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Do Gender Differences in Mental Health Contribute to Gender Differences in Physical Health? An Instrumental Variables Approach

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  • Vasileios Zikos

Abstract

Existing research indicates that gender disparities in mental health contribute to gender disparities in physical health. However, the observed relationship might be driven by the endogeneity of mental health. By combining high‐quality panel data with standard estimation techniques, we initially confirm the previous findings. In contrast, when we account for the endogeneity of mental health using the death of a relative and the death of a spouse as instruments, we observe a change in the existing result. Although the positive and significant impact of mental health on physical health persists, the disparity between women and men becomes negligible.

Suggested Citation

  • Vasileios Zikos, 2025. "Do Gender Differences in Mental Health Contribute to Gender Differences in Physical Health? An Instrumental Variables Approach," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 58(1), pages 21-32, March.
  • Handle: RePEc:bla:ausecr:v:58:y:2025:i:1:p:21-32
    DOI: 10.1111/1467-8462.12581
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    References listed on IDEAS

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    1. Buddelmeyer, Hielke & Powdthavee, Nattavudh, 2016. "Can having internal locus of control insure against negative shocks? Psychological evidence from panel data," Journal of Economic Behavior & Organization, Elsevier, vol. 122(C), pages 88-109.
    2. Shangkhum, Prompong & Zikos, Vasileios, 2023. "New evidence on the relationship between mental and physical health," Economics Letters, Elsevier, vol. 233(C).
    3. 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.
    4. Awaworyi Churchill, Sefa & Munyanyi, Musharavati Ephraim & Prakash, Kushneel & Smyth, Russell, 2020. "Locus of control and the gender gap in mental health," Journal of Economic Behavior & Organization, Elsevier, vol. 178(C), pages 740-758.
    5. Joseph Stiglitz & Amartya K. Sen & Jean-Paul Fitoussi, 2009. "The measurement of economic performance and social progress revisited: Reflections and Overview," Sciences Po Economics Publications (main) hal-01069384, HAL.
    6. Paul Frijters & David W. Johnston & Michael A. Shields, 2014. "The Effect Of Mental Health On Employment: Evidence From Australian Panel Data," Health Economics, John Wiley & Sons, Ltd., vol. 23(9), pages 1058-1071, September.
    7. Kesavayuth, Dusanee & Poyago-Theotoky, Joanna & Tran, Dai Binh & Zikos, Vasileios, 2020. "Locus of control, health and healthcare utilization," Economic Modelling, Elsevier, vol. 86(C), pages 227-238.
    8. Yang, Liyuan & Zikos, Vasileios, 2022. "Healthy mind in healthy body: Identifying the causal effect of mental health on physical health," Economics Letters, Elsevier, vol. 213(C).
    9. repec:spo:wpecon:info:hdl:2441/5l6uh8ogmqildh09h4687h53k is not listed on IDEAS
    10. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    11. repec:spo:wpmain:info:hdl:2441/5l6uh8ogmqildh09h4687h53k is not listed on IDEAS
    12. Joseph E. Stiglitz & Amartya Sen & Jean-Paul Fitoussi, 2009. "The measurement of economic performance and social progress revisited," Documents de Travail de l'OFCE 2009-33, Observatoire Francais des Conjonctures Economiques (OFCE).
    13. Needham, Belinda & Hill, Terrence D., 2010. "Do gender differences in mental health contribute to gender differences in physical health?," Social Science & Medicine, Elsevier, vol. 71(8), pages 1472-1479, October.
    14. Yang, Liyuan & Zikos, Vasileios, 2023. "Mental health and smoking behavior," Economic Modelling, Elsevier, vol. 126(C).
    15. Dusanee Kesavayuth & Prompong Shangkhum & Vasileios Zikos, 2022. "Building physical health: What is the role of mental health?," Bulletin of Economic Research, Wiley Blackwell, vol. 74(2), pages 457-483, April.
    16. Zhu, Rong, 2016. "Retirement and its consequences for women's health in Australia," Social Science & Medicine, Elsevier, vol. 163(C), pages 117-125.
    17. Francis Mitrou & Ha Trong Nguyen & Huong Thu Le & Stephen R. Zubrick, 2024. "The causal impact of mental health on tobacco and alcohol consumption: an instrumental variables approach," Empirical Economics, Springer, vol. 66(3), pages 1287-1310, March.
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