Did trade unions protect employees' mental health during the COVID-19 pandemic? A mixed effects model using UK data from Understanding Society.

BMJ public health Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI:10.1136/bmjph-2024-001756
Theocharis Kromydas, Evangelia Demou, Alastair H Leyland, Srinivasa Vittal Katikireddi, Jacques Wels
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Abstract

Introduction: Few studies have addressed the relationship between trade unions and workers' mental health during the COVID-19 pandemic.

Methods: We analysed panel data from Understanding Society collected before and during the COVID-19 pandemic (49 915 observations; 5988 respondents) to assess the relationship between union presence within the workplace and union membership and a binary measure of common mental disorders (CMD), the 12-Item General Health Questionnaire (>4, probable psychological distress). A mixed-effect log-linear model assessed effect heterogeneity across time and industries, with average marginal effects (AME) indicating effect differences between groups.

Results: Of our sample, 49.1% worked in a unionised workplace, with 53.8% of them being union members. Approximately 25% of the entire workforce was trade union members. Psychological distress prevalence was higher during the pandemic (25.4%) compared with prepandemic (18.4%). Union presence ((AMEpre-pandemic: 1.0, 95% CI-0.66 to 2.70) (AME-pandemic: -0.2, 95% CI-1.91 to 1.58)) and union membership ((AMEpre-pandemic: 1.6, 95% CI -0.69 to 3.93) (AMEpandemic: -0.1, 95% CI -2.29 to 2.00)) were both associated with modest protection against CMD risk. Although, industry heterogeneity exists.

Conclusions: Trade union presence may have a protective effect on workers' mental health in periods of crisis, such as during a pandemic. Within unionised workplaces, trade union membership further mitigated the negative effects of the pandemic on mental health. Collective negotiation may be protective in periods of uncertainty, benefiting all workers.

在COVID-19大流行期间,工会是否保护了员工的心理健康?一个混合效应模型,使用了来自“理解社会”的英国数据。
导言:在COVID-19大流行期间,很少有研究涉及工会与工人心理健康之间的关系。方法:我们分析了在COVID-19大流行之前和期间收集的理解社会的面板数据(49915项观察;(5988名答复者),以评估工作场所工会存在与工会会员之间的关系,以及一种常见精神障碍(CMD)的二元测量方法,即12项一般健康问卷(bbbb40,可能的心理困扰)。混合效应对数线性模型评估了不同时间和行业的效应异质性,平均边际效应(AME)表示组间的效应差异。结果:在我们的样本中,49.1%的人在有工会的工作场所工作,其中53.8%的人是工会成员。大约25%的劳动力是工会成员。心理困扰患病率在大流行期间(25.4%)高于大流行前(18.4%)。联盟存在(AME-pandemic前:1.0,95% CI-0.66至2.70)(AME-pandemic前:-0.2,95% CI-1.91至1.58)和联盟成员(AME-pandemic前:1.6,95% CI -0.69至3.93)(AMEpandemic: -0.1, 95% CI -2.29至2.00))均与适度保护CMD风险相关。尽管如此,行业异质性依然存在。结论:工会的存在可能在危机时期(如大流行期间)对工人的心理健康有保护作用。在有工会的工作场所,加入工会进一步减轻了疫情对心理健康的负面影响。在不确定时期,集体谈判可能具有保护作用,使所有工人受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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