. A comprehensive "cash and counselling" concept should be developed. Finally, programme efficiency depends on public accountability and quality auditing. Choice should be informed by ongoing research into long-term care and the broader impacts of long-term care policy.     

Nonverbal Synchrony and Complementarity in Unacquainted Same-Sex Dyads: A Comparison in a Competitive Context

Research on interpersonal synchronization deals with the coordination of behavior, cognition and affect within interacting individuals. The phenomenon of synchronization has been explored in many settings and numerous definitions have emerged. The purpose of this study was to compare nonverbal synchrony (based on overall body movement) with the concept of complementarity (based on interpersonal theory) in a competitive context. We examined 40 previously unacquainted same-sex dyads (21 female, 19 male; mean age = 22.81). Dyads underwent a 15-min videotaped competitive role-play. Nonverbal synchrony was quantified by a frame-differencing method, and complementarity by a joystick tracking method. Results revealed that dyads behaved in a synchronous and complementary manner. We found that nonverbal synchrony was positively correlated with affiliation complementarity, but not dominance complementarity. The present study compared nonverbal synchrony with complementarity. The link between the two concepts was small, as indicated by rather weak correlations between nonverbal synchrony and affiliation complementarity. Our results reinforce the view that competitive behavior depends on complex dyadic interactions, including nonverbal and verbal behavior.     

Advance care planning by unmarried women of different sexual orientations: the importance of social support

We examined social support as a facilitator of advance care planning in unmarried women of different sexual orientations. Survey participants consisted of 215 women, 90 who reported a preference for partnering with women (WPW) and 125 for partnering with men (WPM). Our findings indicate that the association between social support and advance care planning was mixed. Specifically, social support had no significant impact on executing a will for either WPW or WPM. Among WPW, naming a health-care proxy was associated with reporting a partner who provided social support. For WPM, having a partner for social support was not associated with naming a health-care proxy. These insights help in the understanding of women's advance care planning.     

What Helps Working Informal Caregivers? The Role of Workplace Characteristics in Balancing Work and Adult-Care Responsibilities

Population ageing and expected labour shortages mean that successful reconciliation of adult care and paid work is becoming a key issue for employers, employees and frail older people alike. Based on the detailed workplace-related variables in the fourth European Working Condition Survey, we examined differences in levels and determinants of carers’ and non-carers’ role conflict and one of its outcomes, absenteeism. We found caregivers to exhibit higher levels of perceived work–family conflict. Work schedules and time regimes affect carers’ and non-carers’ work–family conflict alike. However, good friends at work and work overload have a larger impact on carers’ work–family conflict. Furthermore, we found indications for a trade-off between perceived work-to-family conflict and absenteeism via workplace policies.     

Developing an analytical framework for multiple perspective,qualitative longitudinal interviews (MPQLI)

Collecting multiple perspectives data (e.g. from related individuals) in a qualitative longitudinal design can provide rich understanding of the dynamics at play in complex relational systems, and the different perceptions of people involved. However, such approaches are inherently challenging due to the complexity and volume of data involved. So far, little attention has been paid to the methodological challenges of data analysis in multiple perspectives longitudinal research. This paper contributes to the development of a systematized analysis process for multiple perspectives qualitative longitudinal interviews (MPQLI). We present a framework for handling the complexity and multi-dimensionality of MPQLI, describing discrete steps in such analyses, and related aims and insights. We exemplify the suggested strategies with our own research on the transition to parenthood. The proposed framework can increase both traceability and credibility of analysis of MPQLI, and help to realize the potential of multiple perspectives longitudinal interviews.     

Parents' supportive reactions to sexual orientation disclosure associated with better health: results from a population-based survey of LGB adults in Massachusetts

This study investigated associations between coming out to parents, experiences of parental support, and self-reported health behaviors and conditions among a population-based sample of LGB individuals using data collected via the 2002 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS; N = 177). We explored the following two hypotheses: 1) Lesbian, gay, and bisexual (LGB) individuals who had never disclosed their sexual orientation to a parent would report higher levels of risk behaviors and poorer health conditions than those who had come out; and 2) among LGB respondents who had come out to their parents, the individuals whose parents had reacted unsupportively would report higher levels of risk behaviors and poorer health conditions than those who had come out to parents who were supportive. Approximately two thirds of gay and bisexual (GB) males and lesbian and bisexual (LB) females reported receiving adequate social and emotional support from the parent to whom they first disclosed their sexual orientation. Among LB females, no disclosure of sexual orientation to a parent was associated with significantly elevated levels of past-month illicit drug use (AOR 12.16, 95% CI 2.87-51.54), fair or poor self-reported health status (AOR 5.71, 95% CI 1.45-22.51), and >15 days of depression in the past month (AOR 5.95, 95% CI 1.78-19.90), controlling for potential confounders. However, nondisclosure to a parent by GB males was not associated with greater odds of any of the health indicators assessed. Among GB males, those with unsupportive parents were significantly more likely to report current binge drinking (AOR 6.94, 95% CI 1.70-28.35) and >15 days depression in the past month (AOR 6.08, 95% CI 1.15-32.15), and among LB females, those with unsupportive parents were significantly more likely to report lifetime illicit drug use (AOR 11.43, 95% CI 2.50-52.30), and >15 days depression in the past month (AOR 5.51, 95% CI 1.36-22.36). We conclude that coming out may be associated with better health for LB women, and that parents who react nonsupportively when their children disclose LGB sexual orientation may contribute to children's increased odds of depression and hazardous substance use.     

Gender Differences in Lifelong Learning: An Empirical Analysis of the Impact of Marriage and Children

We use recent advances in the statistical analysis of Oaxaca–Blinder decompositions for non‐linear models to analyse the contribution of individual variables to total gender differences in training participation and duration. Results suggest that effects stemming from the intra‐household division of labour contribute significantly to gender differences, but that segregation of the labour market as well as differences in the access to training by tenure, age, occupation, profession and sectors are more important.     

Work and mental disorders in a German national representative sample

Abstract

Most previous studies concerning the associations between work and mental ill-health have used dimensional self-report questionnaires for mental health problems (e.g., depressive symptoms). This study contributes to occupational health research by providing standardized clinical diagnoses based on DSM-IV criteria. A total of 2329 employees (age 18–65 years) took part in a structured, computer-assisted clinical interview (DIA-X/M-CIDI). Further, they specified whether their job was characterized by physical workload, overtime, or stress, and evaluated whether they feel impaired by each job characteristic. Results show that substance abuse/dependence (including nicotine dependence) was the highest prevalent mental disorder in German employees (12 month prevalence: 14.4%; only alcohol and illicit substance abuse/dependence: 4.9%) followed by anxiety (12.0%) somatoform (9.7%), and affective (9.3%) disorders. Sequential logistic regression analyses showed significant associations between the presence of stress at work and affective and somatoform disorders. Furthermore, feeling impaired by stress at work was strongly associated with anxiety, affective, somatoform disorders, and substance abuse/dependence. Beside work, personal characteristics, primarily gender, were associated with mental disorders in employees. However, except for affective disorders, gender did not modify the association between job characteristics and mental disorders. Taken together, results corroborate the necessity of considering mental disorders at work. Further studies to define the relation between work and mental disorders in employees are strongly recommended and should include objective analyses of job characteristics.