As labor markets have become increasingly volatile, more workers are susceptible to conditions that threaten their economic security. COVID-19 has further laid bare such economic insecurity with far-reaching implications for coping skills and strategies. Using a cross-sectional dataset collected in May 2020 in the United States, we examined how precarious jobs were associated with alcohol or substance use among parents during the pandemic and if mental distress could explain such a link. Our multivariate regression analysis confirms that holding a job with precarious characteristics, such as feeling defenseless to authoritarian treatment at the workplace, was significantly associated with mental distress and doubled the probability of using alcohol or substance amid COVID-19. And mental distress might help explain such an association. Our analysis underscored the vulnerability faced by our workforce and how a public health crisis magnified the dire consequences of precarious employment on risky health behaviors.
KeywordsAlcohol or Substance UseCOVID-19Mental HealthPandemicPrecarious Parental Employment
dler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R. (2000). Relationship of Subjective and Objective Social Status with Psychological and Physiological Functioning: Preliminary Data in Healthy White Women. Health Psychology, 19, 586-592.
Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and Associated Psychological Problems. Asian Journal of Psychiatry, 51, 102092. https://doi.org/10.1016/j.ajp.2020.102092
Allison, P. D. (2000). Missing data. Thousands Oaks, CA: Sage publishing.
Benach, J., Vives, A., Amable, M., Vanroelen, C., Tarafa, G., & Muntaner, C. (2014). Precarious Employment: Understanding an Emerging Social Determinant of Health. Annual Review of Public Health, 35, 229-253. https://doi.org/10.1146/annurev-publhealth-032013-182500
Chatterjee, S., Hadi, A. S., & Price, B. (2000). Regression Analysis by Example (3rd ed.). Hoboken, NJ: John Wiley and Sons.
Conger, R. D., Conger, K. J., & Martin, M. J. (2010). Socioeconomic Status, Family Processes, and Individual Development. Journal of Marriage and Family, 72, 685-704. https://doi.org/10.1111/j.1741-3737.2010.00725.x
Cramer, M. (2020). Could all Those “Quarantinis” Lead to Drinking Problems? The New York Times. https://www.nytimes.com/2020/05/26/health/coronavirus-alcohol-addiction.html
Edwards, A. (1957). The Social Desirability Variable in Personality Assessment and Research. New York: The Dryden Press.
Fan, W., Lam, J., & Moen, P. (2019). Stress Proliferation? Precarity and Work-Family Conflict at the Intersection of Gender and Household Income. Journal of Family Issues, 40, 2751-2773. https://doi.org/10.1177/0192513X19862847
Fowers, A., & Wan, W. (2020). A Third of Americans Now Show Signs of Clinical Anxiety or Depression, Census Bureau Finds Amid Coronavirus Pandemic. The Washington Post. https://www.washingtonpost.com/health/2020/05/26/americans-with-depression-anxiety-pandemic/
Frone, M. R. (1999). Work Stress and Alcohol Use. Alcohol Research & Health, 23, 284-291.
Frone, M. R. (2008). Are Work Stressors Related to Employee Substance Use? The Importance of Temporal Context Assessments of Alcohol and Illicit Drug Use. Journal of Applied Psychology, 93, 199-206. https://doi.org/10.1037/0021-9010.93.1.199
Glavin, P., & Young, M. (2017). Insecure People in Insecure Places: The Influence of Regional Unemployment on Workers’ Reactions to the Threat of Job Loss. Journal of Health and Social Behavior, 58, 232-251. https://doi.org/10.1177/0022146517696148
Goldberg, E. (2021). “Relapsing Left and Right”: Trying to Overcome Addiction in a Pandemic. The New York Times. https://www.nytimes.com/2021/01/04/nyregion/addiction-treatment-coronavirus-new-york-new-jersey.html
Greene, W. H. (2012). Econometric Analysis (7th ed.). Boston, MA: Pearson Education.
