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The effect of labor market shocks on mental health outcomes: evidence from the Spanish Great Recession

Author

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  • Eduardo Ignacio Polo-Muro

    (Department of Economics. Universidad Pablo de Olavide.)

Abstract

This research examines the response in terms of demand for mental health care when individuals face a negative economic shock that impairs mental health. It exploits the sudden increase of the unemployment rate in Spain during the period 2007-2009 to analyze the long-run consequences of the labor market deterioration caused by the Great Recession on mental health. First, I analyze the impairment of self-evaluated mental health as a consequence of the Great Recession and if it prevails during the economic recovery. In addition, I estimate if the effect on self-reported mental health is reflected in the demand for mental health care. The results indicate that individuals displaced from their jobs are more likely to report worse mental health, to take drugs for mental illness, and to visit a mental health specialist. Using a labor market shock at the aggregate level, the findings from a differences-in-differences design show that the economic downturn increases the differences between employed and unemployed individuals in self-evaluated mental health. However, a recession reduces the prescription of mental health drugs, and the effect on medical attendance is insignificant. The opposite evidence regarding self-evaluated mental health and medical behavior might suggest the presence of a stigma associated with mental health.

Suggested Citation

  • Eduardo Ignacio Polo-Muro, 2021. "The effect of labor market shocks on mental health outcomes: evidence from the Spanish Great Recession," Working Papers 21.08, Universidad Pablo de Olavide, Department of Economics.
    • Handle: RePEc:pab:wpaper:21.08
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    1. Marta Lachowska, 2017. "The Effect of Income on Subjective Well-Being: Evidence from the 2008 Economic Stimulus Tax Rebates," Journal of Human Resources, University of Wisconsin Press, vol. 52(2), pages 374-417.
    2. Benedicte Apouey & Andrew E. Clark, 2015. "Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health," Health Economics, John Wiley & Sons, Ltd., vol. 24(5), pages 516-538, May.
    3. Reto Odermatt & Alois Stutzer, 2019. "(Mis-)Predicted Subjective Well-Being Following Life Events," Journal of the European Economic Association, European Economic Association, vol. 17(1), pages 245-283.
    4. Andersen, Torben M. & Svarer, Michael, 2009. "Business cycle dependent unemployment insurance," Kiel Working Papers 1498, Kiel Institute for the World Economy (IfW Kiel).
    5. Andrew E. Clark, 2003. "Unemployment as a Social Norm: Psychological Evidence from Panel Data," Journal of Labor Economics, University of Chicago Press, vol. 21(2), pages 289-322, April.
    6. Gangopadhyaya, Anuj & Blavin, Fredric & Gates, Jason & Braga, Breno, 2019. "Credit Where It's Due: Investigating Pathways from EITC Expansion to Maternal Mental Health," IZA Discussion Papers 12233, Institute of Labor Economics (IZA).
    7. Hannes Schwandt, 2018. "Wealth Shocks and Health Outcomes: Evidence from Stock Market Fluctuations," American Economic Journal: Applied Economics, American Economic Association, vol. 10(4), pages 349-377, October.
    8. Moser, Petra & Biasi, Barbara & Dahl, Michael S, 2021. "Career Effects of Mental Health," CEPR Discussion Papers 16401, C.E.P.R. Discussion Papers.
    9. Marcus, Jan, 2013. "The Effect of Unemployment on the Mental Health of Spouses – Evidence from plant closures in Germany," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 32(3), pages 546-558.
    10. Christopher J Boyce & Liam Delaney & Alex M Wood, 2018. "The Great Recession and subjective well-being: How did the life satisfaction of people living in the United Kingdom change following the financial crisis?," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-17, August.
    11. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    12. Sarah R. Cohodes & Daniel S. Grossman & Samuel A. Kleiner & Michael F. Lovenheim, 2016. "The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions," Journal of Human Resources, University of Wisconsin Press, vol. 51(3), pages 727-759.
    13. Melisa Bubonya & Deborah A. Cobb-Clark & David C. Ribar, 2017. "The Bilateral Relationship between Depressive Symptoms and Employment Status," Melbourne Institute Working Paper Series wp2017n10, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    14. Lídia Farré & Francesco Fasani & Hannes Mueller, 2018. "Feeling useless: the effect of unemployment on mental health in the Great Recession," IZA Journal of Labor Economics, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 7(1), pages 1-34, December.
