Changes in Job Security and Mental Health: An Analysis of 14 Annual Waves of an Australian Working-Population Panel Survey

2020 ◽  
Author(s):  
Anthony Daniel LaMontagne ◽  
Lay San Too ◽  
Laura Punnett ◽  
Allison Joy Milner
Keyword(s):  
Mental Health ◽  
Fixed Effects ◽  
Panel Study ◽  
Job Security ◽  
Observational Research ◽  
Fe Model ◽  
Depression And Anxiety ◽  
Policy And Practice ◽  
Population Mental Health ◽  
Nationally Representative

Abstract We examined whether job security improvements were associated with improvements in mental health in a large, nationally representative panel study in Australia. We used both within-person fixed effects (FE) and random effects (RE) regression to analyze data from 14 annual waves covering the calendar period of 2002–2015 (19,169 persons; 106,942 observations). Mental Health Inventory–5 scores were modeled in relation to self-reported job security (categorical, quintiles), adjusting for age, year, education, and job change in the past year. Both FE and RE models showed stepwise improvements in Mental Health Inventory–5 scores with improving job security, with stronger exposure-outcome relationships in the RE models and for men compared with women. The RE coefficients for improvements in job security in men were 2.06 (95% confidence interval (CI): 1.67, 2.46) for 1 quintile, steadily increasing for 2- (3.94 (95% CI: 3.54, 4.34)), 3- (5.82 (95% CI: 5.40, 6.24)), and 4-quintile (7.18 (95% CI: 6.71, 7.64)) improvements. The FE model for men produced slightly smaller coefficients, reaching a maximum of 5.55 (95% CI: 5.06, 6.05). This analysis, with improved causal inference over previous observational research, showed that improving job security is strongly associated with decreasing depression and anxiety symptoms. Policy and practice intervention to improve job security could benefit population mental health.

scholarly journals 1150Changes in job security and mental health over 14 waves of a working population survey

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Anthony D. LaMontagne ◽  
Laura Punnett ◽  
Lay San Too
Keyword(s):  
Mental Health ◽  
Fixed Effects ◽  
Panel Study ◽  
Job Security ◽  
Cumulative Exposure ◽  
Observational Research ◽  
Fe Model ◽  
Policy And Practice ◽  
Population Mental Health ◽  
Nationally Representative

Abstract Background & Methods We examined whether job security improvements were associated with improvements in mental health in a large Australian nationally representative panel study. We used both within-person fixed effects (FE) and random effects (RE) regression to analyse data from 14 annual waves covering calendar years 2002—2015 (19,169 persons, 106,942 observations). Mental Health Inventory-5 scores were modeled in relation to self-reported job security (categorical, quintiles), adjusting for age, year, education, and job change in the past year. Results Both FE and RE models showed stepwise improvements in MHI-5 scores with improving job security, with stronger exposure-outcome relationships in the RE models and for men compared to women. The RE coefficients for improvements in job security in males were 2.06 [1.67, 2.46] for one quintile, steadily increasing for two- (3.94 [3.54, 4.34]), three- (5.82 [5.40, 6.24]), and four- (7.18 [6.71, 7.64]) quintile improvements. The FE model for males produced slightly smaller coefficients, reaching a maximum of 5.55 [5.06, 6.05]. Supplementary analyses investigated whether six waves of cumulative exposure to job security (higher value = higher security) predicted MHI-5 score (improvement in mental health) in the seventh wave: results showed a strong dose-response (beta cumulative security was 0.60 [0.53-0.68]), with the difference between lowest and highest values of exposure corresponding to a 14-point increase in MHI-5 score. Conclusions These analyses, with improved causal inference over previous observational research, showed that improving job security is strongly associated with decreasing depression and anxiety symptoms. Key messages Policy and practice intervention to improve job security could benefit population mental health.

scholarly journals O3E.3 Changes in job security and mental health: an analysis of 14 annual waves of an australian working population panel survey

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A30.2-A30 ◽  
Author(s):  
Anthony LaMontagne ◽  
Lan Say Too ◽  
Laura Punnett ◽  
Allison Milner
Keyword(s):  
Mental Health ◽  
Dose Response ◽  
Repeated Measures ◽  
Fixed Effects ◽  
Job Insecurity ◽  
Panel Study ◽  
Job Security ◽  
Observational Research ◽  
Fe Model ◽  
Working Population

BackgroundThere is increasing recognition of job insecurity as an emerging issue in public health. We sought to examine whether job security improvements were associated with improvements in mental health in a large, working population-representative repeated-measures panel study.MethodsWe used both within-person fixed effects (FE) and random effects (RE) regression to analyse data from 14 annual waves of a national Australian survey (19 169 persons, 1 06 942 observations). Mental Health Inventory-5 scores (outcome) were modeled in relation to self-reported job security (categorical, quintiles), adjusting for age, year, education, and job change in the past year.ResultsBoth FE and RE models showed stepwise improvements in MHI-5 scores with improving job security, with stronger exposure-outcome relationships in the RE models, and for men compared to women. All models showed roughly monotonic improvements in MHI-5 score by quintile of improvement in job security. The strongest relationship was observed in the RE model for males: for a one-quintile improvement in job security, beta=2.06 [1.67, 2.46], and the following for two- (3.94 [3.54, 4.34]), three- (5.82 [5.40, 6.24]), and four- (7.18 [6.71, 7.64]) quintile improvements. The FE model for males produced slightly smaller coefficients, reaching a maximum of 5.55 [5.06, 6.05] for a four-quintile improvement.ConclusionsThis Australian national panel study showed a strong dose-response relationship between job security and depression and anxiety symptoms. Stronger causal inference over previous observational research is supported by the dose-response finding and the relative consistency of the FE and RE results. Policy and practice intervention to improve job security could benefit population health.

