Housing tenure and affordability and mental health following disability acquisition in adulthood

Kavanagh, Anne M., Aitken, Zoe, Baker, Emma, LaMontagne, Anthony D., Milner, Allison and Bentley, Rebecca 2016, Housing tenure and affordability and mental health following disability acquisition in adulthood, Social science & medicine, vol. 151, pp. 225-232, doi: 10.1016/j.socscimed.2016.01.010.

Attached Files
Name Description MIMEType Size Downloads

Title Housing tenure and affordability and mental health following disability acquisition in adulthood
Author(s) Kavanagh, Anne M.
Aitken, Zoe
Baker, Emma
LaMontagne, Anthony D.ORCID iD for LaMontagne, Anthony D. orcid.org/0000-0002-5811-5906
Milner, AllisonORCID iD for Milner, Allison orcid.org/0000-0003-4657-0503
Bentley, Rebecca
Journal name Social science & medicine
Volume number 151
Start page 225
End page 232
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-02
ISSN 0277-9536
Keyword(s) disability
mental health
housing tenure
housing affordability
longitudinal study
fixed-effects regression
effect measure modification
Summary Acquiring a disability in adulthood is associated with a reduction in mental health and access to secure and affordable housing is associated with better mental health. We hypothesised that the association between acquisition of disability and mental health is modified by housing tenure and affordability. We used twelve annual waves of data (2001-2012) (1913 participants, 13,037 observations) from the Household, Income and Labour Dynamics in Australia survey. Eligible participants reported at least two consecutive waves of disability preceded by two consecutive waves without disability. Effect measure modification, on the additive scale, was tested in three fixed-effects linear regression models (which remove time-invariant confounding) which included a cross-product term between disability and prior housing circumstances: housing tenure by disability; housing affordability by disability and, in a sub-sample (896 participants 5913 observations) with housing costs, tenure/affordability by disability. The outcome was the continuous mental component summary (MCS) of SF-36. Models adjusted for time-varying confounders. There was statistical evidence that prior housing modified the effect of disability acquisition on mental health. Our findings suggested that those in affordable housing had a -1.7 point deterioration in MCS (95% CI -2.1, -1.3) following disability acquisition and those in unaffordable housing had a -4.2 point reduction (95% CI -5.2, -1.4). Among people with housing costs, the largest declines in MCS were for people with unaffordable mortgages (-5.3, 95% CI -8.8, -1.9) and private renters in unaffordable housing (-4.0, 95% CI -6.3, -1.6), compared to a -1.4 reduction (95% CI -2.1, -0.7) for mortgagors in affordable housing. In sum, we used causally-robust fixed-effects regression and showed that deterioration in mental health following disability acquisition is modified by prior housing circumstance with the largest negative associations found for those in unaffordable housing. Future research should test whether providing secure, affordable housing when people acquire a disability prevents deterioration in mental health.
Language eng
DOI 10.1016/j.socscimed.2016.01.010
Field of Research 1117 Public Health And Health Services
1601 Anthropology
1608 Sociology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081215

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 11 times in TR Web of Science
Scopus Citation Count Cited 13 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 305 Abstract Views, 2 File Downloads  -  Detailed Statistics
Created: Mon, 08 Feb 2016, 10:51:50 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.