Mental Illness, Drinking, and the Social Division and Structure of Labor in the United States: 2003-2015

By Seth J. Prins, Sarah McKetta, Jonathan Platt, Carles Muntaner, Katherine M. Keyes, Lisa M. Bates in Class conflict and public health

January 1, 2019


January 1, 2019


12:00 AM


BACKGROUND: We draw on a relational theoretical perspective to investigate how the social division and structure of labor are associated with serious and moderate mental illness and binge and heavy drinking.

METHODS: The Panel Study of Income Dynamics and the Occupational Information Network were linked to explore how occupation, the productivity-to-pay gap, unemployment, the gendered division of domestic labor, and factor-analytic and theory-derived dimensions of work are related to mental illness and drinking outcomes.

RESULTS: Occupations involving manual labor and customer interaction, entertainment, sales, or other service-oriented labor were associated with increased odds of mental illness and drinking outcomes. Looking for work, more hours of housework, and a higher productivity-to-pay gap were associated with increased odds of mental illness. Physical/risky work was associated with binge and heavy drinking and serious mental illness; technical/craft work and automation were associated with binge drinking. Work characterized by higher authority, autonomy, and expertise was associated with lower odds of mental illness and drinking outcomes.

CONCLUSIONS: Situating work-related risk factors within their material context can help us better understand them as determinants of mental illness and identify appropriate targets for social change.

Posted on:
January 1, 2019
1 minute read, 188 words
Class conflict and public health
Alcohol Drinking division of labor drinking Employment Female Humans Income Male Mental Disorders mental health occupational health occupations Occupations Risk Factors social class Unemployment United States work
See Also:
Relational Social Class, Self-Rated Health, and Mortality in the United States
Connecting the Dots Between Mass Incarceration, Health Inequity, and Climate Change
Criminogenic or Criminalized? Testing an Assumption for Expanding Criminogenic Risk Assessment