scholarly journals Invited Commentary: Linking Job Security and Mental Health—Challenges and Future Directions

2020 ◽  
Author(s):  
Sarah Burgard
Keyword(s):  
Mental Health ◽  
Fixed Effects ◽  
Job Insecurity ◽  
Panel Study ◽  
Modifying Factors ◽  
Period Effects ◽  
Nationally Representative ◽  
Time Invariant ◽  
Future Work ◽  
Perceived Job Insecurity

Abstract Research in the social and health sciences has linked job insecurity to poorer mental health but relies on observational data and faces challenges of causal inference. LaMontagne et al. (Am J Epidemiol. 2020;000(00):000–000) innovate by using both within-person fixed-effects and random-effects regression to analyze data from 14 annual waves of an Australian survey spanning 2002–2015. Using this more rigorous design, they find that improvements in perceived job insecurity were associated with improvements in Mental Health Inventory–5 scores in a large, nationally representative panel study. By using each respondent as their own control, fixed-effects models remove the influence of time-invariant confounders. Innovative new approaches are still needed to address the causal directionality of the association and to capture both those whose exposure changes as well as those for whom it persists. Future work should also consider potential modifying factors including societal conditions, macroeconomic and other period effects, and characteristics of individuals, as well as drawing on multidisciplinary approaches that consider jobs as a combination of multiple health-relevant exposures and embed individual workers in families and communities to assess the full reach and consequences of perceived job insecurity.

scholarly journals Mental health in higher education students and non-students: evidence from a nationally representative panel study

2021 ◽  
Author(s):  
Evangeline Tabor ◽  
Praveetha Patalay ◽  
David Bann
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Psychological Distress ◽  
Panel Study ◽  
Education Students ◽  
Lower Odds ◽  
Score Difference ◽  
Mental Health Support ◽  
Health Support ◽  
Nationally Representative

AbstractDespite increasing policy focus on mental health provision for higher education students, it is unclear whether they have worse mental health outcomes than their non-student peers. In a nationally-representative UK study spanning 2010–2019 (N = 11,519), 17–24 year olds who attended higher education had lower average psychological distress (GHQ score difference =  − 0.37, 95% CI − 0.60, − 0.08) and lower odds of case-level distress than those who did not (OR = 0.91, 95% CI 0.81, 1.02). Increases in distress between 2010 and 2019 were similar in both groups. Accessible mental health support outside higher education settings is necessary to prevent further widening of socioeconomic inequalities in mental health.

scholarly journals Mental health in the general population over 1 year of the Covid-19 pandemic: findings from Ireland

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
MI Troya
Keyword(s):  
Public Health ◽  
Mental Health ◽  
General Population ◽  
Heavy Drinking ◽  
Depression And Anxiety ◽  
Suicidal Thoughts ◽  
Health Measures ◽  
Increased Risk ◽  
Self Harm ◽  
Nationally Representative

Abstract Background The effects of the Covid-19 pandemic and associated public health measures on mental health is a cause of increasing concern. We have measured indices of mental health among adults in the general population in the Republic of Ireland (ROI) during the period of May 2020-April 2021. Methods Nationally representative cross-sectional telephone survey with data collected in ROI during four study waves involving 3,920 participants: Wave 1: May 26-June 17, 2020 (N = 969), Wave 2: July 1-23, 2020 (N = 1014), Wave 3: September 5-28, 2020 (N = 1008), Wave 4: April 16-28, 2021 (N = 929). Participants were recruited from adults resident in RoI, aged 18 years+ using random-digit-dialling of land lines and mobile phones and interviewed by a professional market research organisation (Ipsos MRBI). Data from Waves 1-4 will be presented including trends over the 12-month period. Finding from Waves 1 and 2 are presented here. Mental health was assessed using the Patient Health Questionnaire Anxiety Depression Scale (PHQ-ADS), including standard questions on self-harm and/or suicidal thoughts. Results Of the 1,983 participants from Waves 1-2, 27.7% (n = 549; 95%CI:0.26%-30%) reported symptoms of depression and anxiety, 74 (3.8%;95%CI:3%-5%) disclosed self-harm and/or suicidal thoughts. Female participants (RR:1.60, 95%CI:1.37-1.87), employed individuals experiencing work change (RR:1.50,95%CI:1.24-1.82), participants cocooning due to a health condition (RR:1.34,95%CI:1.08-1.66), those self-isolating (RR:1.25,95%CI:1.03-1.51) and those reporting moderate-heavy drinking (RR:1.27,95%CI:1.09-1.47) were at increased risk of depression and anxiety symptoms. Participants aged 18-29 and those in the two lowest income categories were most likely to report self-harm and/or suicidal thoughts. Conclusions The prevalence of țanxiety and depression in the general population has increased relative to pre-pandemic estimates in response to the Covid-19 pandemic and associated public health measures. Key messages In nationally representative telephone surveys of Irish adults conducted following the onset of the Covid-19 pandemic, the prevalence of anxiety and depression is estimated at approximately 30%. Higher than average levels of anxiety or depression were reported in females, those who had experienced a change in their work, individuals cocooning and those with moderate to heavy drinking.

