IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v31y2022i10p2208-2228.html
   My bibliography  Save this article

The impact of COVID‐related economic shocks on household mental health in Pakistan

Author

Listed:
  • Victoria Baranov
  • Pauline Grosjean
  • Fatima Jamal Khan
  • Sarah Walker

Abstract

We combine data collected just prior to the unfolding of COVID‐19 with follow‐up data from July 2020 to document the adverse economic effects of the pandemic and resulting impact on parental and child mental well‐being in peri‐urban Pakistan. 22% of the households in our sample are affected by job loss, with monthly income down 38% on average. Our difference‐in‐difference results show that job loss is associated with a 0.88 standard deviation (SD) increase in adult mental distress scores (K10), a 0.43 SD reduction in a Hope index of children's aspirations, agency and future pathways, and a 0.39 SD increase in children's depression symptoms. In addition, we observe higher levels of parental stress and anger reported by children, as well as an increase in reported prevalence of domestic violence. Overall, we document that the pandemic has disproportionately and negatively affected the economic and mental well‐being of the most vulnerable households in our sample.

Suggested Citation

  • Victoria Baranov & Pauline Grosjean & Fatima Jamal Khan & Sarah Walker, 2022. "The impact of COVID‐related economic shocks on household mental health in Pakistan," Health Economics, John Wiley & Sons, Ltd., vol. 31(10), pages 2208-2228, October.
  • Handle: RePEc:wly:hlthec:v:31:y:2022:i:10:p:2208-2228
    DOI: 10.1002/hec.4571
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4571
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4571?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gema Zamarro & María J. Prados, 2021. "Gender differences in couples’ division of childcare, work and mental health during COVID-19," Review of Economics of the Household, Springer, vol. 19(1), pages 11-40, March.
    2. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    3. Adams-Prassl, A. & Boneva, T. & Golin, M & Rauh, C., 2020. "The Impact of the Coronavirus Lockdown on Mental Health: Evidence from the US," Cambridge Working Papers in Economics 2037, Faculty of Economics, University of Cambridge.
    4. Stefania Albanesi & Jiyeon Kim, 2021. "The Gendered Impact of the COVID-19 Recession on the US Labor Market," NBER Working Papers 28505, National Bureau of Economic Research, Inc.
    5. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    6. Victoria Baranov & Sonia Bhalotra & Pietro Biroli & Joanna Maselko, 2020. "Maternal Depression, Women's Empowerment, and Parental Investment: Evidence from a Randomized Controlled Trial," American Economic Review, American Economic Association, vol. 110(3), pages 824-859, March.
    7. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    8. Irina V. Leto & Evgeniya N. Petrenko & Helena R. Slobodskaya, 2019. "Life Satisfaction in Russian Primary Schoolchildren: Links with Personality and Family Environment," Journal of Happiness Studies, Springer, vol. 20(6), pages 1893-1912, August.
    9. Sant’Anna, Pedro H.C. & Zhao, Jun, 2020. "Doubly robust difference-in-differences estimators," Journal of Econometrics, Elsevier, vol. 219(1), pages 101-122.
    10. Egger, Dennis & Miguel, Edward & Warren, Shana S. & Shenoy, Ashish & Collins, Elliott & Karlan, Dean & Parkerson, Doug & Mobarak, A. Mushfiq & Fink, Günther & Udry, Christopher & Walker, Michael & Hau, 2021. "Falling living standards during the COVID-19 crisis: Quantitative evidence from nine developing countries," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7(6), pages 1-1.
    11. Matthew W. Ridley & Gautam Rao & Frank Schilbach & Vikram H. Patel, 2020. "Poverty, Depression, and Anxiety: Causal Evidence and Mechanisms," NBER Working Papers 27157, National Bureau of Economic Research, Inc.
    12. Reardon, Thomas & Bellemare, Marc F. & Zilberman, David, 2020. "How COVID-19 may disrupt food supply chains in developing countries," IFPRI book chapters, in: COVID-19 and global food security, chapter 17, pages 78-80, International Food Policy Research Institute (IFPRI).
    13. Mahmud, Mahreen & Riley, Emma, 2021. "Household response to an extreme shock: Evidence on the immediate impact of the Covid-19 lockdown on economic outcomes and well-being in rural Uganda," World Development, Elsevier, vol. 140(C).
    14. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    15. Qing Hu & Ross Levine & Chen Lin & Mingzhu Tai, 2019. "Mentally Spent: Credit Conditions and Mental Health," NBER Working Papers 25584, National Bureau of Economic Research, Inc.
    16. Selçuk Özdin & Şükriye Bayrak Özdin, 2020. "Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender," International Journal of Social Psychiatry, , vol. 66(5), pages 504-511, August.
    17. Irina V. Leto & Svetlana V. Loginova & Aleksandra Varshal & Helena R. Slobodskaya, 2021. "Interactions between Family Environment and Personality in the Prediction of Child Life Satisfaction," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(4), pages 1345-1363, August.
    18. Imbens,Guido W. & Rubin,Donald B., 2015. "Causal Inference for Statistics, Social, and Biomedical Sciences," Cambridge Books, Cambridge University Press, number 9780521885881.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Guariso, Andrea & Björkman Nyqvist, Martina, 2023. "The impact of the COVID-19 pandemic on children’s learning and wellbeing: Evidence from India," Journal of Development Economics, Elsevier, vol. 164(C).
