Long Working Hours, Precarious Employment and Anxiety Symptoms Among Working Chinese Population in Hong Kong

Psychiatr Q. 2021 Dec;92(4):1745-1757. doi: 10.1007/s11126-021-09938-3. Epub 2021 Aug 9.

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.

Keywords: Anxiety; Hong Kong; Mental health; Precarious employment; Working hours.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anxiety Disorders
  • Anxiety* / epidemiology
  • Cross-Sectional Studies
  • Employment*
  • Hong Kong / epidemiology
  • Humans