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Status of mental health and working conditions among workers employed in small businesses in 2018 and 2022
Journal article   Peer reviewed

Status of mental health and working conditions among workers employed in small businesses in 2018 and 2022

Heidi L Hudson and Jonathan Davis
Journal of occupational and environmental medicine, Vol.68(4), pp.320-326
04/2026
DOI: 10.1097/JOM.0000000000003602
PMCID: PMC13071898
PMID: 41194338

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Abstract

To assess psychosocial working conditions and mental health status among U.S. workers in small businesses. Data from the 2018 and 2022 General Social Survey's Quality of Worklife module were used to examine mental health and psychosocial working conditions among U.S. adults employed by businesses with 1-49 employees. Descriptive statistics and logistic regression analyses were conducted, adjusting for race, education, marital status, age, and job tenure. Using combined data, workers reporting low job satisfaction, lack of management priority for safety, high work-family conflict, unfair wages, and limited promotion opportunities had significantly higher odds of reporting one or more poor mental health days in the past 30 days, compared to those reporting more favorable working conditions. Findings highlight modifiable workplace factors that may lead to improved mental health among small business workers.
Mental Health Small Business Worker Well-being Quality of Worklife Workplace Health Work-related Stress

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