Places, people and mental health: A multilevel analysis of economic inactivity
This paper investigates multilevel associations between the common mental disorders of anxiety, depression and economic inactivity measured at the level of the individual and the UK 2001 census ward. The data set comes from the Caerphilly Health & Social Needs study, in which a representative survey of adults aged 18-74 years was carried out to collect a wide range of information which included mental health status (using the Mental Health Inventory (MHI-5) scale of the Short Form-36 health status questionnaire), and socio-economic status (including employment status, social class, household income, housing tenure and property value). Ward level economic inactivity was measured using non-means tested benefits data from the Department of Work and Pensions (DWP) on long-term Incapacity Benefit and Severe Disablement Allowance. Estimates from multilevel linear regression models of 10,653 individuals nested within 36 census wards showed that individual mental health status was significantly associated with ward-level economic inactivity, after adjusting for individual-level variables, with a moderate effect size of -0.668 (standard error=0.258). There was a significant cross-level interaction between ward-level and individual economic inactivity from permanent sickness or disability, such that the effect of permanent sickness or disability on mental health was significantly greater for people living in wards with high levels of economic inactivity. This supports the hypothesis that living in a deprived neighbourhood has the most negative health effects on poorer individuals and is further evidence for a substantive effect of the place where you live on mental health.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 64 (2007)
Issue (Month): 3 (February)
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Rowland Atkinson & Keith Kintrea, 2001. "Disentangling Area Effects: Evidence from Deprived and Non-deprived Neighbourhoods," Urban Studies, Urban Studies Journal Limited, vol. 38(12), pages 2277-2298, November.
- Propper, Carol & Jones, Kelvyn & Bolster, Anne & Burgess, Simon & Johnston, Ron & Sarker, Rebecca, 2005.
"Local neighbourhood and mental health: Evidence from the UK,"
Social Science & Medicine,
Elsevier, vol. 61(10), pages 2065-2083, November.
- Carol Propper & Kelvyn Jones & Anne Bolster & Simon Burgess & Ron Johnston & Rebecca Sarker, 2004. "Local Neighbourhood and Mental Health: Evidence from the UK," The Centre for Market and Public Organisation 04/099, Department of Economics, University of Bristol, UK.
- Christina Beatty & Stephen Fothergill, 2005. "The diversion from 'unemployment' to 'sickness' across British regions and districts," Regional Studies, Taylor & Francis Journals, vol. 39(7), pages 837-854.
- Christina Beatty & Stephen Fothergill, 1996. "Labour Market Adjustment in Areas of Chronic Industrial Decline: The Case of the UK Coalfields," Regional Studies, Taylor & Francis Journals, vol. 30(7), pages 627-640.
- Andrew McCulloch, 2001. "Ward-level deprivation and individual social and economic outcomes in the British Household Panel Study," Environment and Planning A, Pion Ltd, London, vol. 33(4), pages 667-684, April.
- Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
- Buzzelli, Michael & Su, Jason, 2006. "Multi-level modelling in health research: A caution and rejoinder on temporally mismatched data," Social Science & Medicine, Elsevier, vol. 62(5), pages 1215-1218, March.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:64:y:2007:i:3:p:633-645. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.