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Depressive symptoms and work in Indigenous people
Brett Shannon1, Kirsten S Almberg1, Courtney Ryder2
1Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, United States.
Journal of Affective Disorders
|April 5, 2025
Summary
Unemployed American Indian/Alaskan Native (AIAN) adults face higher risks of depressive symptoms and depression diagnoses. Employment status significantly impacts mental health (MH) outcomes for AIAN individuals.
Area of Science:
- Public Health
- Occupational Health
- Health Disparities
Background:
- Adverse social and environmental factors significantly influence mental health (MH) outcomes.
- American Indian/Alaskan Native (AIAN) workers face employment-related risks but are underrepresented in research.
Purpose of the Study:
- To characterize AIAN adults with depressive symptoms.
- To examine sociodemographic, health, functional, and disability characteristics by work status among AIAN adults.
Main Methods:
- Analysis of National Health Interview Survey (NHIS) data (2020-2022).
- Comparison of MH symptoms, diagnoses, and treatment between working and non-working AIAN adults.
- Multivariable logistic regression models to assess employment status and MH outcomes.
Main Results:
- Non-employed AIAN adults showed higher odds of depressive symptoms and depression diagnosis compared to employed individuals.
- Predictors of MH outcomes varied between working and non-working AIAN adults.
- Key differing factors included age, education, location, healthcare utilization, and treatment delays.
Conclusions:
- Work status demonstrably impacts the mental health of indigenous populations.
- An occupational health agenda must incorporate improved survey tools and community engagement.
- Strategies should be developed to support AIAN communities, workers, employers, and health services.
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