The cumulative effect of living with disability on mental health in working-age adults: an analysis using marginal structural models.

Publisher: Springer International Country of Publication: Germany NLM ID: 8804358 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-9285 (Electronic) Linking ISSN: 09337954 NLM ISO Abbreviation: Soc Psychiatry Psychiatr Epidemiol Subsets: MEDLINE

Original Publication: [Berlin] : Springer International, [c1988-

Disabled Persons*/psychology ; Employment*/psychology ; Mental Health*; Adult ; Australia ; Family Characteristics ; Female ; Health Surveys ; Humans ; Income ; Longitudinal Studies ; Male ; Middle Aged ; Surveys and Questionnaires

Purpose: Previous studies have shown that acquiring a disability is associated with a reduction in mental health, but they have not considered the cumulative impact of having a disability on mental health. We used acquisition of a non-psychological disability to estimate the association of each additional year lived with disability on mental health (measured using the Mental Component Summary score of the Short Form Health Survey).
Methods: We used the first 13 waves of data (years 2001-2013) from the Household, Income and Labour Dynamics in Australia Survey. The sample included 4113 working-age (18-65 years) adults who were disability-free at waves 1 and 2. We fitted marginal structural models with inverse probability weights to estimate the association of each additional year of living with disability on mental health, employing multiple imputation to handle the missing data.
Results: Of the 4113 participants, 7.7 percent acquired a disability. On average, each additional year lived with disability was associated with a decrease in the mean Mental Component Summary score (β = - 0.42; 95% CI - 0.71, - 0.14).
Conclusions: This study provides evidence that each additional year lived with non-psychological disability is associated with a decline in mental health among working-age Australians.

J Pers Soc Psychol. 2007 Apr;92(4):717-30. (PMID: 17469954)
Epidemiology. 2011 May;22(3):368-77. (PMID: 21399502)
Age Ageing. 2009 Mar;38(2):181-7. (PMID: 19029098)
J Epidemiol Community Health. 2014 Nov;68(11):1064-71. (PMID: 25053615)
Soc Psychiatry Psychiatr Epidemiol. 2017 Oct;52(10):1247-1255. (PMID: 28676948)
Soc Sci Med. 2010 Jul;71(2):288-297. (PMID: 20488601)
J Aging Health. 2005 Jun;17(3):263-92. (PMID: 15857959)
PLoS One. 2015 Oct 07;10(10):e0139708. (PMID: 26444990)
Epidemiology. 2000 Sep;11(5):550-60. (PMID: 10955408)
Int J Epidemiol. 2001 Jun;30(3):600-7. (PMID: 11416091)
Psychol Sci. 2005 Sep;16(9):663-6. (PMID: 16137249)
Soc Sci Med. 2016 Feb;151:225-32. (PMID: 26820573)
Disabil Health J. 2015 Apr;8(2):191-9. (PMID: 25278487)
Int J Equity Health. 2013 Aug 29;12:73. (PMID: 23985044)
Stat Methods Med Res. 2012 Feb;21(1):31-54. (PMID: 21030422)
Aust N Z J Public Health. 2012 Apr;36(2):176-82. (PMID: 22487354)
Int J Epidemiol. 2014 Feb;43(1):264-9. (PMID: 24366487)
Disabil Health J. 2014 Oct;7(4):448-56. (PMID: 25224985)
J Health Soc Behav. 1988 Mar;29(1):23-37. (PMID: 2966841)
BMC Public Health. 2004 Oct 07;4:44. (PMID: 15469617)
Disabil Health J. 2011 Apr;4(2):91-101. (PMID: 21419372)

1104975 National Health and Medical Research Council; DP170101434 Australian Research Council; Centre of Research Excellence grant APP1116385 National Health and Medical Research Council

Keywords: Disability; Epidemiologic methods; Epidemiology; Mental health

Date Created: 20190324 Date Completed: 20200309 Latest Revision: 20200309

20240105

10.1007/s00127-019-01688-9

30903240