Abstract
This study aimed to examine the association between working hours and anxiety of a working population in Hong Kong. We used a cross sectional data from a population-based household survey of Hong Kong Chinese adults. Key measures included employment status, skill level, working hours, length of stay at current job and anxiety level. Symptoms of anxiety were assessed using the Depression Anxiety Stress Scale (DASS-21). The data were analysed using logistic regression. Chinese adults who had long working hours (≥ 72 h per week) had higher odds of developing symptoms of anxiety than those who worked for ≤ 36 h per week (odds ratio [OR] 5.94, 95% confidence interval [CI]: 1.82‒19.41). Compared with short period (< 1 year), long period of stay at current job (≥ 5 years) was found as a protective factor from anxiety (OR 0.38, 95% CI: 0.20‒0.73). We found that a working period of 72 h per week was a significant threshold to cause anxiety to workers. Stable job arrangement was a protective factor to workers from anxiety. Implementation of labour market regulations, such as standard working hour policy and stable job arrangement, was also significant to mitigate risk of anxiety for working people in Hong Kong.
Similar content being viewed by others
References
Filia KM, Cotton SM, Watson AE, Jayasinghe A, Kerr M, Fitzgerald PB. Understanding the barriers and facilitators to employment for people with bipolar disorder. Psychiatr Q. 2021;1–15. https://doi.org/10.1007/s11126-021-09931-w.
Na EY, Lim YJ. Influence of Employment on the Positive Mental Health of Individuals with Schizophrenia Living in the Community. Psychiatr Q. 2020;91(1):203–8. https://doi.org/10.1007/s11126-019-09686-5.
Perreault M, Power N, Touré EH, Caron J. Transitional Employment and Psychological Distress: a Longitudinal Study. Psychiatr Q. 2020;91(3):735–47. https://doi.org/10.1007/s11126-020-09739-0.
Stevenson BJ, Mueller L, Kelly MM, Rosenheck RA. Correlates of obtaining employment among veterans receiving treatment for severe PTSD in specialized intensive programs. Psychiatr Q. 2021;1–14. https://doi.org/10.1007/s11126-020-09864-w.
Mercille J. Neoliberalism and health care: the case of the Irish nursing home sector. Crit Public Health. 2018;28(5):546–59. https://doi.org/10.1080/09581596.2017.1371277.
Rubery J, Ward K, Grimshaw D, Beynon H. Working Time, Industrial Relations and the Employment Relationship. Time Soc. 2005;14(1):89–111. https://doi.org/10.1177/0961463X05050300.
Tsai MC, Nitta M, Kim SW, Wang W. Working Overtime in East Asia: Convergence or Divergence? Journal of Contemporary Asia. 2016;46(4):700–22. https://doi.org/10.1080/00472336.2016.1144778.
Goh J, Pfeffer J, Zenios SA, Rajpal S. Workplace stressors & health outcomes: Health policy for the workplace. Behav Sci Policy. 2015;1(1):43–52. https://doi.org/10.1353/bsp.2015.0001.
Otterbach S, Charlwood A, Fok YK, Wooden M. Working-time regulation, long hours working, overemployment and mental health. Int J Hum Resour Manag. 2019;1–28. https://doi.org/10.1080/09585192.2019.1686649.
Virtanen M, Ferrie JE, Singh-Manoux A, Shipley MJ, Stansfeld SA, Marmot MG, Kivimäki, M. Long working hours and symptoms of anxiety and depression: A 5-year follow-up of the Whitehall II study. Psychol Med. 2011;41(12):2485–94. https://doi.org/10.1017/S0033291711000171.
Kim SS, Subramanian SV, Sorensen G, Perry MJ, Christiani DC. Association between change in employment status and new-onset depressive symptoms in South Korea - A gender analysis. Scand J Work Environ Health. 2012;38(6):537–45. https://doi.org/10.5271/sjweh.3286.
Shields M. Long working hours and health. Health Report. 1999;11(2):33–48.
Driesen K, Jansen NWH, Kant I, Mohren DCL, Van Amelsvoort LGPM. Depressed mood in the working population: Associations with work schedules and working hours. Chronobiol Int. 2010;27(5):1062–79. https://doi.org/10.3109/07420528.2010.489877.
Samuel R, Kanji S. Valuing creativity, feeling overworked and working hours: Male workers and the New Spirit of Capitalism. Time and Society. 2020;29(1):51–73. https://doi.org/10.1177/0961463X18820730.
Kamerāde D, Wang S, Burchell B, Balderson SU, Coutts A. A shorter working week for everyone: How much paid work is needed for mental health and well-being? Soc Sci Med. 2019;241(112353). https://doi.org/10.1016/j.socscimed.2019.06.006
Bannai A, Tamakoshi A. The association between long working hours and health: A systematic review of epidemiological evidence. Scand J Work Environ Health. 2014;40(1):5–18. https://doi.org/10.5271/sjweh.3388.
Afonso P, Fonseca M, Pires JF. Impact of working hours on sleep and mental health. Occup Med. 2017;67(5):377–82. https://doi.org/10.1093/occmed/kqx054.
Artazcoz L, Cortès I, Benavides FG, Escribà-Agüir V, Bartoll X, Vargas H, Borrell C. Long working hours and health in Europe: Gender and welfare state differences in a context of economic crisis. Health Place. 2016;40:161–8. https://doi.org/10.1016/j.healthplace.2016.06.004.