    15. 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.
    16. Elira Kuka, 2020. "Quantifying the Benefits of Social Insurance: Unemployment Insurance and Health," The Review of Economics and Statistics, MIT Press, vol. 102(3), pages 490-505, July.
    17. Gintare Mazeikaite & Cathal O’Donoghue & Denisa M. Sologon, 2019. "The Great Recession, financial strain and self-assessed health in Ireland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 579-596, June.
    18. Ricardo Perez-Truglia, 2020. "The Effects of Income Transparency on Well-Being: Evidence from a Natural Experiment," American Economic Review, American Economic Association, vol. 110(4), pages 1019-1054, April.
    19. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    20. Schaller, Jessamyn & Stevens, Ann Huff, 2015. "Short-run effects of job loss on health conditions, health insurance, and health care utilization," Journal of Health Economics, Elsevier, vol. 43(C), pages 190-203.
    21. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    22. Alberto Abadie & Guido W. Imbens, 2011. "Bias-Corrected Matching Estimators for Average Treatment Effects," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 29(1), pages 1-11, January.
    23. Erik Lindqvist & Robert Östling & David Cesarini, 2020. "Long-Run Effects of Lottery Wealth on Psychological Well-Being," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(6), pages 2703-2726.
    24. Laura Kawano & Sara LaLumia, 2017. "How Income Changes During Unemployment: Evidence from Tax Return Data," Journal of Human Resources, University of Wisconsin Press, vol. 52(2), pages 418-456.
    25. Jesse Rothstein, 2023. "The Lost Generation? Labor Market Outcomes for Post-Great Recession Entrants," Journal of Human Resources, University of Wisconsin Press, vol. 58(5), pages 1452-1479.
    26. Gary V. Engelhardt & Jonathan Gruber & Cynthia D. Perry, 2005. "Social Security and Elderly Living Arrangements: Evidence from the Social Security Notch," Journal of Human Resources, University of Wisconsin Press, vol. 40(2).
    27. Kamila Cygan‐Rehm & Daniel Kuehnle & Michael Oberfichtner, 2017. "Bounding the causal effect of unemployment on mental health: Nonparametric evidence from four countries," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1844-1861, December.
    28. Erzo F. P. Luttmer, 2005. "Neighbors as Negatives: Relative Earnings and Well-Being," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 963-1002.
    29. Danny Yagan, 2019. "Employment Hysteresis from the Great Recession," Journal of Political Economy, University of Chicago Press, vol. 127(5), pages 2505-2558.
    30. Moscone, F. & Tosetti, E. & Vittadini, G., 2016. "The impact of precarious employment on mental health: The case of Italy," Social Science & Medicine, Elsevier, vol. 158(C), pages 86-95.
    31. 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.
    32. Mousteri, Victoria & Daly, Michael & Delaney, Liam & Tynelius, Per & Rasmussen, Finn, 2019. "Adolescent mental health and unemployment over the lifespan: Population evidence from Sweden," Social Science & Medicine, Elsevier, vol. 222(C), pages 305-314.
    33. repec:hal:pseose:halshs-00566789 is not listed on IDEAS
    34. Rosa Urbanos-Garrido & Beatriz Lopez-Valcarcel, 2015. "The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 175-184, March.
    35. Charles, Kerwin Kofi & DeCicca, Philip, 2008. "Local labor market fluctuations and health: Is there a connection and for whom?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1532-1550, December.
    36. Yuxi Wang & Giovanni Fattore, 2020. "The impact of the great economic crisis on mental health care in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1259-1272, November.
    37. Tefft, Nathan, 2011. "Insights on unemployment, unemployment insurance, and mental health," Journal of Health Economics, Elsevier, vol. 30(2), pages 258-264, March.
    38. Hilary W. Hoynes & Jesse Rothstein, 2019. "Universal Basic Income in the US and Advanced Countries," NBER Working Papers 25538, National Bureau of Economic Research, Inc.
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    More about this item

    Keywords

    Mental health; Health Care; Unemployment; Great Recession;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J60 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - General

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