@article {33876,
	title = {Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: the Work, Family, and Health Network study.},
	journal = {Am J Public Health},
	volume = {102},
	number = {1},
	year = {2012},
	month = {2012 Jan},
	pages = {126-33},
	abstract = {OBJECTIVES: We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS: Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the association of depressive symptoms with household financial strain, food insufficiency, and work-family spillover (preoccupation with work-related concerns while at home and vice versa). RESULTS: Depressive symptoms were significantly associated with household financial strain (odds ratio [OR] = 1.82; 95\% confidence interval [CI] = 1.03, 3.21) and food insufficiency (OR = 2.10; 95\% CI = 1.10, 4.18). Among primary earners, stratified analyses showed that food insufficiency was associated with depressive symptoms (OR = 3.60; 95\% CI = 1.42, 9.11) but financial strain was not. Among nonprimary wage earners, depressive symptoms correlated with financial strain (OR = 3.65; 95\% CI = 1.48, 9.01) and work-family spillover (OR = 3.22; 95\% CI = 1.11, 9.35). CONCLUSIONS: Household financial strain, food insufficiency, and work-family spillover are pervasive problems for working populations, but associations vary by primary wage earner status. The prevalence of food insufficiency among full-time employees was striking and might have a detrimental influence on depressive symptoms and the health of working-class families.},
	keywords = {Adult, Chi-Square Distribution, Confidence Intervals, Data Collection, Depression, Employment, Family Characteristics, Female, Food, Humans, Logistic Models, Male, Massachusetts, Middle Aged, Odds Ratio, Poverty, Psychiatric Status Rating Scales, Social Class, Socioeconomic Factors, Young Adult},
	issn = {1541-0048},
	doi = {10.2105/AJPH.2011.300323},
	author = {Okechukwu, Cassandra A and El Ayadi, Alison M and Tamers, Sara L and Sabbath, Erika L and Berkman, Lisa F}
}