scholarly journals Time-use and mental health during the COVID-19 pandemic: a panel analysis of 55,204 adults followed across 11 weeks of lockdown in the UK

2020 ◽  
Author(s):  
Feifei Bu ◽  
Andrew Steptoe ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Time Use ◽  
Fixed Effects ◽  
Panel Study ◽  
Social Study ◽  
Panel Analysis ◽  
The Public ◽  
Health And Wellbeing ◽  
The Uk ◽  
The Impact

There is currently major concern about the impact of the global COVID 19 outbreak on mental health. But it remains unclear how individual behaviors could exacerbate or protect against adverse changes in mental health. This study aimed to examine the associations between specific activities (or time use) and mental health and wellbeing amongst people during the COVID 19 pandemic. Data were from the UCL COVID 19 Social Study; a panel study collecting data weekly during the COVID 19 pandemic. The analytical sample consisted of 55,204 adults living in the UK who were followed up for the strict 11 week lockdown period from 21st March to 31st May 2020. Data were analyzed using fixed effects and Arellano Bond models. We found that changes in time spent on a range of activities were associated with changes in mental health and wellbeing. After controlling for bidirectionality, behaviors involving outdoor activities including gardening and exercising predicted subsequent improvements in mental health and wellbeing, while increased time spent on following news about COVID 19 predicted declines in mental health and wellbeing. These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies, and may help the public to maintain wellbeing during future pandemics.

The Great Recession and Physical Activity of Young Adults

2021 ◽  
pp. 155982762110084
Author(s):  
Shamma Adeeb Alam ◽  
Bijetri Bose
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Physical Exercise ◽  
Great Recession ◽  
Fixed Effects ◽  
Negative Impact ◽  
Panel Study ◽  
The Great Recession ◽  
Nationally Representative ◽  
The Impact

Objective. Since physical inactivity has been identified as a pandemic and a public health priority, it is crucial to understand the role of adverse economic shocks on physical activity. In this study, we examine the impact of job losses during the U.S. Great Recession from January 2008 to June 2009 on the likelihood of physical activities of young adults. Methods. We use individual fixed effects estimation on a nationally representative longitudinal data from 2005 to 2015, the Panel Study of Income Dynamics (PSID), to examine the impact of job losses of young adults, their spouses, and their parents on physical exercise of young adults aged 18 to 27 years. Results. Own job losses during the Great Recession led to a decrease in the likelihood of physical exercise among young adults. However, job losses of parents and partners had no effect on the likelihood of young adults’ physical exercise. Conclusion. Our findings indicate a negative impact of the recession on physical activity of young adults and highlights the need for policymakers to consider the impact of major economic downturns on the physical activity of young adults.

scholarly journals Acute and longer-term psychological distress associated with testing positive for COVID-19: longitudinal evidence from a population-based study of US adults

2021 ◽  
Author(s):  
Michael Daly ◽  
Eric Robinson
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Fixed Effects ◽  
Population Based ◽  
Initial Increase ◽  
Public Health Burden ◽  
Patient Health ◽  
Nationally Representative ◽  
Novel Coronavirus ◽  
The Impact

AbstractBackgroundThe novel coronavirus (SARS-CoV-2) has produced a considerable public health burden but the impact that contracting the disease has on mental health is unclear. In this observational population-based cohort study, we examined longitudinal changes in psychological distress associated with testing positive for COVID-19.MethodsParticipants (N = 8,002; Observations = 139,035) were drawn from 23 waves of the Understanding America Study, a nationally representative survey of American adults followed-up every two weeks from April 1 2020 to February 15 2021. Psychological distress was assessed using the standardized total score on the Patient Health Questionnaire-4 (PHQ-4).ResultsOver the course of the study 576 participants reported testing positive for COVID-19. Using regression analysis including individual and time fixed effects we found that psychological distress increased by 0.29 standard deviations (p <.001) during the two-week period when participants first tested positive for COVID-19. Distress levels remained significantly elevated (d = 0.16, p <.01) for a further two weeks, before returning to baseline levels. Coronavirus symptom severity explained changes in distress attributable to COVID-19, whereby distress was more pronounced among those whose symptoms were more severe and were slower to subside.ConclusionsThis study indicates that testing positive for COVID-19 is associated with an initial increase in psychological distress that diminishes quickly as symptoms subside. While COVID-19 may not produce lasting psychological distress among the majority of the general population it remains possible that a minority may suffer longer-term mental health consequences.

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