The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort

Abstract Objective: To assess the effect of the Australian Disability Support Pension (DSP) on the symptomology of depression and anxiety over and above the effects of reporting a disability itself. Methods: We used the Household Income Labour Dynamics in Australia (HILDA) survey from 2004 to 2017....

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Main Authors: Allison Milner, Anne Kavanagh, Ashley McAllister, Zoe Aitken
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13011
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author Allison Milner
Anne Kavanagh
Ashley McAllister
Zoe Aitken
author_facet Allison Milner
Anne Kavanagh
Ashley McAllister
Zoe Aitken
author_sort Allison Milner
collection DOAJ
description Abstract Objective: To assess the effect of the Australian Disability Support Pension (DSP) on the symptomology of depression and anxiety over and above the effects of reporting a disability itself. Methods: We used the Household Income Labour Dynamics in Australia (HILDA) survey from 2004 to 2017. We used fixed effects regression to understand mental health differences (using the Mental Health Inventory‐5 [MHI‐5]) when a person reported: i) a disability; or ii) a disability and receiving the DSP) compared to when they reported no disability. The models controlled for time‐varying changes in the severity of the disability and other time‐related confounders. Results: There was a 2.97‐point decline (95%CI −3.26 to −2.68) in the MHI‐5 when a person reported a disability compared to waves in which they reported no disability and 4.48‐point decline (95%CI −5.75 to −3.22) when a person reported both a disability and being on the DSP compared to waves in which they reported neither. Conclusions: Results suggest that accessing and being in receipt of the DSP can impact the mental health of people with disabilities. Implications for public health: Government income support policies should address the unintended adverse consequences in already vulnerable populations.
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spelling doaj.art-f70fe2cfaf3645b2afb70b9762934c3c2023-08-02T01:27:32ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052020-08-0144430731210.1111/1753-6405.13011The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohortAllison Milner0Anne Kavanagh1Ashley McAllister2Zoe Aitken3Disability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health The University of Melbourne VictoriaDisability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health The University of Melbourne VictoriaDisability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health The University of Melbourne VictoriaDisability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health The University of Melbourne VictoriaAbstract Objective: To assess the effect of the Australian Disability Support Pension (DSP) on the symptomology of depression and anxiety over and above the effects of reporting a disability itself. Methods: We used the Household Income Labour Dynamics in Australia (HILDA) survey from 2004 to 2017. We used fixed effects regression to understand mental health differences (using the Mental Health Inventory‐5 [MHI‐5]) when a person reported: i) a disability; or ii) a disability and receiving the DSP) compared to when they reported no disability. The models controlled for time‐varying changes in the severity of the disability and other time‐related confounders. Results: There was a 2.97‐point decline (95%CI −3.26 to −2.68) in the MHI‐5 when a person reported a disability compared to waves in which they reported no disability and 4.48‐point decline (95%CI −5.75 to −3.22) when a person reported both a disability and being on the DSP compared to waves in which they reported neither. Conclusions: Results suggest that accessing and being in receipt of the DSP can impact the mental health of people with disabilities. Implications for public health: Government income support policies should address the unintended adverse consequences in already vulnerable populations.https://doi.org/10.1111/1753-6405.13011disability pensiondisability supportmental healthcohortfixed effects regression
spellingShingle Allison Milner
Anne Kavanagh
Ashley McAllister
Zoe Aitken
The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
Australian and New Zealand Journal of Public Health
disability pension
disability support
mental health
cohort
fixed effects regression
title The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
title_full The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
title_fullStr The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
title_full_unstemmed The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
title_short The impact of the disability support pension on mental health: evidence from 14 years of an Australian cohort
title_sort impact of the disability support pension on mental health evidence from 14 years of an australian cohort
topic disability pension
disability support
mental health
cohort
fixed effects regression
url https://doi.org/10.1111/1753-6405.13011
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