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Cited by 51Workplace Health and Well-beingOccupational Health and BurnoutOccupational Health and Safety in Workplaces

Occupational factors associated with major depressive disorder: A Brazilian population-based study

Oenning, Nágila Soares Xavier, Ziegelmann, Patrícia Klarmann, Goulart, Bárbara Niegia Garcia de, Niedhammer, Isabelle·2018·Journal of Affective Disorders
DOI 10.1016/j.jad.2018.07.022
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Abstract

Background There have been very few studies exploring the occupational risk factors for major depressive disorder (MDD) in the working populations in Latin America. The aim of this study was to explore the associations between a large set of occupational factors and MDD in the Brazilian working population.Methods The study was based on the cross-sectional data from the Brazilian National Health Survey, 2013. 60,202 people were interviewed (response rate: 91.9%). Among them, 36,442 were working, 19,450 men and 16,992 women. MDD was measured using the diagnostic algorithm (DSM-IV criteria) of the PHQ-9. Occupational factors included job characteristics, working time factors, psychosocial work stressors and physico-chemical exposures. Logistic regression models were performed and adjusted for sociodemographic factors. All analyses were conducted using weighted and stratified data by gender.Results The following occupational factors were associated with a higher risk of MDD: working part time (≤20 h a week) and stress at work for both genders, workplace violence, intense physical activity, exposure to noise and chemicals among women, and prolonged exposure to sun among men. Associations of stress and violence at work with MDD were particularly strong.Limitations Cross-sectional study design, healthy worker effect and reporting bias may have impacted the results.Conclusions This study, one of the first studies among the Brazilian working population, showed that psychosocial work stressors were the strongest risk factors for MDD. Physico-chemical exposures deserve more attention in association with MDD. Prevention policies oriented toward the work environment may help to prevent depression at the workplace.

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  • Among a Brazilian cohort of about 36,000 workers, night shift work was significantly associated with major depressive disorder only in females.

    “Among a Brazilian cohort of ~36,000 workers, night shift work was significantly associated with MDD only in females70.”

    From Circadian rhythm disruption and mental health (2020) · cites this paper as [70]

  • Studies examining the association between shift work and major depressive disorder have produced varied results.

    “Nonetheless, studies examining the association between shift work and MDD have produced varied results68–70.”

    From Circadian rhythm disruption and mental health (2020) · cites this paper as [70]

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Authors
Oenning, N. S. X., Ziegelmann, P. K., Goulart, B. N. G. D., & Niedhammer, I.
Affiliations
  • Universidade Federal do Rio Grande do Sul (BR)
  • Inserm (FR)
Corresponding author
Oenning, Nágila Soares Xavier
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2018-11
Volume
240
Pages
48-56
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2018.07.022
OpenAlex
W2884094553
Cited by
51
References
35
Citations by year
2026: 5 · 2025: 9 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 9 · 2020: 8 · 2019: 2 · 2018: 1
FWCI
7.64
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Funders
CAPES, Brazil
Topics
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords
major depressive disorder, occupational risk factors, psychosocial work stressors, workplace violence, part-time work, noise exposure, chemical exposure, sun exposure, physical activity, working hours, gender differences
MeSH terms
Occupational Stress, Adult, Brazil, Cross-Sectional Studies, Depressive Disorder, Major, Major Depressive Disorder, Employment, Female, Health Surveys, Humans, Male, Middle Aged, Occupational Diseases, Risk Factors, Logistic Models, Workplace

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