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Type: Journal article
Title: Does employment security modify the effect of housing affordability on mental health?
Author: Bentley, R.
Baker, E.
LaMontagne, A.
King, T.
Mason, K.
Kavanagh, A.
Citation: SSM - Population Health, 2016; 2:778-783
Publisher: Elsevier
Issue Date: 2016
ISSN: 2352-8273
Statement of
Rebecca Bentley, Emma Baker, Anthony LaMontagne, Tania King, Kate Mason, Anne Kavanagh
Abstract: This paper uses longitudinal data to examine the interrelationship between two central social determinants of mental health – employment security and housing affordability. Data from ten annual waves of the longitudinal Household, Income and Labour Dynamics in Australia (HILDA) survey (which commenced in 2000/1 and is ongoing) were analysed using fixed-effects longitudinal linear regression. Change in the SF-36 Mental Component Summary (MCS) score of working age individuals (25–64 years) (51,885 observations of 10,776 people), associated with changes in housing affordability was examined. Models were adjusted for income, age, survey year, experience of serious injury/illness and separation/divorce. We tested for an additive interaction between the security of a household's employment arrangements and housing affordability. People in insecurely employed households appear more vulnerable than people in securely employed households to negative mental health effects of housing becoming unaffordable. In adjusted models, people in insecurely employed households whose housing became unaffordable experienced a decline in mental health (B=−1.06, 95% CI −1.75 to −0.38) while people in securely employed households experienced no difference on average. To progress our understanding of the Social Determinants of Health this analysis provides evidence of the need to bridge the (largely artificial) separation of social determinants, and understand how they are related.
Rights: © 2016 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license
RMID: 0030057658
DOI: 10.1016/j.ssmph.2016.09.003
Grant ID:
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