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The relationship between physical and mental health: A mediation analysis

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  • Ohrnberger, Julius
  • Fichera, Eleonora
  • Sutton, Matt

Abstract

There is a strong link between mental health and physical health, but little is known about the pathways from one to the other. We analyse the direct and indirect effects of past mental health on present physical health and past physical health on present mental health using lifestyle choices and social capital in a mediation framework. We use data on 10,693 individuals aged 50 years and over from six waves (2002–2012) of the English Longitudinal Study of Ageing. Mental health is measured by the Centre for Epidemiological Studies Depression Scale (CES) and physical health by the Activities of Daily Living (ADL). We find significant direct and indirect effects for both forms of health, with indirect effects explaining 10% of the effect of past mental health on physical health and 8% of the effect of past physical health on mental health. Physical activity is the largest contributor to the indirect effects. There are stronger indirect effects for males in mental health (9.9%) and for older age groups in mental health (13.6%) and in physical health (12.6%). Health policies aiming at changing physical and mental health need to consider not only the direct cross-effects but also the indirect cross-effects between mental health and physical health.

Suggested Citation

  • Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The relationship between physical and mental health: A mediation analysis," Social Science & Medicine, Elsevier, vol. 195(C), pages 42-49.
    • Handle: RePEc:eee:socmed:v:195:y:2017:i:c:p:42-49
    DOI: 10.1016/j.socscimed.2017.11.008
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    References listed on IDEAS

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    1. Han, Euna & Norton, Edward C. & Powell, Lisa M., 2011. "Direct and indirect effects of body weight on adult wages," Economics & Human Biology, Elsevier, vol. 9(4), pages 381-392.
    2. Bolin, Kristian & Lindgren, Björn & Lindström, Martin & Nystedt, Paul, 2003. "Investments in social capital--implications of social interactions for the production of health," Social Science & Medicine, Elsevier, vol. 56(12), pages 2379-2390, June.
    3. (*), Nigel Rice & Paul Contoyannis, 2001. "The impact of health on wages: Evidence from the British Household Panel Survey," Empirical Economics, Springer, vol. 26(4), pages 599-622.
    4. Meliyanni Johar & Jeffrey Truong, 2014. "Direct and indirect effect of depression in adolescence on adult wages," Applied Economics, Taylor & Francis Journals, vol. 46(36), pages 4431-4444, December.
    5. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
    6. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions," Tinbergen Institute Discussion Papers 13-076/V, Tinbergen Institute.
    7. Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The dynamics of physical and mental health in the older population," The Journal of the Economics of Ageing, Elsevier, vol. 9(C), pages 52-62.
    8. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions," Tinbergen Institute Discussion Papers 13-076/V, Tinbergen Institute.
    9. Contoyannis, Paul & Li, Jinhu, 2011. "The evolution of health outcomes from childhood to adolescence," Journal of Health Economics, Elsevier, vol. 30(1), pages 11-32, January.
    10. Mujcic, R. & Oswald, A.J., 2016. "Evolution of well-being and happiness after increases in consumption of fruit and vegetables," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1504-1510.
    11. Pilar García-Gómez & Hans van Kippersluis & Owen O’Donnell & Eddy van Doorslaer, 2013. "Long-Term and Spillover Effects of Health Shocks on Employment and Income," Journal of Human Resources, University of Wisconsin Press, vol. 48(4), pages 873-909.
    12. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
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