Rural Health Research Gateway

Impact of Mental and Emotional Stress on Rural Employment Patterns

Funder: Office of Rural Health Policy (ORHP)
Research center: Maine Rural Health Research Center
Phone: 207.780.4513
Lead researchers: Lisa Morris, PhD
Erika Ziller, MS
Contact: Erika Ziller, MS, 207.780.4615, eziller@usm.maine.edu
Project funded: September 2004
Project completed:March 2008
Topic: Mental health

Although society provides supplemental security income to individuals with serious and persistent mental illness, those with less serious emotional disorders or sub-acute mental distress lack eligibility for these benefits. However, poor mental health status can result in significant negative effects on the worker, his or her family, and the local community and its economy. Given the smaller, less diversified rural economy, the lack of Employee Assistance Programs and mental health insurance benefits, and the shortage of mental health providers, the effects of mental health problems are likely to be exacerbated in rural areas. In this study, the National Longitudinal Survey of Youth was used to investigate how mental health symptoms affect employment patterns, and the extent to which these effects differ by rural and urban residence.

Specifically, the following questions were addressed:

  • Are there rural-urban differences in the prevalence of mental health problems, ranging from clinical conditions to sub-acute, undiagnosed mental and emotional stress among labor force participants/nonparticipants and employed/unemployed persons?
  • To what extent do mental and emotional symptoms and their severity predict lower job retention and longer unemployment spells, and are there rural urban differences?
  • Does the impact of mental and emotional health symptoms differ according to the type of job transition (left for another job, left for no new job, remained in same job but at reduced hours), and are there rural-urban differences?
Developing a better understanding of how mental health problems affect rural workers will not only assist health and human service providers in targeting interventions to workers needing support, but will also inform employers about how they might help employees continue to function productively on the job. Findings from this study will include a working paper, presentations at national conferences, and submission to a peer-reviewed journal.

Publications

  • Rural-Urban Differences in Work Patterns Among Adults With Depressive Symptoms
    Author(s): Lisa Morris, Stephenie Loux, Erika Ziller, David Hartley
    Report Number: Working Paper #38
    Date: 03 / 2008
    This study addresses the issue of poor mental health among young to middle-career rural residents and how their employment may be affected. Using the National Longitudinal Survey of Youth (NLSY), a nationally representative survey of adults, the authors investigate how depressive symptoms affect employment patterns, and the extent to which such effects differ by rural and urban residence. Analysis of the data identified the rural sample as more likely to be married, have less education, are less likely to be black or Hispanic, and less likely to have health insurance than the urban sample. For both rural and urban subjects, individuals with depressive symptoms work less than those not depressed. Although the findings indicate no significant difference between depressed rural and urban residents in maintaining employment, questions remain about rural access to mental health services, such as employee assistance, productivity on the job, and the survival or coping strategies of rural workers with depressive symptoms.