Domestic Work, Self-Reported Diagnosed Depression and Related Costs among Women and Men—Results from a Population-Based Study in Sweden
Abstract
:1. Introduction
2. Materials and Methods
2.1. Outcome and Major Risk Factors
2.2. Covariates
2.3. Statistical Analyses
2.4. Estimation of Costs
3. Results
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | Category | N | N | Spends More than 20 h/week in Domestic Work (%) | Experiences Domestic Work Sometimes or More Often as Burdensome (%) | Self-Reported Diagnosed Depression (%) | |||
---|---|---|---|---|---|---|---|---|---|
Women | Men | Women | Men | Women | Men | Women | Men | ||
Total | 7981 | 6203 | 25.4 | 14.0 | 56.8 | 38.8 | 10.5 | 6.5 | |
Age group | 30–49 years | 3241 | 2321 | 33.8 | 21.6 | 68.8 | 51.4 | 12.8 | 7.1 |
50–69 years | 4740 | 3882 | 19.7 | 9.4 | 48.6 | 31.3 | 8.9 | 6.2 | |
Educational level | Low | 675 | 820 | 24.1 | 9.8 | 51.0 | 31.7 | 15.2 | 7.5 |
Medium | 3567 | 3030 | 25.9 | 13.4 | 55.0 | 38.7 | 11.7 | 7.0 | |
High | 3712 | 2326 | 25.2 | 16.2 | 59.8 | 41.4 | 8.5 | 5.5 | |
Family status | Living alone | 1121 | 959 | 11.5 | 6.4 | 47.1 | 40.4 | 16.0 | 12.2 |
Living with partner | 3507 | 2734 | 19.9 | 9.5 | 46.2 | 26.8 | 8.5 | 4.8 | |
Living with partner and children | 2673 | 2068 | 37.7 | 23.5 | 72.1 | 52.6 | 9.3 | 4.3 | |
Single parent | 528 | 270 | 32.2 | 17.3 | 70.1 | 52.6 | 16.9 | 11.0 | |
Employment status | Employed | 6182 | 4964 | 23.5 | 13.8 | 57.7 | 39.5 | 8.8 | 4.9 |
Student | 179 | 119 | 32.4 | 24.4 | 62.0 | 49.6 | 18.5 | 12.8 | |
Unemployed | 156 | 131 | 30.6 | 10.4 | 72.4 | 45.0 | 27.6 | 16.2 | |
Other | 1464 | 989 | 32.2 | 13.9 | 51.1 | 33.4 | 15.1 | 12.8 |
Women | Men | |||
---|---|---|---|---|
Unadjusted 1 | Adjusted 2 | Unadjusted 1 | Adjusted 2 | |
Time spent in domestic work | ||||
0–20 h/week | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
21+ h/week | 0.95 (0.81, 1.13) | 0.77 (0.64, 0.93) | 1.00 (0.75, 1.35) | 0.99 (0.71, 1.37) |
Experiences domestic work as burdensome | ||||
Never/seldom | 1 (reference) | 1 (reference) | 1 (reference) | 1 (reference) |
Sometimes or more often | 2.80 (2.36, 3.32) | 2.40 (1.99, 2.88) | 3.97 (3.17, 4.97) | 3.68 (2.88, 4.72) |
Experiences Domestic Work Sometimes or More Often as Burdensome (%) | OR for Self-Reported Diagnosed Depression | PAR | |
---|---|---|---|
Women | 56.8 | 2.40 | 44.3 |
Men | 38.8 | 3.68 | 51.0 |
Women | Men | |||||
---|---|---|---|---|---|---|
Cost categories | Average (EUR) | min (EUR) | max (EUR) | Average (EUR) | min (EUR) | max (EUR) |
Health care cost per patient * | 1370,1 | 187,8 | 309923,2 | 1662,1 | 275,6 | 186915,5 |
Cost of antidepressants per patient ** | 139,4 | 25,2 | 454,3 | 139,4 | 25,2 | 454,3 |
Total direct costs per patient | 1509,5 | 213,0 | 310377,5 | 1801,4 | 300,7 | 187369,8 |
Indirect costs per patient | 2803,3 | 395,5 | 576415,3 | 3345,5 | 558,5 | 347972,5 |
Cost of depression—per patient per sex per year | 4312,8 | 608,5 | 886792,8 | 5147,0 | 859,2 | 535342,3 |
Total direct costs 30-69 yrs in Mid-Sweden | 57476232,6 | 8109964,3 | 11818272411,0 | 42770509,1 | 7139600,8 | 4448609214,4 |
Indirect costs 30-69 yrs in Mid-Sweden | 106741574,8 | 15061362,3 | 21948220191,9 | 79430945,4 | 13259258,7 | 8261702826,7 |
Cost of depression—all population per sex per year | 164217807,4 | 23171326,6 | 33766492603,0 | 122201454,4 | 20398859,6 | 12710312041,1 |
% of population with self-reported depression | 10,5 | 6,4 | ||||
Estimated population with depression | 38077,1 | 23742,4 | ||||
% of depression related to domestic work | 44,3 | 51,0 | ||||
Estimated population with risk for depression related to domestic work | 16868,2 | 12108,6 | ||||
Cost of depression related to domestic work—all population per sex per year | 72748488,7 | 10264897,7 | 14958556223,1 | 62322741,8 | 10403418,4 | 6482259140,9 |
Total cost of depression related to domestic work—per patient per sex per year | 1910,6 | 269,6 | 392849,2 | 2625,0 | 438,2 | 273024,6 |
Total | ||||||
Cost of depression—all population (men and women combined) | 286419261,8 | 43570186,2 | 46476804644,1 | |||
Total cost of depression per year related to domestic work—all population | 135071230,4 | 20668316,1 | 21440815364,1 | |||
Average cost of depression related to domestic work—per patient per year | 2209,1 | 340,0 | 342777,7 |
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Molarius, A.; Metsini, A. Domestic Work, Self-Reported Diagnosed Depression and Related Costs among Women and Men—Results from a Population-Based Study in Sweden. Int. J. Environ. Res. Public Health 2021, 18, 9778. https://doi.org/10.3390/ijerph18189778
Molarius A, Metsini A. Domestic Work, Self-Reported Diagnosed Depression and Related Costs among Women and Men—Results from a Population-Based Study in Sweden. International Journal of Environmental Research and Public Health. 2021; 18(18):9778. https://doi.org/10.3390/ijerph18189778
Chicago/Turabian StyleMolarius, Anu, and Alexandra Metsini. 2021. "Domestic Work, Self-Reported Diagnosed Depression and Related Costs among Women and Men—Results from a Population-Based Study in Sweden" International Journal of Environmental Research and Public Health 18, no. 18: 9778. https://doi.org/10.3390/ijerph18189778
APA StyleMolarius, A., & Metsini, A. (2021). Domestic Work, Self-Reported Diagnosed Depression and Related Costs among Women and Men—Results from a Population-Based Study in Sweden. International Journal of Environmental Research and Public Health, 18(18), 9778. https://doi.org/10.3390/ijerph18189778