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doi:10.1016/s0091-2182(96)00137-1

Cited by 12 publications

(1 citation statement)

References 14 publications

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“…NAs are also accountable for meeting the emotional needs of residents and their families, including, for example, caring for restless or uncooperative residents, forming close and long-term attachments to ailing clients, and providing continuous social support (29). In doing so, emotional attachments are often formed, which create and contribute to stressful work environments that have significant implications for the mental health of NAs (30).…”

Section: Working Conditions As a Social Determinant Of Healthmentioning

confidence: 99%

Social Class and Mental Health

Muntaner

Prins

et al. 2015

Int J Health Serv

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This study tests whether social class exploitation operates as a relational mechanism that generates mental health inequalities in the nursing home industry. We ask, does social class exploitation (i.e., the acquisition of economic benefits from the labor of those who are dominated) have a systematic and predictable impact on depression among nursing assistants? Using cross-sectional data from 868 nursing assistants employed in 50 nursing homes in three U.S. states, we measure social class exploitation as “ownership type” (private for-profit, private not-for-profit, and public) and “managerial domination” (labor relations violations, perceptions of labor-management conflict). Depression is assessed using the original and revised versions of the Center for Epidemiologic Studies Depression Scale (CES-D and CESD-R). Using two-level logistic regressions, we find that private for-profit ownership and higher managerial domination are predictive of depression among nursing assistants even after adjustment for potential confounders and mediators. Our findings confirm the theoretical and empirical value of applying a social class approach to understanding how mental health inequalities are generated through exploitative mechanisms. Ownership type and managerial domination appear to affect depression through social relations that generate mental health inequalities through the process of acquiring profits, controlling production, supervising and monitoring labor, and enforcing disciplinary sanctions.

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Section: Working Conditions As a Social Determinant Of Healthmentioning

confidence: 99%