Journal article

A causal mediation analysis of the effect of disability on mental health mediated by employment

Zoe Aitken, Julie Simpson, Rebecca Bentley, Anne Kavanagh

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY | OXFORD UNIV PRESS | Published : 2021

Abstract

Abstract Background There is evidence that disability acquisition causes a decline in mental health, but few studies have examined the causal mechanisms through which the effect operates. This study used a novel approach to mediation analysis to quantify interventional indirect effects through employment and income. Methods We used four waves of longitudinal data to compare self-reported mental health between working aged individuals who acquired a disability (n = 233) and those who remained disability-free (n = 5419). We conducted a causal mediation analysis quantifying in..

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