Gruber, K. J., & Taylor, M. F. (2006). A Family Perspective for Substance Abuse: Implications from the Literature. Journal of Social Work Practice in the Addictions, 6, 1-29. https://doi.org/10.1300/J160v06n01_01
Harkness, A., Behar-Zusman, V. & Safren, S. A. (2020). Understanding the Impact of COVID-19 on Latino Sexual Minority Men in a US HIV Hot Spot. AIDS and Behavior, 24, 2017-2023. https://doi.org/10.1007/s10461-020-02862-w
Hoffman, J. (2020). Online Help to Stay Sober during a Pandemic. The New York Times. https://www.nytimes.com/2020/03/26/health/coronavirus-sobriety-online-help.html
Hollingsworth, A., Ruhm, C., & Simon, K. (2017). Macroeconomic Conditions and Opioid Abuse. NBER Working Paper 23192. https://www.nber.org/papers/w23192.pdf https://doi.org/10.3386/w23192
Hubler, S., Fuller, T., Singhvi, A., & Love, J. (2020). Many Latinos Couldn’t Stay Home. Now Virus Cases Are Soaring in Their Communities. The New York Times. https://www.nytimes.com/2020/06/26/us/corona-virus-latinos.html
Johnson, C. K. (2020). New Peak of 71K US Overdose Deaths in 2019 Dashes Hopes. The Associated Press News. https://apnews.com/dc15cae6e299bbbf73ce0e4b67d4d02d
Kalleberg, A. L. (2011). Good Jobs, Bad Jobs: The Rise of Polarized and Precarious Employment Systems in the United States, 1970s to 2000s. New York: Russell Sage Foundation.
Kalleberg, A. L. (2018). Precarious Lives: Job Insecurity and Well-Being in Rich Democracies. Cambridge, UK: Polity Press.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short Screening Scales to Monitor Population Prevalence and Trends in Non-Specific Psychological Distress. Psychological Medicine, 32, 959-956.
Newcomb, M. D., Vargas-Carmona, J., & Galaif, E. R. (1999). Drug Problems and Psychological Distress among a Community Sample of Adults: Predictors, Consequences, or Confound? Journal of Community Psychology, 27, 405-429. https://doi.org/10.1002/(SICI)1520-6629(199907)27:4 3.0.CO;2-2
Ornstein, N., Miller, B. F., & Patel, K. (2020). The Coming Mental-Health Crisis. The Atlantic. https://www.theatlantic.com/ideas/archive/2020/05/coming-mental-health-crisis/611635/
Petterson, S., Westfall, J. M., & Miller, B. F. (2020). Projected Deaths of Despair during the Coronavirus Recession. Well Being Trust. https://wellbeingtrust.org/wp-content/uploads/2020/05/WBT_Deaths-of-Despair_COVID-19-FINAL-FINAL.pdf
Pilkington, E., & Rao, A. (2020, April 10). A Tale of Two New Yorks: Pandemic Lays Bare a City’s Shocking Inequities. The Guardian. https://www.theguardian.com/us-news/2020/apr/10/new-york-coronavirus-inequality-divide-two-cities
Presser, H. B. (2003). Working in a 24/7 Economy: Challenges for American families. New York: Russell Sage Foundation.
Schuckit, M. A. (1986). Genetic and Clinical Implications of Alcoholism and Affective Disorder. American Journal of Psychiatry, 143, 140-147. https://doi.org/10.1176/ajp.143.2.140
Vives, A., Amable, M., Ferrer, M., Moncada, S., Llorens, C., Muntaner, C., Benavides, F. G., & Benach, J. (2010). The Employment Precariousness Scale (EPRES): Psychometric Properties of a New Tool for Epidemiological Studies among Waged and Salaried Workers. Occupational and Environmental Medicine, 67, 548-555. https://doi.org/10.1136/oem.2009.048967
Vives, A., Gonzáleza, F., Moncadae, S., Llorense, C., & Benach, J. (2015). Measuring Precarious Employment in Times of Crisis: The Revised Employment Precariousness Scale (EPRES) in Spain. Gaceta Sanitaria, 29, 379-382. https://doi.org/10.1016/j.gaceta.2015.06.008
Wan, W., & Long, H. (2020). “Cries for Help”: Drug Overdoses Are Soaring during the Coronavirus Pandemic. The Washington Post. https://www.washingtonpost.com/health/2020/07/01/coronavirus-drug-overdose/
Wiesner, M., Windle, M., & Freeman, A. (2005). Work Stress, Substance Use, and Depression among Young Adult Workers: An Examination of Main and Moderator Effect Model. Journal of Occupational Health Psychology, 10, 83-96. https://doi.org/10.1037/1076-8998.10.2.83