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Housing tenure and affordability and mental health following disability acquisition in adulthood

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  • Kavanagh, Anne M.
  • Aitken, Zoe
  • Baker, Emma
  • LaMontagne, Anthony D.
  • Milner, Allison
  • Bentley, Rebecca

Abstract

Acquiring a disability in adulthood is associated with a reduction in mental health and access to secure and affordable housing is associated with better mental health. We hypothesised that the association between acquisition of disability and mental health is modified by housing tenure and affordability. We used twelve annual waves of data (2001–2012) (1913 participants, 13,037 observations) from the Household, Income and Labour Dynamics in Australia survey. Eligible participants reported at least two consecutive waves of disability preceded by two consecutive waves without disability. Effect measure modification, on the additive scale, was tested in three fixed-effects linear regression models (which remove time-invariant confounding) which included a cross-product term between disability and prior housing circumstances: housing tenure by disability; housing affordability by disability and, in a sub-sample (896 participants 5913 observations) with housing costs, tenure/affordability by disability. The outcome was the continuous mental component summary (MCS) of SF-36. Models adjusted for time-varying confounders. There was statistical evidence that prior housing modified the effect of disability acquisition on mental health. Our findings suggested that those in affordable housing had a −1.7 point deterioration in MCS (95% CI -2.1, -1.3) following disability acquisition and those in unaffordable housing had a −4.2 point reduction (95% CI -5.2, -1.4). Among people with housing costs, the largest declines in MCS were for people with unaffordable mortgages (−5.3, 95% CI −8.8, −1.9) and private renters in unaffordable housing (−4.0, 95% CI −6.3, −1.6), compared to a −1.4 reduction (95% CI −2.1, −0.7) for mortgagors in affordable housing. In sum, we used causally-robust fixed-effects regression and showed that deterioration in mental health following disability acquisition is modified by prior housing circumstance with the largest negative associations found for those in unaffordable housing. Future research should test whether providing secure, affordable housing when people acquire a disability prevents deterioration in mental health.

Suggested Citation

  • Kavanagh, Anne M. & Aitken, Zoe & Baker, Emma & LaMontagne, Anthony D. & Milner, Allison & Bentley, Rebecca, 2016. "Housing tenure and affordability and mental health following disability acquisition in adulthood," Social Science & Medicine, Elsevier, vol. 151(C), pages 225-232.
    • Handle: RePEc:eee:socmed:v:151:y:2016:i:c:p:225-232
    DOI: 10.1016/j.socscimed.2016.01.010
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    References listed on IDEAS

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    1. Anne Marie Kavanagh & Zoe Aitken & Lauren Krnjacki & Anthony Daniel LaMontagne & Rebecca Bentley & Allison Milner, 2015. "Mental Health Following Acquisition of Disability in Adulthood—The Impact of Wealth," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
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    6. Isabelle Weld-Blundell & Marissa Shields & Alexandra Devine & Helen Dickinson & Anne Kavanagh & Claudia Marck, 2021. "Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-33, November.
    7. Han, Yang & Wei, Jianwen & Zhao, Yandong, 2021. "Long-term effects of housing damage on survivors’ health in rural China: Evidence from a survey 10 Years after the 2008 Wenchuan earthquake," Social Science & Medicine, Elsevier, vol. 270(C).
    8. Aitken, Zoe & Bishop, Glenda M & Disney, George & Emerson, Eric & Kavanagh, Anne M, 2022. "Disability-related inequalities in health and well-being are mediated by barriers to participation faced by people with disability. A causal mediation analysis," Social Science & Medicine, Elsevier, vol. 315(C).
    9. Demetrio Carmona-Derqui & Jonathan Torres-Tellez & Alberto Montero-Soler, 2023. "Effects of Housing Deprivation on Health: Empirical Evidence from Spain," IJERPH, MDPI, vol. 20(3), pages 1-15, January.

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