2023-09-28 14:46:10 +00:00
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abstract: 'Background The higher occurrence of common psychiatric disorders among
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welfare recipients has been attributed to health selection, social
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causation and underlying vulnerability. The aims of this study were to
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test for the selection effects of mental health problems on entry and
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re-entry to working-age welfare payments in respect to single
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parenthood, unemployment and disability.
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Methods Nationally representative longitudinal data were drawn from the
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Household Income and Labour Dynamics in Australia survey. Multiple spell
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discrete-time survival analyses were conducted using multinomial
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logistic regression models to test if pre-existing mental health
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problems predicted transitions to welfare. Analyses were stratified by
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sex and multivariate adjusted for mental health problems, father''s
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occupation, socioeconomic position, marital status, employment history,
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smoking status and alcohol consumption, physical function and financial
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hardship. All covariates were modelled as either lagged effects or when
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a respondent was first observed to be at risk of income support.
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Results Mental health problems were associated with increased risk of
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entry and re-entry to disability, unemployment and single parenting
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payments for women, and disability and unemployment payments for men.
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These associations were attenuated but remained significant after
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adjusting for contemporaneous risk factors.
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Conclusions Although we do not control for reciprocal causation, our
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findings are consistent with a health selection hypothesis and indicate
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that mental illness may be a contributing factor to later receipt of
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different types of welfare payments. We argue that mental health
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warrants consideration in the design and targeting of social and
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economic policies.'
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affiliation: 'Kiely, KM (Corresponding Author), Australian Natl Univ, Ctr Res Ageing
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Hlth \& Wellbeing, GPO Box 4, Canberra, ACT 0200, Australia.
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Kiely, Kim M.; Butterworth, Peter, Australian Natl Univ, Ctr Res Ageing Hlth \&
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Wellbeing, Canberra, ACT 0200, Australia.'
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author: Kiely, Kim M. and Butterworth, Peter
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author-email: kim.kiely@anu.edu.au
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author_list:
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- family: Kiely
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given: Kim M.
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- family: Butterworth
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given: Peter
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da: '2023-09-28'
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doi: 10.1136/jech-2013-203179
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eissn: 1470-2738
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files: []
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issn: 0143-005X
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journal: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
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keywords-plus: 'SOCIAL INEQUALITIES; WHITEHALL-II; DEPRESSIVE SYMPTOMS; UNEMPLOYMENT;
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DISORDERS; EMPLOYMENT; WOMEN; EXPLANATION; TRANSITIONS; POPULATION'
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language: English
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month: APR
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number: '4'
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number-of-cited-references: '42'
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orcid-numbers: 'Butterworth, Peter/0000-0002-1531-3881
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Kiely, Kim/0000-0001-5876-3201'
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pages: 349-355
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papis_id: 813e82e9f77a5ca32e81c71d7ec78316
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ref: Kiely2014mentalhealth
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researcherid-numbers: 'Butterworth, Peter/AFK-2636-2022
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Kiely, Kim M/A-2319-2009
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'
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times-cited: '23'
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title: 'Mental health selection and income support dynamics: multiple spell discrete-time
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survival analyses of welfare receipt'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000339724000011
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usage-count-last-180-days: '0'
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usage-count-since-2013: '19'
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volume: '68'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2014'
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