Labor-condition indicators and recent depressed/down affect among Chinese workers, 2010–2023

Working time, employment-relation form, contract formalization, and task autonomy represent distinct aspects of work that broad labor-condition labels may obscure. We examined their cross-sectional associations with recent depressed/down affect across repeated population surveys in China. This repeated cross-sectional analysis harmonized nine waves of the Chinese General Social Survey (CGSS; 2010–2023). A single item measured feeling depressed or down at least sometimes during the previous four weeks. In exposure-specific samples of workers aged 18–59 years, weighted linear probability models estimated adjusted percentage-point differences for two weekly-hour thresholds, a combined employment-relation category (casual/no-fixed-employer or labor-dispatch work), written-contract status, and task autonomy. Models included survey-year and province indicators and province-clustered standard errors. The adjusted prevalence differences were 2.25% points (95% CI 0.95 to 3.55) for more than 44 h per week and 2.82% points (95% CI 1.12 to 4.51) for 60 h or more. The combined employment-relation estimate was 3.31% points (95% CI 0.71 to 5.92) for the primary outcome but attenuated to 0.88% points (95% CI -0.29 to 2.05; p = 0.135) under the stricter outcome threshold. Relative to fixed-employer employees, category-specific estimates were 4.87% points for casual/no-fixed-employer work and 0.73% points for labor dispatch; their direct contrast was imprecise. The written-contract estimate was imprecise, whereas the autonomy estimate was close to zero with a narrower interval. When 2011 and 2023 were excluded together, the estimates were 1.40% points (95% CI -0.06 to 2.85) for more than 44 h and 2.48% points (95% CI 0.45 to 4.51) for 60 h or more. The four labor-condition dimensions showed different patterns of estimates and sensitivity. Both working-hour contrasts were positive in pooled models, but the > 44-hour estimate was sensitive to excluding 2011 and 2023 together. The overlapping contrasts were not designed to test a dose-response relationship. The combined employment-relation estimate was sensitive to outcome definition, and the labor-dispatch estimate was inconclusive. These contemporaneous associations cannot establish temporal order or causal effects, but support measuring the four dimensions separately in longitudinal research.

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Journal
BMC Public Health
Published
2026-11-04
DOI
https://doi.org/10.1186/s12889-026-30175-5
Primary Topic
Employment and Welfare Studies
Type
article
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article

Labor-condition indicators and recent depressed/down affect among Chinese workers, 2010–2023

Yu Zhang, GuangZheng Wan
BMC Public Health
Employment and Welfare Studies
article

Labor-condition indicators and recent depressed/down affect among Chinese workers, 2010–2023

Yu Zhang, GuangZheng Wan
article en

Abstract

Working time, employment-relation form, contract formalization, and task autonomy represent distinct aspects of work that broad labor-condition labels may obscure. We examined their cross-sectional associations with recent depressed/down affect across repeated population surveys in China. This repeated cross-sectional analysis harmonized nine waves of the Chinese General Social Survey (CGSS; 2010–2023). A single item measured feeling depressed or down at least sometimes during the previous four weeks. In exposure-specific samples of workers aged 18–59 years, weighted linear probability models estimated adjusted percentage-point differences for two weekly-hour thresholds, a combined employment-relation category (casual/no-fixed-employer or labor-dispatch work), written-contract status, and task autonomy. Models included survey-year and province indicators and province-clustered standard errors. The adjusted prevalence differences were 2.25% points (95% CI 0.95 to 3.55) for more than 44 h per week and 2.82% points (95% CI 1.12 to 4.51) for 60 h or more. The combined employment-relation estimate was 3.31% points (95% CI 0.71 to 5.92) for the primary outcome but attenuated to 0.88% points (95% CI -0.29 to 2.05; p = 0.135) under the stricter outcome threshold. Relative to fixed-employer employees, category-specific estimates were 4.87% points for casual/no-fixed-employer work and 0.73% points for labor dispatch; their direct contrast was imprecise. The written-contract estimate was imprecise, whereas the autonomy estimate was close to zero with a narrower interval. When 2011 and 2023 were excluded together, the estimates were 1.40% points (95% CI -0.06 to 2.85) for more than 44 h and 2.48% points (95% CI 0.45 to 4.51) for 60 h or more. The four labor-condition dimensions showed different patterns of estimates and sensitivity. Both working-hour contrasts were positive in pooled models, but the > 44-hour estimate was sensitive to excluding 2011 and 2023 together. The overlapping contrasts were not designed to test a dose-response relationship. The combined employment-relation estimate was sensitive to outcome definition, and the labor-dispatch estimate was inconclusive. These contemporaneous associations cannot establish temporal order or causal effects, but support measuring the four dimensions separately in longitudinal research.

BMC Public Health
Chengdu University (CN), Hunan Traditional Chinese Medical College (CN)
Openalex Percentile: Top 10%
Employment and Welfare Studies
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