Kleppa E, Sanne B, Tell GS. Working overtime is associated with anxiety and depression: The hordaland health study. J Occup Environ Med. 2008;50(6):658–66. https://doi.org/10.1097/JOM.0b013e3181734330.
Lau YK, Ma JLC, Wan PS, Wong TKY, Lai LY. Work-family conflicts, family leisure activities, and family functioning in Hong Kong. Internat Employ Relat Rev. 2012;18(1):82–100.
Ko GT, Chan JC, Chan AW, Wong PT, Hui SS, Tong SD, Ng SM, Chow F, Chan CLW. Association between sleeping hours, working hours and obesity in Hong Kong Chinese: The “better health for better Hong Kong” health promotion campaign. Int J Obes. 2007;31(2):254–60. https://doi.org/10.1038/sj.ijo.0803389.
Legislative Council. Statistical Highlights: Working hours in Hong Kong. Hong Kong Special Administrative Region. 2020. Retrieved from https://www.legco.gov.hk/research-publications/english/1920issh06-working-hours-in-hong-kong-20191108-e.pdf.
Census and Statistics Department. 2019 Report on Annual Earnings and Hours Survey. Hong Kong Special Administrative Region. 2020. Retrieved from https://www.statistics.gov.hk/pub/B10500142019AN19B0100.pdf.
Henry JD, Crawford JR. The short-form version of the Depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(2):227–39. https://doi.org/10.1348/014466505X29657.
Moussa MT, Lovibond P, Laube R. Psychometric properties of a Chinese version of the short Depression Anxiety Stress Scales (DASS21). Sydney. 2001.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Retrieved from https://www.psy.unsw.edu.au/dass/; 1995.
Lund C, Breen A, Flisher AJ, Kakuma R, Corrigall J, Joska JA, Swartz L, Patel V. Poverty and common mental disorders in low and middle income countries: A systematic review. Soc Sci Med. 2010;71(3):517–28. https://doi.org/10.1016/j.socscimed.2010.04.027.
Wolff BC, Santiago CD, Wadsworth ME. Poverty and involuntary engagement stress responses: examining the link to anxiety and aggression within low-income families. Anxiety Stress Coping. 2009;22(3):309–25. https://doi.org/10.1080/10615800802430933.
HKSAR government. Hong Kong poverty situation report 2018. Hong Kong poverty situation report. Hong Kong. 2017. Retrieved from https://www.povertyrelief.gov.hk/eng/pdf/Hong_Kong_Poverty_Situation_Report_2018(2019.12.13).pdf.
Honkonen T, Virtanen M, Ahola K, Kivimäki M, Pirkola S, Isometsä E, Aromaa A, Lönnqvist J. Employment status, mental disorders and service use in the working age population. Scand J Work Environ Health. 2007;33(1):29–36. https://doi.org/10.5271/sjweh.1061.
Matilla-Santander N, Martín-Sánchez JC, González-Marrón A, Cartanyà-Hueso À, Lidón-Moyano C, Martínez-Sánchez JM. Precarious employment, unemployment and their association with health-related outcomes in 35 European countries: a cross-sectional study. Crit Public Health. 2020. https://doi.org/10.1080/09581596.2019.1701183.
Milner A, Smith P, LaMontagne AD. Working hours and mental health in Australia: Evidence from an Australian population-based cohort, 2001–2012. Occup Environ Med. 2015;72(8):573–9. https://doi.org/10.1136/oemed-2014-102791.
Ahn S. Working hours and depressive symptoms over 7 years: evidence from a Korean panel study. Int Arch Occup Environ Health. 2018;91(3):273–83. https://doi.org/10.1007/s00420-017-1278-z.
Marin-Garcia JA, Bonavia T, Losilla J-M. Changes in the Association between European Workers’ Employment Conditions and Employee Well-Being in 2005, 2010 and 2015. Int J Environ Res Public Health. 2020;17(3):1048. https://doi.org/10.3390/ijerph17031048.
Ganster DC, Rosen CC, Fisher GG. Long Working Hours and Well-being: What We Know, What We Do Not Know, and What We Need to Know. J Bus Psychol. 2018;33(1):25–39. https://doi.org/10.1007/s10869-016-9478-1.
Funding
The work was supported by a grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. 4003-SPPR-11).
Author information
Authors and Affiliations
Contributions
Siu Ming Chan was responsible for literature search, data analysis, data interpretation and writing of this paper. Tat Chor Au-Yeung was responsible for literature search and and writing of this paper. Hung Wong and Roger Chung were responsible for the overall research design, data collection of the data set. Gary Chung was responsible for data interpretation and writing of this paper. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Ethical Approval
This study was approved by the Survey and Behavioral Research Ethics Committee of The Chinese University of Hong Kong in Jun 2012.
Conflict of Interest
No potential conflict of interest was founded.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
CHAN, S., AU-YEUNG, T., WONG, H. et al. Long Working Hours, Precarious Employment and Anxiety Symptoms Among Working Chinese Population in Hong Kong. Psychiatr Q 92, 1745–1757 (2021). https://doi.org/10.1007/s11126-021-09938-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11126-021-09938-3