Work organization, economic inequality, and depression among nursing assistants: A multilevel modeling approach

Carles Muntaner, Daniel J. Van Dussen, Yong Li, Sheryl Zimmerman, Haejoo Chung, Joan Benach

Research output: Contribution to journalArticle

11 Citations (Scopus)


To investigate the relationships among the nursing home work environment, emotional strain, and depression in Nursing Assistants in Ohio and West Virginia, this cross-sectional study was conducted with 395 Nurse Assistants in 49 nursing homes in Ohio and West Virginia. Organizational attributes were measured independently at the individual and organizational levels. Multilevel modeling techniques were used to analyze the data. Our methods examined nursing home organizational structure (ownership type, managerial style), and work organization (emotional strain) was examined in relation to the prevalence of depression among nursing assistants. Our findings suggest workplace emotional strain and age are associated with increased odds of depression. Implications of our work include that work in nursing homes for the environment it fosters has a strong effect on emotional strain and depression among Nursing Assistants.

Original languageEnglish
Pages (from-to)585-601
Number of pages17
JournalPsychological Reports
Issue number2
Publication statusPublished - 2006 Apr 1
Externally publishedYes


ASJC Scopus subject areas

  • Psychology(all)

Cite this