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Socioeconomic mental health disparities and income mobility in Australia: A longitudinal factor decomposition analysis

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  • Hashmi, Rubayyat
  • Alam, Khorshed
  • Gow, Jeff

Abstract

In recent years mental health disparity has been rising in Australia. The contributing factors to this rising disparity are not well understood. We investigated this by measuring and decomposing socioeconomic mental health inequality in Australia using the Household, Income and Labour Dynamics in Australia (HILDA) panel survey datasets between 2009 and 2017 employing the longitudinal factor decomposition method. In this research, we decompose the Income-Related Health Mobility (IRHM) and the Health-Related Income Mobility (HRIM) index. The IRHM index reflects the effect of the relationship between relative health changes at a constant income level, and the HRIM index represents changes in income ranking or income mobility with a fixed health outcome over time. Our findings suggest that poorer individuals cannot procure private health insurance, experience more long-term health conditions and have larger exposure to life shocks than richer individuals. Thus, long-term health conditions, private health insurance coverage, and number of life disruptions are the primary factors that negatively impact the IRHM index, thereby contributing to an increase in socioeconomic inequality in mental health in Australia. Moreover, the HRIM index exhibits a more pronounced adverse impact from labour force status compared to the relatively weaker positive effects observed in the IRHM index, resulting in a net negative effect from labour force status in this period. To address this, Australian governments should focus on implementing cost-effective intervention policies targeting disadvantaged populations to maximise health system resources and minimise mental health disparity by addressing the socioeconomic determinants of mental health.

Suggested Citation

  • Hashmi, Rubayyat & Alam, Khorshed & Gow, Jeff, 2024. "Socioeconomic mental health disparities and income mobility in Australia: A longitudinal factor decomposition analysis," Economic Analysis and Policy, Elsevier, vol. 82(C), pages 290-302.
    • Handle: RePEc:eee:ecanpo:v:82:y:2024:i:c:p:290-302
    DOI: 10.1016/j.eap.2024.03.010
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    1. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    2. Petrie, Dennis & Allanson, Paul & Gerdtham, Ulf-G., 2011. "Accounting for the dead in the longitudinal analysis of income-related health inequalities," Journal of Health Economics, Elsevier, vol. 30(5), pages 1113-1123.
    3. Linder, Anna & Spika, Devon & Gerdtham, Ulf-G. & Fritzell, Sara & Heckley, Gawain, 2020. "Education, immigration and rising mental health inequality in Sweden," Social Science & Medicine, Elsevier, vol. 264(C).
    4. Jihyung Hong & Jaehee Lee, 2019. "Decomposing Income-Related Inequalities in Self-Reported Depression and Self-Rated Health Among Married Immigrants in South Korea," IJERPH, MDPI, vol. 16(10), pages 1-15, May.
    5. Cathrine Mihalopoulos & Yong Yi Lee & Lidia Engel & Long Khanh‐Dao Le & Eng Joo Tan & Mary Lou Chatterton, 2021. "The Productivity Commission Inquiry Report into Mental Health—A Commentary from a Health Economics Perspective," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(1), pages 119-129, March.
    6. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    7. Clarke, Philip M. & Gerdtham, Ulf-G. & Johannesson, Magnus & Bingefors, Kerstin & Smith, Len, 2002. "On the measurement of relative and absolute income-related health inequality," Social Science & Medicine, Elsevier, vol. 55(11), pages 1923-1928, December.
    8. Hashmi, Rubayyat & Alam, Khorshed & Gow, Jeff, 2020. "Socioeconomic inequalities in mental health in Australia: Explaining life shock exposure," Health Policy, Elsevier, vol. 124(1), pages 97-105.
    9. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "Rising inequalities in income and health in China: Who is left behind?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1214-1229.
    10. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    11. Max Coveney & Pilar García‐Gómez & Eddy Van Doorslaer & Tom Van Ourti, 2016. "Health Disparities by Income in Spain Before and After the Economic Crisis," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 141-158, November.
    12. repec:wly:hlthec:v:25:y:2016:i::p:141-158 is not listed on IDEAS
    13. Lee, Miaw-Chwen & Jones, Andrew Michael, 2007. "Understanding differences in income-related health inequality between geographic regions in Taiwan using the SF-36," Health Policy, Elsevier, vol. 83(2-3), pages 186-195, October.
    14. Coveney, Max & García-Gómez, Pilar & van Doorslaer, Eddy & Van Ourti, Tom, 2020. "Thank goodness for stickiness: Unravelling the evolution of income-related health inequalities before and after the Great Recession in Europe," Journal of Health Economics, Elsevier, vol. 70(C).
    15. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    16. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LP, vol. 16(1), pages 112-138, March.
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