    2. Francesco Bogliacino & Cristiano Codagnone & Frans Folkvord & Francisco Lupiáñez-Villanueva, 2023. "The impact of labour market shocks on mental health: evidence from the Covid-19 first wave," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 40(3), pages 899-930, October.
    3. Favara, Marta & Freund, Richard & Perez-Alvarez, Marcello, 2023. "What If It Never Happened? Subjective Treatment Effects of a Negative Shock on Youth Labour Market Outcomes in Developing Countries," IZA Discussion Papers 16417, Institute of Labor Economics (IZA).
    4. Cho, Yoonyoung & Molina, Teresa, 2024. "The Importance of Existing Social Protection Programs for Mental Health in Pandemic Times," IZA Discussion Papers 16737, Institute of Labor Economics (IZA).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bau, Natalie & Khanna, Gaurav & Low, Corinne & Shah, Manisha & Sharmin, Sreyashi & Voena, Alessandra, 2022. "Women’s well-being during a pandemic and its containment," Journal of Development Economics, Elsevier, vol. 156(C).
    2. Michael Vlassopoulos & Abu Siddique & Tabassum Rahman & Debayan Pakrashi & Asad Islam & Firoz Ahmed, 2024. "Improving Women's Mental Health during a Pandemic," American Economic Journal: Applied Economics, American Economic Association, vol. 16(2), pages 422-455, April.
    3. Andrés Elberg & Pedro M. Gardete & Rosario Macera & Carlos Noton, 2019. "Dynamic effects of price promotions: field evidence, consumer search, and supply-side implications," Quantitative Marketing and Economics (QME), Springer, vol. 17(1), pages 1-58, March.
    4. Getik, Demid & Meier, Armando N., 2022. "Peer gender and mental health⁎," Journal of Economic Behavior & Organization, Elsevier, vol. 197(C), pages 643-659.
    5. MacKinnon, James G. & Nielsen, Morten Ørregaard & Webb, Matthew D., 2023. "Cluster-robust inference: A guide to empirical practice," Journal of Econometrics, Elsevier, vol. 232(2), pages 272-299.
    6. Panza, Laura, 2020. "The impact of ethnic segregation on schooling outcomes in Mandate Palestine," Journal of Development Economics, Elsevier, vol. 146(C).
    7. Vitantonio Mariella, 2023. "Landownership concentration and human capital accumulation in post-unification Italy," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1695-1764, July.
    8. Dang, Hai-Anh H. & Nguyen, Cuong Viet & Carletto, Calogero, 2023. "Did a successful fight against COVID-19 come at a cost? Impacts of the pandemic on employment outcomes in Vietnam," World Development, Elsevier, vol. 161(C).
    9. Luís Felipe Fontes & Matías Mrejen & Beatriz Rache & Rudi Rocha, 2022. "Economic Distress and Children's Mental Health: Evidence from the Brazilian High Risk Cohort Study for Mental Conditions," Working Papers 15, Instituto de Estudos para Políticas de Saúde.
    10. Jeffrey D. Michler & Anna Josephson, 2022. "Recent developments in inference: practicalities for applied economics," Chapters, in: A Modern Guide to Food Economics, chapter 11, pages 235-268, Edward Elgar Publishing.
    11. Monteiro Amaral,Sofia Fernando & Dinarte Diaz,Lelys Ileana & Dominguez,Patricio & Perez-Vincent,Santiago M., 2021. "Helping Families Help Themselves ? Heterogeneous Effects of a Digital Parenting Program," Policy Research Working Paper Series 9850, The World Bank.
    12. Jens Dietrichson & Lina Maria Ellegård & Gustav Kjellsson, 2020. "Patient choice, entry, and the quality of primary care: Evidence from Swedish reforms," Health Economics, John Wiley & Sons, Ltd., vol. 29(6), pages 716-730, June.
    13. Cipullo, Davide & Reslow, André, 2022. "Electoral cycles in macroeconomic forecasts," Journal of Economic Behavior & Organization, Elsevier, vol. 202(C), pages 307-340.
    14. MacKinnon, James G. & Webb, Matthew D., 2020. "Randomization inference for difference-in-differences with few treated clusters," Journal of Econometrics, Elsevier, vol. 218(2), pages 435-450.
    15. Siddique, Abu & Islam, Asad & Mozumder, Tanvir Ahmed & Rahman, Tabassum & Shatil, Tanvir, 2022. "Forced Displacement, Mental Health, and Child Development: Evidence from the Rohingya Refugees," SocArXiv b4fc7, Center for Open Science.
    16. James G. MacKinnon & Matthew D. Webb, 2020. "When and How to Deal with Clustered Errors in Regression Models," Working Paper 1421, Economics Department, Queen's University.
    17. Blackburn, McKinley L., 2022. "Testing for coefficient differences across nested linear regression specifications," Econometrics and Statistics, Elsevier, vol. 23(C), pages 1-18.
    18. Jongmoo Jay Choi & Hoje Jo & Jimi Kim & Moo Sung Kim, 2018. "Business Groups and Corporate Social Responsibility," Journal of Business Ethics, Springer, vol. 153(4), pages 931-954, December.
    19. Clément de Chaisemartin & Jaime Ramirez-Cuellar, 2024. "At What Level Should One Cluster Standard Errors in Paired and Small-Strata Experiments?," American Economic Journal: Applied Economics, American Economic Association, vol. 16(1), pages 193-212, January.
    20. Friedrich, Sarah & Pauly, Markus, 2018. "MATS: Inference for potentially singular and heteroscedastic MANOVA," Journal of Multivariate Analysis, Elsevier, vol. 165(C), pages 166-179.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:31:y:2022:i:10:p:2208-2228. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.