BACKGROUND Periods of financial crisis are associated with higher psychological stress in the population and greater use of mental health services. This paper analyses the individual and contextual factors associated with mental health in the Spanish population in 2006, 2012 and 2017. METHOD This was a cross-sectional, descriptive study at three timepoints: before (2006), during (2012) and after the recession (2017). The study population comprised individuals aged 16+ years old, polled for the National Health Survey. Dependent variable: psychiatric morbidity (PM). INDEPENDENT VARIABLES 1) Individual socio-economic variables: (socio-demographic and psycho-social variables) and 2) contextual socio-economic variables (financial, public welfare services and labour market indicators). Multilevel logistic regression models with mixed effects were constructed to determine changes in PM in relation to the variables studied. RESULTS Among women, the risk of PM increased when per capita health spending decreased and the percentage of temporary workers increased. The risk for men and women was lower when the employment rate decreased and the unemployment rate increased. CONCLUSIONS It is possible that not only unemployment but also insecure employment entails a risk to mental health and that much of the employment created no longer guarantees basic levels of security it had achieved in previous decades.

中文翻译：

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西班牙经济衰退后与心理健康相关的就业状况和宏观经济指标的变化：多层次方法。

背景 金融危机时期与人口中更高的心理压力和更多地使用心理健康服务有关。本文分析了 2006 年、2012 年和 2017 年西班牙人口中与心理健康相关的个体和背景因素。 (2017)。研究人群包括 16 岁以上的个人，接受全国健康调查。因变量：精神病发病率 (PM)。独立变量 1) 个人社会经济变量：（社会人口统计学和心理社会变量）和 2）背景社会经济变量（金融、公共福利服务和劳动力市场指标）。构建了具有混合效应的多级逻辑回归模型，以确定与研究变量相关的 PM 变化。结果 在女性中，当人均医疗支出减少和临时工比例增加时，PM 的风险增加。当就业率下降和失业率上升时，男性和女性的风险较低。结论 不仅失业，而且不安全的就业都可能给心理健康带来风险，而且创造的大部分就业不再保证它在过去几十年中实现的基本安全水平。当就业率下降和失业率上升时，男性和女性的风险较低。结论 不仅失业，而且不安全的就业都可能给心理健康带来风险，而且创造的大部分就业不再保证它在过去几十年中实现的基本安全水平。当就业率下降和失业率上升时，男性和女性的风险较低。结论 不仅失业，而且不安全的就业都可能给心理健康带来风险，而且创造的大部分就业不再保证它在过去几十年中实现的基本安全水平。